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JAZZIRAH Environment Co.IMS-HO-HSE-F-28 Quarterly Inspection Rev: 02, 25/02/2020

Date of InspectionInspector NameArea/Department InspectedArea/Department Representative NameCorrective Actions Required

No. Description Acc/Rej/N/A Act. By Act.

Date1.0 Air Emissions1.1 Are flanges, valves, exhausts designed to minimize

emissions1.2 Are the above included in a maintenance program1.3 Is hardware monitoring equipment calibrated & maintained1.4 Are vapor controls, vents and fill pipes installed for FOTP &

fuel tanks

2.0 Aisles and Passageways2.1 Are they properly identified2.2 Are they unobstructed2.3 Are they at least 1 meter wide2.4 Are they wide enough to permit normal movement3.0 Chemical & Fuels (Small Containers)3.1 Are containers made of correct materials3.2 If above ground not to contain more than 9460 liters3.3 Are tanks properly vented3.4 Are pressure relief valves installed3.5 Are tanks properly grounded & bonded3.6 Are adequate secondary spill containment present3.7 Are spill kits provided3.8 Are tanks corrosive protected3.9 Are tanks/drums adequately supported3.10 Are tanks insulated and temperature controlled to prevent

vaporizing3.11 Are adequate fireproof cabinets supplied3.12 Volumes in cabinets not to exceed 227 liters for class I,II and

450 liters for class III3.13 If heated, source does not constitute a fire hazard3.14 Are containers approved3.15 Is adequate fire protection provided3.16 Are containers correctly identified3.17 Are emergency eye wash/showers provided3.18 Are chemicals/fuels segregated to prevent reactions3.19 Are MSDS available for all chemicals



Date3.20 Are standards forms of identification used4.0 Color Coding4.1 Is color coding used which conforms to standards on all

systems and equipment

5.0 Compressed Gas5.1 Are all cylinders stored in upright position5.2 Are cylinders segregated and contents marked5.3 Are all caps on cylinders5.4 Are cylinders protected from corrosion5.5. Are cylinders stored away from access & egress routes5.6 Are cylinders checked for dents, corrosion and pressure

tested

6.0 Conveyors6.1 Are guards in place for drives, couplings6.2 Are drop guards installed against falling objects6.3 Are emergency stops installed and tested6.4 Have access crossings been erected

7.0 Effluent Systems7.1 Are facilities maintained and fully operational7.2 Are outlets free of oil & contaminants7.3 Are light hydrocarbons not released into the air7.4 Are there warning signs erected7.5 Is water rescue equipment available & is it maintained7.6 Is all skimming equipment maintained7.7 Are fire protection system available7.8 Are work permit records retained

8.0 Electrical Power Systems8.1 Are all HT panels closed and locked8.2 Are all panels identified8.3 Check general condition of temp. and permanent wiring,

connections, joints etc8.4 Test for earthing8.5 Are explosion/flash proof panels installed in or near vapor

areas8.6 Are extension cables free of joints8.7 Are LOTO system used8.8 Are PTW systems being used



Date8.9 Has equipment have individual isolation facilities8.10 Is all electrical equipment protected against fluids8.11 Can manual operation of panels be activated8.12 Is main breaker/switch identified8.13 Are fire detection systems installed and checked8.14 Are fire protection system installed and tested

9.0 Electrical Substations & Battery Rooms9.1 Are doors locked and is access controlled9.2 Is the PTW system in operation9.3 Is ventilation adequate in battery rooms9.4 Are all areas properly identified and color coded9.5 Are fire protection systems installed & tested9.6 Are fire detection systems installed & tested9.7 Are all rooms free from obstructions9.8 Are access & egresses free and accessible9.9 Is no material being stored in substations9.10 Are metal ladders being used

10.0 Emergency Generators & Battery Systems10.1 Is equipment well maintained & accessible10.2 Are emergency generators tested as per schedule10.3 Are emergency fuel tanks tested and replenished10.4 If gasoline is used is it stored away from equipment10.5 Are battery charge rooms well ventilated10.6 Are safety signs well posted & readable10.7 Are standby batteries tested weekly10.8 Are wet cell systems maintained & tested weekly10.9 Ensure no material are stored in emergency rooms/facilities10.10 Is waste removed daily10.11 Is area lighting adequate

