Water Splitter Box

• Site conducted

  Select

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date
• Location
  Address

Splitter Box

• Is Box 3 in use?

  Yes

  No

  Locked Out

• How much process water is added to Box 3. GPM

• Is Box 4 in use?

  Yes

  No

  Locked Out

• How much process water is added to Box 4. GPM

• Is the Spillover in use?

  In Use

  Not in Use

• Is there tailings flowing through both the 48" & 60" pipelines? (If flow through 48" pipeline is reddish brown at splitter box & flow seems minimal, check 48" pipeline at A.25 box for possible pipeline sanding issue, report sanding to manangement)

  Yes

  No

• How much process water is added to the Spill Over. GPM

• Is the heat trace and insulation in good condition?

  Yes

  No

• Is the MCC building in good condition?

  Yes

  No

• Is the house keeping good?

  Yes

  No

• Are there any safety issues or problems with the Splitter Box?

  Safe

  At Risk

  N/A

• Operator

  Sign