W.O.# NW1-2335977 Cust Ref# : 383672
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<br /> PPE-PERSONAL PROTECTIVE EQUIPMENT RE UIREU(Chock✓Roma geed ortrfark eat a�rffNca4le)
<br /> Safety Veat---- 1 -Aafety Glasses -i'I oves I h+aunU l'i vlpeUnn
<br /> Steel Toe Boots :;plash r7nuuled I(dlard I lel ( Ilial
<br /> ✓ PRE TEST PROCEDURES !Check✓each Item c2(t1�pL4td_g.►__It1StC�L-.lf nQtanullcab
<br /> I Discuss safety procedijrrys with slla personnel. Nearest hosplial:. ►�
<br /> 2. 1- Prior to fuel deliveries the IJ5T system must he plar"ecl hack Into worklnu order.
<br /> 3. I-Secure entire work area with barricades(cones,flour,and extension hare,cardiae tape,pennant flags,a'other parlmatmr {lard)
<br /> 4. 11 Place fire extinguishers and"No Smoking"signs In the work area,
<br /> 5.--I I Implement Lockout/Tagoul per API 1040(when accessing product piping during tasks)
<br /> L7 Secure nozzles with"Out of Service"bags and nylon lies. I gortura lila olrctA breaker(s)with lookout doviaea and tag+
<br /> ❑ Close ball valves or check valves on product piping. Disconnect olsctrlral"bayonet"0001'0/11101 from the 8 rF'(s)
<br /> F1 All applicable,equipment dlsahled diving toot(s), I I Verity LOTO Is complete by trying to operate pumps•
<br /> SIGN IN l.od Tovivnittlon wind sal da„„•.In.•,�^.l uru
<br /> General Safety Chocks:
<br /> All site personnel have been Informed. _ —
<br /> Fuel delivery has been informed, - - f:i n RnpinoWi4vn Remo � - .•Id Rdt,rdaanlaGvd rury
<br /> Is a fuel delivery due today? ____ I- 4%
<br /> LOTO procedures have been discussed and agreed. (3C yam” AA)
<br /> Work areas barricaded to protect workors,staff R puhlla JI h wo dly11ussed ob claalan o illi l..! ,. r„
<br /> ✓ POST TEST PROCE ORES(Chock ✓each 1112111 01111 l).
<br /> 1. 1 I Remove all"Lockout/Tagoul"devices.
<br /> 2. 11 Run all pumps and verify there are no lenks: 11 Impact Valvo 1,-J I plats under dispensers
<br /> I I Leak Detector Threads on STP's 1 1 Functional I lonwntn&Relief Screws
<br /> 3. 1 1 Install lead wire seal on all test plugs&look detectors that worn serviced
<br /> Count LD threads: L1 1,2 1.3 1.4 1 5 l N
<br /> 4. Check following components operational; 1 1 A 10 probes,sensors,&caps
<br /> I I Dell floats,dry breaks&craps I I Cathodic plott+ction operational
<br /> f l Containment sumps are dry �i (''J ' I I Dispensers&POS operational
<br /> I1 Dispenser panels aro replaced I 1 Drop tuba,fill adapters&Caps
<br /> I I Leak detectors&vent tubes l 1 Manhole Covers and sump lids
<br /> I I Monitoring system Is operational r""11 F` I I Shear valves are open
<br /> I I Siphon lines and manifold valves 1 I Spill contalnem&drain valves
<br /> I 1 STP fittings and hnyonet connectors 1 1 Vents(not capped,plu(Igod or isolated)
<br /> 5. it Remove barricades,
<br /> SIGN OUT& era or oriflcatlon of work(OVf) aad Tm hnicittin Nitino I..i Twfukser,:•.yr
<br /> General Safety Chocks: t
<br /> Work area has been left tidy&safe.
<br /> Site staff are aware of work status Including irny mnl,III ing Isolallu 1 ""f'it.Irtn ndahn aIve'Ra la t.R�ta.a+raau�+Slut al+l�
<br /> Changes to equipment are documented and coni n inicol,id
<br /> All Incidents,near Incident.,and unsafe altuntions repel it Td .• ff�a�_ „�, ,, .r }
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