The NACHER Corporation AIM Division Checklist

Work Pack

JSA's

Signed BMP Plan

Paint MSDS's

BBS Cards

COMMENTS

Nacher safety policies and procedures

Work permit

JSA reports

Hot work permit

Lockout/tagout permit

Confined space permit

COMMENTS

Is an inventory of hazardous chemicals conducted annually?

Does the inventory include location of each hazardous chemical?

Are MSDS's on hand for all chemicals listed on inventory and used on the project?

Do employees know how to read MSDS's?

Are MSDS's kept in one or more key places, and readily available to all concerning employees?

Are chemicals and solvents kept in properly labeled and approved containers?

Are labels present on all hazardous chemical containers?

Do employees follow safe work practices when working with hazardous materials (i.e., check labels and MSDS, follow safety instructions, use required PPE)?

Is hazard communication plan readily available for all employees?

Equipment

Tool House

Waste Materials

Other (specify below)

COMMENTS

10 man safety kits

Eye wash stations with refills

Are first aid kits available and adequately stocked?

Are first aid kits approved by physician?

Are there first aid/CPR trained personnel available?

Is that list posted on first aid kits?

Are emergency eye washes available?

Are emergency showers available?

COMMENTS

VENTILATION

1. Is tank properly ventilated and blower tied off?

LIGHTING

1. Are lighting systems non-explosion specific?

ACCESS TO/FROM WORK SITE

OXYGEN/GAS MONITORING EQUIPMENT (LEL MONITORS)

EMERGENCY ROUTE TO MUSTER AREA

1. Is there a contingency plan for the facility?

2. Are employees familiar with the contingency plan?

3. Have emergency escape routes been designated and posted?

4. Are employees familiar with the emergency signals?

5. Are employees familiar with emergency procedures?

6. Are emergency telephone numbers posted?

COMMENTS

FILTER MEDIA ON AIR INTAKES

AIR FILTERS AND CHANGE DATE STICKER

FAN BLADES AND BELTS

RADIATOR

STARTER / SOLENOID

STARTER WIRES

FUEL FILTERS AND DATE CHANGE STICKERS

RACOR FUEL FILTERS AND DATE CHANGE STICKERS

AIR SUPPLY TANK

EMERGENCY SHUT DOWN DEVICE

MUFFLER / EXHAUST SYSTEM

INJECTOR LINES

COMPRESSOR FLUID AND AIR HOSES

FLUID LEAKS

IS COMPRESSOR PROPERLY GROUNDED

AIR QUALITY PAPERWORK POSTED

EXHAUST AND MANIFOLD INSULATION

STAINLESS ARMOR HOSES

FUEL SHUTOFF TIED INTO PLATFORM ESD

COMMENTS

RADIATOR

AIR END OIL

ENGINE OIL

AIR TEMPERATURE

OPERATING TEMPERATURE

ALTERNATOR GAUGE

PRESSURE GAUGE

AIR START AIR TANK PRESSURE

COMMENTS

HOSES

CLAMPS

SAFETY WIRE / CLIPS

WHIP CHECKS

1. All hoses and pressured lines secured

COMMENTS

GENERAL CONDITION

CURRENT CERTIFICATION

FILTER / WATER POD

HOSES

5-MINUTE SCBA's

COMMENTS

APPEARANCE

SECURITY

MSDS POSTED / CURRENT

COMMENTS

APPEARANCE

CLEANLINESS

PERSONAL ITEMS STORED IN LOCKER AND LOCKED

LIFE JACKETS AVAILABLE

GAS DETECTOR / ALARMS IN PLACE AND PROPERLY SERVICED

ORGANIZATIONAL LAYOUT

COMMENTS

ALUMINUM BOARDS

OSHA BOARDS (CLEATS)

CABLE CLAMPS

CABLE

MOON AND HLL CLAMPS

SNATCH BLOCKS

THIMBLES

SHACKLES

CHOKER CABLES

LADDERS

SAFETY NETS AND HOOKS

NEEDLE BEAMS

STANDOFFS

SCAFFOLDING

COMMENTS

BODY HARNESS

1. Serial numbers visible?

ASCENDERS

DESCENDERS

ROPE GRABS

ROPES

FACE SHIELD

GLOVES

HARD HATS

LIFE JACKET / WORK VEST

SAFETY GLASSES

SAFETY GOGGLES

STEEL TOE BOOTS

HEARING PROTECTION

TYVEK SUITS

DUST MASKS

RESPIRATOR

COMMENTS

A.

B.

C.

D.

E.

F.

G.

H.

I.

J.

K.

L.

