Inspection Information
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Conducted On:
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Location:
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Well Number:
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WBS Number:
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Site Monitor on location:
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Conducted By :
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Status of Operations:
Inspection Check List
Fire Suppression Trailer
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Inside clean and in good condition
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Extinguishers clean, inspected and ready for use
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Tie down straps and anchor bolts in good condition
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Wrenches for anchors
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Outside clean and in good condition
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Tires and Wheels in good condition
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Spare tire in good condition
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Hitch safety latch pin
Site Monitor Trailer
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Outside clan and in good condition
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Tires and Wheels in good condition
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Spare tires in good condition
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Hitch safety latch Pin
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Inside clean and good condition
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Extinguisher clean, inspected and ready for use
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Trailer stocked with cleaning supplies
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Paperwork neat and in good order
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Policies and procedures manual available
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Dry erase board up to date with proper information
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MSDS book out and visable
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Proper outside signage clean and good condition
Site Monitor Truck
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Outside clean and no dents
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Windshield in good condition
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Fuel and DEF Fluid at least half full
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Trash or other item in bed of truck
Site Monitor Personal Appearance
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All clothing clean and professional
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Presenting himself in a professional manner
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Wearing the proper safety vest
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Wearing all the proper PPE
Additional Findings
Additional Findings or Concerns:
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Issue #1:
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Issue #2:
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Issue #3:
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Issue #4:
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Issue #5:
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Issue #6:
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Issue #7:
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Issue #8:
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Issue #9:
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Issue #10:
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Approval
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Supervisor
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Site Monitor
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