11.0 Emergency Lighting & Signs11.1 Are emergency lights tested weekly11.2 Are illuminated signs tested and maintained11.3 Are emergency signs in full view

12.0 Emergency Vehicles12.1 Are vehicle correctly color coded12.2 Are engines tested weekly12.3 Are all lights, horns, signal etc tested weekly



Date12.4 Is enough foam stored on site for big emergencies12.5 Are back-up foam supplies arranged12.6 Are bunker & proximity suits available12.7 Are portable lights & generators tested weekly12.8 Is emergency kit listed and stored properly on vehicles12.9 Are fire hoses and nozzles etc checked weekly12.10 Are emergency vehicle manned 24/7/36512.11 Are emergency drills & training done monthly

13.0 Exits/Egress13.1 Are there sufficient exits for prompt evacuation13.2 Are locks etc restricting exit doors13.3 Are escape routes clearly marked and signs displayed13.4 Are illuminated signs working13.5 Are there more than one exit per area13.6 Are all exit approached kept clear13.7 Are all flammable kept away from exits13.8 Are exits at least 1meter wide13.9 Do exits doors open outwards onto landings/level areas14.0 Fire Detection & Alarm Systems14.1 Are systems checked & tested monthly14.2 Do protector heads conform to risk exposure14.3 Are evacuation & all Clear procedures posted in work areas14.4 Are enunciators panels checked for trouble lights

15.0 Fire Doors15.1 Are fire doors in working condition15.2 Are fire doors at 90 minutes rated15.3 Are counterweights unobstructed15.4 Are fusible links in place and correct type15.5 Are blast resistant outer doors operational

16.0 Fire Extinguishers16.1 Are all extinguishers identified, logged and serviceable16.2 Are the correct type of extinguishers located in the areas16.3 Are locations identified by signs and on GA’s16.4 Is corrosion present16.5 Are all extinguisher seals intact16.6 Are correct propellant gases being used16.7 Are correct types of hoses being used to suit weather

conditions



Date16.8 Are hydrostatic tests being recorded16.9 Are all extinguishers inspected at least monthly16.10 Are empty extinguishers segregated from full ones

17.0 Fire Hydrants and Monitors17.1 Are hydrants and monitors correctly identified17.2 Are bumper posts installed17.3 Are hydrants and monitors free of leaks & are they

maintained17.4 Are records retained of seal changes/services17.5 Are hydrant wrenches available17.6 Are positioning devices operational17.7 Are threads compatible to international standards

18.0 Fire Sprinklers and Deluge Systems18.1 Do fire sprinkler systems exist as required18.2 Are sprinkler heads clear of obstructions18.3 Are master valves color coded and identified18.4 Are spare heads available18.5 Are sprinkler heads correctly rated18.6 Are automatic systems checked at least annually18.7 Are all sprinkler and deluge heads in place18.8 Are sprinkler systems tested annually18.9 Are master valves accessible

19.0 First Aid Stations19.1 Are First Aid Stations as per legislation19.2 Are they manned as per legislation19.3 Are they correctly identified and manned 24/7/36519.4 Are the facilities in good condition

20.0 Floors, Walking & Working Surfaces20.1 Are they clean, orderly, sanitary condition20.2 Are drainage systems maintained20.3 Are they free from slip, trip & fall hazards20.4 Are they free from protrusions and objects20.5 Are openings barricaded/covered20.6 Are load limits posted on upper floors

21.0 Furnaces and Boilers21.1 Are warning signs posted and legible



Date21.2 Is eye protection available21.3 Are stacks and plumes clear of smoke21.3 Are flue gas oxygen levels monitored and within acceptable

levels21.4 Check for combustible storage in boiler areas21.5 Are flame-out protection devices in operating condition21.6 Are boiler blow-off procedures available21.7 Are boiler tube repair procedures available21.8 Are equipment inspection records available21.9 Are snuffing team identified