ACTUATED VALVES

AID TO NAVIGATION LIGHTS

BUILDING AIR VENTS

DRAINS

ELECTRIC MOTORS

1. Are live electrical components de-energized prior to working on or near them?

2. Is equipment that is de-energized, but is not locked or tagged out treated as energized?

3. Are safety signs and tags used to warn employees about electrical hazards?

4. Are barricades and/or attendants used where necessary to prevent or limit employee access to electrical hazards?

5. Is personal protective equipment used when required?

6. Are motors clean and free of excessive dirt and oil?

7. Are portable lights equipped with proper guards?

8. Are qualified electricians only allowed to work on electrical systems?

COMPRESSOR COOLING FANS

ENGINE INTAKE FILTERS

TURBINE INTAKE FILTERS

1. Are adequate numbers of fire extinguishers of appropriate type available?

2. Are employees trained with portable fire extinguishers?

3. Are fire lanes established and maintained?

4. Are fire extinguishers mounted at readily accessible locations and free of obstructions?

5. Are fire extinguishers inspected monthly and noted on the tag?

6. Is the facility fire drill held monthly and documented?

7. Are combustible materials prohibited from being stored under stairways?

8. Are fire doors unobstructed inside and outside and in good operating condition?

9. Is a "No Smoking" policy in place for designated areas and enforced?

10. Are there metal containers designated for cigarette butts in designated "Smoking Areas"?

11. Is a "No Smoking" policy in place for designated areas and enforced?

12. Is the fire alarm system inspected annually?

13. Are flammable and combustible storage areas properly marked with signs?

FIRE HOSE REELS

GAUGES

LIFE RAFTS

LIFE RINGS

LIGHT FIXTURES

PANELS

PILOT BOXES

SAND BLOWERS

SAND SCREENS

SIGHT GLASSED

COMMENTS

GENERAL CONDITION

WALKWAYS CLEAR

CLEANLINESS

SAFETY RECOMMENDATIONS

GENERAL CONDITION

WALKWAYS CLEAR

CLEANLINESS

SAFETY RECOMMENDATIONS

GENERAL CONDITION

WALKWAYS CLEAR

CLEANLINESS

SAFETY RECOMMENDATIONS

Are floors in good repair?

Are floors free of rough or slippery surfaces?

Are non-skid materials used in high-traffic areas where floor may become wet?

Are toe boards at least 4 inches high?

Are fixed stairways a minimum width of 22 inches?

Are stair railings firmly in place and solidly anchored?

Are stair treads serviceable and undamaged?

Is lighting adequate on stairways?

Is emergency lighting in place and working on stairways?

Are items removed from stairs?

Are ladders strong enough for the intended use?

Do ladders have non-slip safety feet?

Are ladders long enough and appropriate for the job?

Are ladders properly extended and tied at top of structure for security?

Are defective or unsafe ladders removed from service?

Are rungs free of grease and oil?

Is only only one person permitted on ladder at one time?

Are ladders, not boxes or chairs, used to reach high places?

Are workers prohibited from standing no more than three runs from the top of the ladder?

COMMENTS

JSA

RESCUE PLAN

GAS METER 4 GAS

SAFETY EQUIPMENT (Tri-pod, Radios, Air Blower, Air Packs)

HARNESS AND LANYARDS (Inspection Tags, D Rings, Cleanliness)

BARRIERS (Open holes taped off, Work site preparation area taped off, Hoses taped)

COMMENTS

Job site work area is clear of trip hazards.

Barriers are in place and area is secure from non-essential personnel.

All members are wearing proper PPE applicable to the task.

All personnel lifting equipment inspection tags are visible for inspection.

Members working together with good communication.

Members are following pre-task TBRA discussion during the job.

All necessary paperwork (if applicable) is available and completely filled out (TBRA, PTW, etc.)

The job has been broken down into manageable steps. (4 Pt. Check)

All members can explain the job steps.

All members know the hazards for each job step. (4 Pt. Check)

The hazards for the job have been reasonably identified. (4 Pt. Check)

Each hazard has been reduced to "As Low As Reasonably Practicable"

COMMENTS: SAFE

COMMENTS: AT-RISK

SAFETY RECOMMENDATIONS

1. Hazard awareness training complete

2. Knowledge of task

3. Communication Flow

4. Short service employee (Mentor in place)

1. Hand placement

2. Body positioning

3. Footing around work area

4. Lifting equipment

5. Moving equipment

6. Moving around loads

1. Job Safety Analysis (JSA)

2. NACHER JSA Job Procedures (copy)

3. Client Permit to Work (copy at each entry)

4. Foreman Job Site Audit Form

5. Safety Observation Cards

1. 4 Pt. Check Wristband

2. Stop Work Authority Card

3. Hard Hat Chin Straps (If applicable)

4. Electronic HSE Manual (Project Manager)

Are hoses tested periodically for leaks, damage, and loose connections?

Are hoses free of oil and grease?

Are arc welding machines grounded before each use?

Are manufacturers' safety labels and instructions in place on equipment?

Do welders wear long sleeve cotton shirts, free of oil and grease?

Are correct goggles and eyeshades available and in use on welding/cutting jobs?

Are helmets and leather aprons available and in use on welding and cutting jobs?

Are gloves and leggings available for use on welding/cutting jobs?

Do portable tinted screens or curtains surround welding/cutting areas?

Are flammables removed from the welding/cutting area?

Are fire extinguishers available and carried to welding/cutting site before job starts?

Are welding/cutting areas well ventilated?

Are metal fume respirators available to welders?

Are Hot Work Permits available?

Are only trained personnel permitted to operate welding and cutting equipment?

COMMENTS

Are portable hand and power tools inspected before use for defects?

Are extension cords underwriters laboratory listed and adequate for their intended use?

Are tools and equipment used as specified by the manufacturer and prohibited from being altered?

Do operators for portable hand and power tools have safety glasses available and use them?

Are extension cords fastened in ways that would prevent damage to insulation?

Are attached plugs and receptacles prohibited from being altered to prevent grounding?

Is defective or damaged equipment removed from service?

Are protective barriers/walls in place around power tool areas to protect other employees?

Are extension cords prohibited from being used to raise or lower equipment?

COMMENTS

COMMENTS

IMMEDIATE ATTENTION

RECOMMENDATIONS