Title Page
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Conducted on
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Prepared by
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Location
HSE
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JRA Started before arrival<br>
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Positive Comments---
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Coaching Comments---
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JRA updated with site specifics after safety site hazard hunt<br>
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Positive Comments---
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Coaching Comments---
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JRA shared with others on location<br>
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Positive Comments---
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Coaching Comments---
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JRA include proper muster point and emergency info<br>
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Positive Comments---
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Coaching Comments---
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JRA includes all hazards and controls on the site<br>
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Positive Comments---
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Coaching Comments---
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PPE is donned properly to include - Hard Hat, Safety Glasses, Steel Toe Boots, Proper Gloves fit for purpose, Long Sleeve FRC's, Gas Monitor, Hearing protection on Compressor sites and where needed and Face Shield<br>
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Positive Comments---
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Coaching Comments---
DRIVER
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Driver stopped upon arrival to do site hazard hunt<br>
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Positive Comments---
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Coaching Comments---
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Driver used chocks, cones, whip checks, cam lock ear pins, containment, ground cable<br>
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Positive Comments---
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Coaching Comments---
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Driver Parked 35 ft from gas source<br>
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Positive Comments---
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Coaching Comments---
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Driver did not lock himself onto location<br>
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Positive Comments---
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Coaching Comments---
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Driver Parked with pump exhaust down wind<br>
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Positive Comments---
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Coaching Comments---
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Driver did not use Thief Hatch<br>
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Positive Comments---
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Coaching Comments---
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Driver didn’t have any prohibited items on location<br>
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Positive Comments---
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Coaching Comments---
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Drivers Uniform has High Vis stripes for Nighttime Work<br>
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Positive Comments---
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Coaching Comments---
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Driver Has H2S Awareness Training, Safeland and the BHP Safety Induction Sticker<br>
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Positive Comments---
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Coaching Comments---
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SSE have green hardhats<br>
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Positive Comments---
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Coaching Comments---
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Driver has SDS sheets for any chemicals they have on the truck/trailer<br>
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Positive Comments---
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Coaching Comments---
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No Cell phone use while within 35 ft from hydrocarbons<br>
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Positive Comments---
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Coaching Comments---
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No cell phone use while driving<br>
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Positive Comments---
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Coaching Comments---
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Trucks Annual Inspection is good<br>
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Positive Comments---
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Coaching Comments---
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Trucks Pre Trip Inspection is done<br>
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Positive Comments---
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Coaching Comments---
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Trucks Lights all work<br>
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Positive Comments---
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Coaching Comments---
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Trucks Tires are within safe specs<br>
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Positive Comments---
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Coaching Comments---
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Truck does not leak fluids<br>
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Positive Comments---
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Coaching Comments---
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Trucks Air Hoses do not touch catwalk<br>
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Positive Comments---
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Coaching Comments---
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Trucks Company Name and AOGC stickers are visible<br>
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Positive Comments---
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Coaching Comments---
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Truck has inspected Fire Extinguisher<br>
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Positive Comments---
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Coaching Comments---
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Truck has spill Kit<br>
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Positive Comments---
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Coaching Comments---
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No Airlines hooked up to Trailer Butterfly Valves<br>
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Positive Comments---
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Coaching Comments---
EQUIPMENT
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Tools used are fit for purpose and within manufacturer specs<br>
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Positive Comments---
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Coaching Comments---
