LOCATION PERSONNEL

  • CUSTOMER REPRESENTATIVE

  • SAFETY OFFICER

  • NACHER FOREMAN

  • NACHER crew members: Note any SSE Personnel and mentors by (SSE/M)

SITE RECORDS

  • Work Pack

  • JSA's

  • Signed BMP Plan

  • Paint MSDS's

  • BBS Cards

  • COMMENTS

PROCEDURES

  • Nacher safety policies and procedures

  • Work permit

  • JSA reports

  • Hot work permit

  • Lockout/tagout permit

  • Confined space permit

  • COMMENTS

STORAGE FACILITES

  • 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

FIRST AID CONTENTS

  • 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

ENVIRONMENT

  • 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

COMPRESSORS

  • 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

COMPRESSOR FLUID LEVELS AND OPERATING CONDITIONS

  • RADIATOR

  • AIR END OIL

  • ENGINE OIL

  • AIR TEMPERATURE

  • OPERATING TEMPERATURE

  • ALTERNATOR GAUGE

  • PRESSURE GAUGE

  • AIR START AIR TANK PRESSURE

  • COMMENTS

VACUUM SYSTEMS

  • GENERAL CONDITION

  • OIL

  • FILTER

  • HOSES

  • ELECTRICAL LINES

  • SLINGS

  • COMMENTS

PRESSURE WASHERS

  • GENERAL CONDITIONS

  • OIL

  • FILTER

  • HOSES

  • ELECTRICAL LINES

  • SLINGS

  • COMMENTS

PRODUCTION CONEX

  • CLEANLINESS

  • SLINGS

  • EQUIPMENT STORAGE

  • COMMENTS

AIR HOSES

  • HOSES

  • CLAMPS

  • SAFETY WIRE / CLIPS

  • WHIP CHECKS

  • 1. All hoses and pressured lines secured

  • COMMENTS

DIA PUMPS

  • GENERAL CONDITION

  • FILTER

  • HOSES

  • COMMENTS

SUPPLIED AIR SYSTEM

  • GENERAL CONDITION

  • CURRENT CERTIFICATION

  • FILTER / WATER POD

  • HOSES

  • 5-MINUTE SCBA's

  • COMMENTS

VOLUME TANK

  • PRESSURE RELIEF VALVE

  • BALL VALVES

  • PRESSURE GAUGE

  • EQUIPMENT GROUNDED

  • PETCOCK VALVE

  • COMMENTS

TOOL HOUSE

  • APPEARANCE

  • SECURITY

  • MSDS POSTED / CURRENT

  • COMMENTS

CREW LIVING QUARTERS

  • APPEARANCE

  • CLEANLINESS

  • PERSONAL ITEMS STORED IN LOCKER AND LOCKED

  • LIFE JACKETS AVAILABLE

  • GAS DETECTOR / ALARMS IN PLACE AND PROPERLY SERVICED

  • ORGANIZATIONAL LAYOUT

  • COMMENTS

RIGGING EQUIPMENT

  • 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

PERSONAL SAFETY EQUIPMENT

  • BODY HARNESS

  • FACE SHIELD

  • GLOVES

  • HARD HATS

  • LIFE JACKET / WORK VEST

  • SAFETY GLASSES

  • SAFETY GOGGLES

  • STEEL TOE BOOTS

  • HEARING PROTECTION

  • TYVEK SUITS

  • DUST MASKS

  • RESPIRATOR

  • TURTLE SKIN

  • COMMENTS

MATERIALS (List of site specific)

  • A.

  • B.

  • C.

  • D.

  • E.

  • F.

  • G.

  • H.

  • I.

  • J.

  • K.

  • L.

PLATFORM EQUIPMENT PROTECTION

  • ACTUATED VALVES

  • AID TO NAVIGATION LIGHTS

  • BUILDING AIR VENTS

  • DRAINS

  • ELECTRIC MOTORS

  • ELECTRICAL EQUIPMENT

  • 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

  • FIRE EXTINGUISHERS

  • 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

BASKETS

  • NUMBER OF BASKETS ON SITE

  • DATE OF BASKET INSPECTION

  • DATE ADDITIONAL BASKETS WILL BE SENT IN

  • COMMENTS

TOP DECK

  • GENERAL CONDITION

  • WALKWAYS CLEAR

  • CLEANLINESS

  • SAFETY RECOMMENDATIONS

PRODUCTION DECK

  • GENERAL CONDITION

  • WALKWAYS CLEAR

  • CLEANLINESS

  • SAFETY RECOMMENDATIONS

CELLAR DECK

  • GENERAL CONDITION

  • WALKWAYS CLEAR

  • CLEANLINESS

  • SAFETY RECOMMENDATIONS

SLIPS, TRIPS, AND FALL PROTECTION

  • 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 carpets free of humps, curled edges, or tears?

  • Is sand/salt immediately spread on icy spots?

  • 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

CONFINED SPACE ENTRY

  • 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

TASK SITE CONTROL MEASURES

  • 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

PROCEDURAL MANAGEMENT

  • JOB PREPARATION FACTORS:

  • 1. Hazard awareness training complete

  • 2. Knowledge of task

  • 3. Communication Flow

  • 4. Short service employee (Mentor in place)

  • BODY POSITION

  • 1. Hand placement

  • 2. Body positioning

  • 3. Footing around work area

  • 4. Lifting equipment

  • 5. Moving equipment

  • 6. Moving around loads

  • PAPERWORK

  • 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

  • REQUIRED RISK MANAGEMENT TOOLS

  • 1. 4 Pt. Check Wristband

  • 2. Stop Work Authority Card

  • 3. Hard Hat Chin Straps (If applicable)

  • 4. Electronic HSE Manual (Project Manager)

WELDING AND CUTTING EQUIPMENT

  • 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

PORTABLE HAND TOOLS

  • 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

SIGNED

  • HSE Field Auditor

  • Company Representative

  • NACHER Foreman

INTERNAL CIRCULATION

  • HSEQ MANAGER

  • VICE PRESIDENT

  • DIVISION MANAGER

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