PSSR Check Sheets

ROLES AND RESPONSIBILITY

Roles
Risk mitigation The person responsible for the intervention activity at a Project Manager
responsible facility that is generating the operational risk that will exist
PSSR Team Leader after start-up. This might be a Project Manager, a
Turnaround Manager or a Maintenance Team Leader.
The Risk Mitigation Responsible is responsible for:
► Demonstrating a thorough understanding of the causes
of any unexpected shutdown and the associated risks;
► Putting in place suitable controls to manage risks in the
operational phase. This shall include supporting the Risk
Owner in preparing for the operational phase where
appropriate;
► Demonstrating that the facility is ready for operation
and that
operational risks are managed to acceptable levels;
► Supporting the conduct of the PSSR with relevant
information
and facilities, and making relevant people available.
Demonstrates Mechanical completion, pre-commissioning complete, Construction and
commissioning / RFSU processes and organization in place Commissioning
manager

Independent Assurer The person who confirms that the demonstration made by
the Risk Mitigation Responsible is robust and appropriate.
In this context "independent” means that the person
selected for this role is independent of the activity
conducted by the Risk Mitigation Responsible. The
Independent Assurer can be an individual or a team as is
necessary to complete the PSSR in a timely manner, but all
personnel involved in conducting the PSSR shall meet the
independence criteria.
Checks Equipment ready for hot commissioning Commissioning
Team
“Risk Owner” The person responsible for the operational risks associated Field Manager
with the facility after start-up.
The Risk Owner is responsible for:
► Working with the Risk Mitigation Responsible to ensure
a thorough understanding of the controls required to
manage operational risks;
► Determining that the PSSR is necessary;
► Ensuring appropriate procedures to deliver PSSR are in
place;
► Appointing the Independent Assurer;
► Accepting the facility into [Link]/Plant Manager
Accepts via Acceptance of the PSSR Close Out Report Head of Operations

Pre-startup walk down Field Manager

Team Lead

Internal
 Pre-Startup Safety Review Form & Checklist
Complete each applicable section by marking “Yes,” “No,”
If the answer to any question is “No,” startup cannot proceed until the issue has been resolved.
If answer is “No” and it can be completed after startup, note this in comments section

INSTRUCTIONS TO THE PSSR TEAM LEADER

Instructions for the PSSR Team Leader:

These questions are provided to assist the PSSR team in ensuring that the objectives of the PSSR are met.
 Complete each applicable section by marking “Yes,” “No,” or “N/A” to the questions in that section.
 If an entire section is non-applicable, mark the section header with “N/A.”
 If the answer to any question is “No,” startup cannot proceed until the issue has been resolved.
 If answer is “No” and it can be completed after startup, note this in comments section.

1 GENERAL DOCUMENTATION
1.00 General Documentation Yes No NA Comments
Is the Facility Management of Change approved
1.01 to allow implementation to occur?
Have special procedures for commissioning or
1.02 first-time Start-up been provided and reviewed, if
required?
Is the necessary information available for
1.03 Operations and Maintenance?
Has preventive maintenance program been
1.04 developed?
1.05 Is start-up procedure available and complete?

1.06 Is MSDS information available?

1.07 Are redline PIDs and SLDs available?

Are emergency response, evacuation procedures,
1.08 fire and medical facilities and personnel ready and
available?
1.09 Is training of operations personnel completed?
Is system mechanical completion documentation
1.10 complete and certificate signed?
Is system RFSU documentation complete and
1.11 certificate signed?
Are remaining open punch list items available for
1.12 review and approval as an exception if applicable?
Are all required permits, regulatory approvals,
1.13 have been acquired and notification provided to
regulators in accordance with required timelines?
Are all applicable deviations are approved and
1.14 closed out?
Are required utility systems operational or standby
1.15 utilities available?
 1.16 Is a list of safety critical elements developed?
Is PSV register in place including the calibration
1.17 certificates, PSVs tests and certificates?
1.18 Are Start-up spares available?
Is Joint walk down to confirm line up (physically
1.19 checked for correct valve positioning and
installation of blinds) done?
1.20 Are adequate site radios/batteries available?

