Laserfiche WebLink
W.O.# NW1-2345989 <br /> -E:talknalop. Inc. <br /> II(101tN. , -110,luusn, 1•\767;(d li KI)V64dk1111 Pniic; I{l{I._'N-A <br /> JOB CLEARANCE FO101 .1, _SITE SAFETY CHECKLIST—OVE Rcviscri;lllt«(�I'7 <br /> slip aStmet <br /> ��.� zja CA <br /> Wrtral vrF Wo 9L <br /> GeORitiF-Rirre: Travel Trine chore on hrte !E <br /> Ss pe d+Nmx a+,d Tasks mod f3 'e kWO he aanslntzle for all rmkal: <br /> r)l e S—10 0. 1n.t J S <br /> eat rt gcnp++ent x FRAS <br /> Ccn,of� yoga, 1/7,1q& - -''�° I <br /> F cw-up wbwmrpquu d egwlrmard o.mmmersis <br /> I -f -kno n-- <br /> PPE <br /> n-PPE•PERSONAL PROTECTIVE EQUIPMENT REQ LfIRE Check f lfems used or mark-it nota likable <br /> ? <br /> aiety vest Safety Glasses Gloves HCanng Protection <br /> Steel Tpe Boots 1 11 Splash Goggles !lard Hal Other <br /> ✓ PRE-TEST PROCEDURES Check - each item compteted or mark — if not applicable} <br /> 1. �l3iscuss safety procedures with s+te persnnnsl Nearest hosprtal;�� <br /> 2. Prlorto W dellvenes the UST system must be placed Sack Into working cider <br /> 3 v Secure entire work area with isardWdea(cones,flags,and extension bars,caution tape,pennant flags,ar other perimeter guard) <br /> ;- Place fire extinguishers and`No Srnokrng'signs In the work area <br /> 5. ---6nfined Space Entry-If required C.aampk+le separate CSE Checklist- II NO CSE REQUIRED check the following reason, <br /> No CS'S ICS's rrol g3enad Nn ehtry only visual ..Chmiry.used toots .-4k frOM Prone posillon wlo risk or falling in <br /> 5 Implement LockoullTagoul per API 5646 twhern aocessing product piping during tasks} <br /> --�-Secure rK)Zrles wllh,oul of Service'nags and nylon Jim :X5ecure the clrewt hreakar(y)with lockout devices and tags <br /> ,Clow ban valves or cheek valves on product Piping. � G1G4?nnec!elec[ncal"Gayonet"Cannr3CS0[froSTPisI. <br /> 2Cil�ppltcabie equipment diS173e <br /> 8d during testtsy Verify LGTO is complete by tryin a erm pumps. <br /> SIGN IN tad Dao Name z 1 Gan gnaturc <br /> General Safety Checks; <br /> Ad silo personnel have been mfcrmed } <br /> IS a fuel delivery due today? PCJ <br /> s+z Cpreanntnuva Harm <br /> t.t�Td procedures have leen dNcupsed- to H�Presr latrve8igruHurn <br /> Work arsaahamcaded to protect workers,staff&public <br /> ✓ POST TEST PROCEDURES Check each item Com feted or mark — if trot a likable <br /> I Remove all-L0ckQuVTa94ut"devices and nozzle bagslties <br /> 2. Run all pumps and verify there are no leaks; Impact Valve Test parts under dispensers <br /> L Leak Detector Threads on STP's Functional Elerltenis&Relief Screws <br /> 3. Q Install lead wire seal on all test plugs&leak detectors that were serviced. <br /> Count LO threads. L f L2_ L3` Ld_ L5_ L6_ <br /> d Check NlOwing components operational: ,I14FG probes, senanrs.8 Bk <br /> .mall heats,dry breaks 8 caps aps <br /> Cathodic prafcOtinn o <br /> � seam ercaps <br /> sumps are dry -eDlspensers&PDS operaticrial <br /> -- 15ispeispenser panels are repleted wrap tube5,flapper <br /> --Leak deteetars&vent tribes /laf <br /> bes valves.fill adapters$,Gaps ` <br /> anhnle Anvers and sump lids til <br /> /-Monitoring system is operational -,"S++ear valves are open <br /> Siphon lines and manifold valves opera sppill Canlarner*,&dr81n valves <br /> iI$TP ithriga and bayonet conneclors nis&Extractan t riot caed. <br /> lfl&IJOve barricades Pp plugged or isOlatedy <br /> Y <br /> BAGN 011t&2pp9lur Verification of Work 14VF} Lead Ktlmtyh mne <br /> General safety Charks: � <br /> Work area rias been lett clean&safe t <br /> ri Cl/�`�IA�4.• �f <br /> Site gtafl aware of work slat u;rn:,lvding any rerr:airnry isclat+on y1e +j <br /> Change,to equipnrerll are documeuled and communicated �raaeraokrn a g <br /> All incidents,near incidents,arsd unsafc-silualimis reported. <br /> le BpM•LefSaUVE Ornrt.E rRR <br /> (-(MPANY CONFIDI NTiAL C'tanknnl <br /> on <br /> Inc -D15.All I(i h <br /> rrntcef cu is al-this dueultienr etc ane+antrolled-The currant rcnfm is mailable in 14c TapkGc to�•On-!slat Liner,mvrtt(• "trticd <br /> uttna!1.u�. <br />