Sample checklist

It may be desirable to discuss facility siting issues at the beginning of the PrHA sessions. As a minimum, comments and assumptions about siting and plant layout can be included in the PrHA analysis documentation, such as on HAZOP study worksheets. Table 3.2 provides a sample checklist for worker/co-located worker exposures. A sample checklist for facility siting issues is presented in Table 3.3. 

Sample checklists are shown in Tables 4.1, 4.2, and 4.3. A fairly exhaustive checklist appears in Guidelines for Hazard Evaluation Procedures. Appendix B (CCPS, 1992). 

Based on personal experience, the what-if analysis and HAZOP seem to be the most user-friendly methodologies to use. In the following example we describe the what-if analysis procedure and sample checklists typically used for chemicals used in wastewater treatment. Moreover, guide words, meanings, process parameters, and procedures for conducting HAZOP are also presented. 

AVhile some methods use checklists as the logic analysis step, an understanding of the logic tree approach is still helpful because checklists are developed from logic trees. Checklists are especially helpful when related to human factor issues. A sample checklist is included in Chapter 6 as Figure 6-6 (page 94). 

Continual monitoring of equipment and plant is standard practice in chemical process plants. Equipment deteriorates and operating conditions may change. Repairs sometimes are made with improvements whose ultimate effects on the operation may not be taken into account. During start-up and shut-down, stream compositions and operating conditions are much different from those under normal operation, and their possible effect on safety must be taken into account. Sample checklists of safety questions for these periods are in Table 1.7. 

A list of field supplies may be quickly put together by reviewing the SAP and the procedures for the sampling to be performed. Using a sampling checklist, similar to one shown in Appendix 8, will facilitate efficient preparation. 

TABLE 7 Sample Checklist for Upper-Extremity Cumulative Trauma Disorders... 

One must utilize a comprehensive site selection checklist as part of an assessment of a particular location. A sample checklist is provided below. Checklists such as the one below are useful when establishing contacts in prospective site areas. It is not recommended that site-selection teams solicit information cold in other words, observation, rather than someone else s perception, will provide an accurate depiction of the site and its advantages and disadvantages. 

Having a well-crafted checklist for project reviews and for the development of contract specifications would be beneficial to engineers and safety professionals. A sample checklist follows which can serve as a base for the development of a checklist suitable to an organization. It is to serve as a guide only. To suit the checklist needs of any organization, additions, deletions, and modifications would be made. 

The following are sample checklists to determine relevant skills, knowledge, abilities, working conditions, and other requirements for the positions indicated. Information derived from these checklists are used to develop a formal job description. 

Evaluate each step as often as possible to identify all real hazards. Both physical and mechanical hazards should be considered. Review the actions and positions of the employees. Refer to Table 15-3 for a sample checklist. 

Figure 3.3 Sample checklist — set-up of temporary works — tower cranes ...

Figure 3.4 Sample checklist - set-up of temporary works - hoists...

It will also be necessary to consider environmental consequences at this time, and good neighbour policies. Use of checklists enables monitoring to be carried out during internal and external audits. A copy of each completed checklist should be held on file on projects for ease of reference. It Is Important that all checklists are signed off by project management when completed. Sample checklists are included (Figs 7.1 to 7.4). 

Figure 10.1 Sample checklist agenda for a contractor pre-start meeting ...

Figure 14.1 Sample checklist — environmental opportunity audit ...

Along with the manual, readers will be provided with access to supplementary information and tools that can be used to aid in HSE program development. This includes sample checklists, site inspection forms, programs, and Job Safety Analyses. This supplemental material is delivered electronically to those who purchase this manual through the AWWA website, or can be obtained directly by going to www.awwa.org/M3. 

Note This is a sample checklist. It should be tailored to the individual area/operation. Need for EHS consult Yes No ... 

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