22.0 Hand & Portable Tools22.1 What is the general condition of these tools22.2 Are tools properly stored22.3 Are guards and safety devices operational22.4 is all earthing and double insulation serviceable22.5 Are tools equipped with constant pressure switches22.6 Are tool retainers supplied with air tools22.7 Are correct voltages and settings being used22.8 Are load ratings correct for work being done22.9 Are all tools included in a preventive maintenance program22.10 Are dead man switches provided on grinders22.11 Are strike tools kept free from mushrooming

23.0 Ergonomics23.1 Is seating in good condition23.2 Are all switched, shut-offs, sample points accessible23.3 Is material to be handled well controlled i.e. Table height,

distance etc.23.4 Are all displays functional and in keeping with standards23.5 Does plant layout/design take into consideration human

ergonomics23.6 Are all workers issued with uniforms & are they used23.7 Are all plant & equipment color coded and identified23.8 Are work areas user friendly

24.0 Hazardous Waste Treatment24.1 Are adequate treatment facilities for contaminated water, air,

solid waste, hazard waste & radioactive waste available24.2 Are sampling locations available24.3 Are flow monitors installed to test ph etc



Date24.4 Are adequate spill kits available24.5 Are leak detection devices installed24.6 Are maintenance programs and manuals available24.7 Are treatment records available24.8 Are storm water system installed24.9 Are water samples taken from boreholes & wells

25.0 Hydraulic Power Systems25.1 Are pressures regulated and within power limits25.2 Are general conditions compliant with OE requirements25.3 Are fluid pressure lines identified25.4 Are remote shut-offs available

26.0 Industrial Storage Tanks26.1 Are tanks in good condition26.2 Are Bounding walls adequate to contain spills26.3 Are drain facilities & valves available26.4 Are any combustibles stored within container/Bunding areas26.5 Are roof plates of tanks monitored for distortions26.6 Are all flanges, valves, pipes etc free of leaks26.7 Are fire hydrants well located & maintained26.8 Are all warning signs posted and readable26.9 Are all tanks well identified with contents26.10 Are tank contents within temperature and vapor limits26.11 Are atmospheric tank foams checked at least annually26.12 Are procedures available for bottom water draws26.13 Are double valve systems used for sampling points26.14 Are tank cleaning/flush procedures available26.15 Are tank walkways & stairs maintained26.16 Are automatic gauges calibrated26.17 Are level alarms installed and tested26.18 Are dykes/bunded/retainer walls plastic coated26.19 Are dyke walls provided with adequate access

27.0 Lock-out Procedures27.1 Are positive lock-outs provided27.2 Are LOTO permits used27.3 Are locks identified27.4 Who keeps master keys27.5 Does the LOTO system provide for zero energy state on all

systems



Date

28.0 Machine Tools & Guarding28.1 Are proper general conditions present28.2 Is all lubrication done in a controlled manner28.3 Are all mechanical equipment’s guarded28.4 Are all pinch points, nip points and points of operation

guarded28.5 Are all fixed guards installed28.6 Are interlock system installed28.7 Are operating controls guarded against illegal use28.8 Are all emergency stops operational & tested28.9 Are lock-outs used28.10 Are PTW systems utilized28.11 Are operator & service manuals available28.12 Are pedestal grinders guarded28.13 Are all machines & equipment correctly anchored28.14 Are all welding cables in good working condition28.15 Are all welding operations correctly shielded28.16 Are fire detection & protection systems operational28.17 Is there a preventive maintenance

29.0 Material Handling29.1 Are docks boards provided29.2 Are containers in good condition29.3 Are correct pallets used & stacked correctly29.4 Are all slings etc color coded & stored correctly29.5 Is lift equipment correctly stored29.6 Are all items which require testing compliant to requirement

30.0 Mechanical Power Systems30.1 Are general conditions as per OE installation30.2 Are all rotating equipment items guarded30.3 Are all transverse items guarded30.4 Do all emergency stops work & are they identified30.5 Are all speed regulated items within requirements30.6 Are PTW systems operational

31.0 Mobile Equipment31.1 Are overhead guards installed31.2 Are there designated areas for re-charging31.3 Are all operators certified



Date31.4 Are all cranes certified31.5 Are operators aware of hazards & are flagmen used31.6 Are fire extinguishers installed

32.0 Noise Exposure32.1 Have noise surveys been done32.2 If required is ear protection used32.3 Are noise protection signs posted and visible

33.0 Permanent Platforms and Scaffold33.1 Are working platforms at least 24 inched wide33.2 Are 4 inch toe boards provided33.3 Is all flooring non-skid33.4 Are mesh screen catch guards installed below working areas33.5 Are safe accesses provided33.6 Where used are access gates self-closing33.7 Are guardrails provided if height over 10 feet33.8 Are scaffold bases sound and rigid33.9 Is scaffolding correctly secured at regular intervals33.10 No accumulation of materials and tools on scaffold33.11 No altering of scaffolds while being used33.13 For scaffolds in specialized areas are they designed33.14 Are rolling scaffold height to width ratios 4:133.15 Are wheels locked when in use33.16 Are hand rails installed and are they to requirement33.17 Are safety lines installed33.18 Do users use all safety equipment

34.0 Personal Protective Equipment34.1 Is proper PPE available34.2 Are PPE surveys done34.3 Is PPE issued and controlled by stores34.4 Is PPE of a good quality34.5 Is PPE 100% compliant by all employees

35.0 Pneumatic Equipment35.1 Is all pneumatic equipment pressure regulated35.2 Are hose clamps used on all hoses35.3 Are hoses in good working condition35.4 Are air lines color coded and or identified35.5 If portable compressors are used are they environmentally



Datefriendly

36.0 Pressure Vessels36.1 Are all meters and controls located on floor level36.2 Are pressure vessels certified36.3 Are drains clear and freeze protected36.4 Are vessels free of dents and visual corrosion36.5 Are inspection plates attached and readable36.6 Are stairs and platforms as per requirements36.7 Are hand operated valves secure and tamper free

37.0 Radio and P.A. Systems37.1 Are radios well maintained37.2 Do they have a dedicated emergency channel37.3 Are radios safe to operate in volatile areas37.4 Is reception in critical plant areas acceptable37.5 Are radio protocols followed by all users37.6 Are battery chargers and spare batteries available37.7 Is emergency power supplies available for base stations37.8 If PA is installed is it audible in all areas

38.0 Refrigerated Tanks/Stores38.1 Are they dyked separately or in pairs38.2 Are dykes drainable39.3 Is emergency power available39.4 Are water deluge system installed39.5 Are fire protection &detection systems installed39.6 Are materials stored within dike areas39.7 Are fire hydrants situated close-by

40.0 Roadways40.1 Are surfaces in good condition40.2 Is drainage good40.3 Are roads wide enough for all vehicle use40.4 Are road signs posted and visible40.5 Are road barriers position placed in safe manner40.6 Are speed humps present and identified

41.0 Safety Valves41.1 Have all safety valves been inspected and tagged41.2 Are safety valves included in preventive maintenance system



Date41.3 Have test periods been determined minimum as per

legislation41.4 Are safety valves color coded41.4 Are safety valves checked quarterly for block valve settings

and valve seats41.5 Are gate valves installed on both inlet and outlet side of

safety valves41.6 Are proper bonnet vent piping installed for bellows valves41.7 Are plugs not installed in vents41.8 Are bonnet discharges safe

42.0 Self-Contained Breathing Apparatus & Resuscitators42.1 Is equipment correctly stored in designated locations42.2 Is equipment in good condition and accessible42.3 Are air cylinders fully charged42.4 Are spare cylinders available in storage location42.5 Is equipment included in the preventive maintenance system42.6 Are cylinders checked for air quality as per CSA standard

Z180.1

43.0 Sewers & Storm water43.1 Are sewers covered i.e. manholes etc43.2 Is the PTW system implemented43.3 Is vapor monitoring done43.4 Are sewer piping color coded43.5 Is a sewer GA present43.6 Are storm water drains open i.e. no blockages43.7 Are storm water outlets monitored

44.0 Showers and Eyewashes44.1 Are they accessible in designated areas44.2 Are they inspected at least monthly44.3 Is water supplied for a minimum of 15 minutes at 27 degrees

centigrade44.4 Is water supply from potable water system44.5 Is shower/eyewash system protected against freeze-up44.6 Are pipes color coded44.7 Is drainage good44.8 Are they included in the preventive maintenance system

45.0 Shutdown/Isolation Switched and Devices



Date45.1 Are all devices inspected monthly45.2 Are they all color coded and identified45.3 Are instrument cables fireproof for critical devices45.4 Are operating and response procedure posted45.5 Can system be manually locked-out in emergency

46.0 Signs and Tags46.1 Are hazard warnings, directional and informational sign and

tags used where there are potential dangers, hazards or a need for general instructions

46.2 Are all signs and tags consistent and as per standards

47.0 Spill Prevention47.1 Are drum storage areas away from sewers and drains47.2 Are all oils/chemical stored below water drain levels47.3 Are all above surface tanks in bonded47.4 Are there drains etc. for bonded areas47.5 Are tank storage areas plastic lined47.6 Are overspills contained through use of dams47.7 Are master flow drains locked in closed position47.8 Are loading/unloading fluid area pipe connections blanked

when not in use

48.0 Stacking & Storage48.1 Are all aisles and access ways clear48.2 Are height limitations adhered to48.3 Are irregular shaped items correctly stacked48.4 Are all stacks stable and secured against collapsing48.5 Are all storage areas clean, managed and controlled48.6 Are stored areas and goods as per insurance requirements48.7 Are items correctly segregated and signed48.8 Are items of high value secured

49.0 Stairs49.1 Are stairs provided where traffic flows are present49.2 Are stairs at least 22 inches wide49.3 Are stair angles 30 & 50 degrees49.4 Are step height 9 inches49.5 Are steps slip resistant49.6 Are outside steps manufactured from grating49.7 Are long flights broken by platforms



Date49.8 Are handrails provided and are they as per requirements for

open spaces49.9 Are handrails provided on one side for closed spaces49.10 Are stair vertical clearances at least 7 foot

50.0 Valves and Mechanical Controls50.1 Are they identified and or color coded50.2 Are they operational and accessible

51.0 Ventilation51.1 Are adequate means of ventilation provided51.2 Are air inlets and openings arranged so as to minimize

escape of contaminants51.3 Do enclosures have continuous air flow51.4 Are separators provided for re-circulated air51.5 Are hoods provided which draw air away from people51.6 Is ducting made of non-combustible materials51.7 Is duct sealed51.8 Are duct clean-out doors provide every 9-12 feet

52.0 Warning Systems52.1 Are all fire/emergency alarms tested and functional52.2 Are vehicles equipped with the required hazard lights and

signs52.3 Are pressure warning devices fitted and operational on all

pressure vessels52.4 Are temperature warning devices fitted and operational52.5 Have warning signs been posted in all areas

53.0 Waste Disposal53.1 Are there adequate disposal container available in all areas53.2 Is garbage segregation practiced53.3 Are there safe disposals facilities for all waste53.4 Are anti-static devices fitted where required53.5 Are spill kits available in disposal areas53.6 Are chemical wastes correctly coded and identified

54.0 Waste Water Discharge Controls54.1 Are sampling and analytical equipment in place and are they

functional54.2 Is this equipment calibrated



Date54.3 Are all sewers maintained54.4 Are septic tanks maintained54.5 Are all covers in good condition and are vapours controlled54.6 Is PTW system used in this plant

55.0 Work Permits55.1 Are hot work permits used and is procedure posted55.2 Are cold work permits used and is procedure posted55.3 Are confined space entry permits used and is procedure

posted55.4 Is the LOTO system used and is procedure posted55.5 Are excavation permits used for both construction and live

plants and is procedure posted55.6 Are permits obtained if firewater is required for other uses55.7 Are copies of permits available on sites

Comments:

CAR/Violations/Actions Issued Description No. Issued To

Follow-up Descriptions


Action Taken :

Title Name Signature Date

Inspected by

Plant/Department ManagerHSEQ Manager

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