2 PROCESS SAFETY INFORMATION, PROCEDURES AND TRAINING

Process Safety Information,

2.00 Yes No NA Comments
Procedures And Training
Are all the field changes during construction reflected
2.01 in the current construction P&IDs (redline) and
approved within MOC process?
Are Process Safety Information documents affected
2.02 by the change redlined and up to date?
Have all Category A or B Punch List items been
2.03 closed?
Have operating procedures been developed for
2.04 startup, shutdown, emergency, and normal
operations
Have necessary changes been made to existing
2.05 operating / maintenance procedures?
Have the procedures been reviewed and approved to
2.06 ensure they reflect current operating practice and
standard procedure format?
Are the operating procedures available in the work
2.07 areas of the operating personnel?
Have operating and maintenance personnel and
Contractors (if appropriate) associated with startup of
this change been trained in or informed of all
2.08 changes to the new/ modified process? Is a plan to
train other required personnel prior to operation of
the change?
Has operator and maintenance training
2.09 documentation been completed?
3 PROCESS HAZARDS ANALYSIS / PROJECT SAFETY REVIEW

Process Hazards Analysis /

3.00 Yes No NA Comments
Project Safety Review
Have all Safety Actions Register (HAZOP, HAZID,
3.01 SIL and SIMOPS) actions been closed?
Have all relevant SUOP workshop items been
3.02 closed?
Are IGR 4 findings and punch list items “A” and “B”
3.03 cleared and action tracking register updated?
3.04 Have project MOC’s been closed?
If operating system in abnormal or temporary mode,
3.05 has a hazard analysis been completed?
4 PRESSURE VESSELS / TANKS & EXCHANGERS

4.00 Pressure Vessels/Tanks & Exchangers Yes No NA Comments

Has both exterior and interior of vessel skirt been
4.01 fireproofed per the Design?
Are vessel skirts adequately ventilated per the
Design?
4.02
Have “Danger Do Not Enter – Confined Space” signs
been installed on vessel skirts ?
Are all vessel small-piping connections in accordance
4.03 with engineering standards?
Have vessels and tanks been inspected to ensure
4.04 that any Tools or debris were not left inside before
final closure?
Where appropriate, have internals been verified for
4.05 proper Installation and documented?
Have alloy systems/ internals been verified for
4.06 correct Materials?
Have flange and manway nuts and stud bolts been
4.07 field checked to verify tightness?
Are flange bolts long enough? (full thread
4.08 engagement) is spacing adequate for bolt removal?
4.09 Is vessel insulation tight and waterproofed?
Are tank / vessel level measuring systems in working
4.10 Order?
Is there sufficient access for maintenance and
4.11 removal of Exchanger for heads, channels, and tube
bundles?
Is there a high point vent to remove air and a low
4.12 point drain to remove water during start-up and/ or to
properly prepare equipment for maintenance?
4.13 All drain and vent plugs in place?
4.14 Are tank/ vessel water draw-off valves operable?
Have adequate isolation devices been provided to
4.15 complete Hazardous energy isolation of equipment?
(for maintenance/ turnaround)
Are all vessel nameplates installed and match design
4.16 Pressures and temperatures?
Have hydro test records been reviewed for correct
4.17 pressure?
Are there adequate safety protection devices in place
on the Equipment (such as blowout preventers, ball
4.18 cock valves, etc.? Have they been inspected and
checked?
Has pressure equipment been registered with
4.19 appropriate Regulatory authorities?
4.20 Are all exchangers properly numbered?
Have the correct materials and sizes for gaskets,
4.21 studs, and nuts been used.
5. STRUCTURAL

5.00 Structural Yes No NA Comments

Have structural members been fireproofed as
5.01 required by engineering standards?
Are openings in floor (plate, grating, or slab) for
5.02 piping, vessels, Etc. in accordance with design?
Are ladders installed so that adequate toe clearance
5.03 exists between the backside of the ladder rings and
the nearest objects?
Have ladder gates been installed across the top
5.04 entrance of all ladders?
Are handrails, ladder rails, etc., free of abrupt finger
5.05 catchers, galvanizing burrs, and do they have
adequate clearance from nearby piping, etc.?
Are openings in platforms sized properly for pipe or
5.06 conduit penetrations?
Do chain hoists have properly posted load limit
5.07 signs?
5.08 Are monorails labelled with acceptable load limits?
5.09 Are stair treads and heights adequate?
Are guides, cables, and turnbuckle rods properly
5.10 marked as necessary to warn vehicular and
pedestrian traffic of their presence?
Do guy wires have equal tension and are free from
5.11 sagging?
5.12 Are toe plates installed around platforms?

Have drain holes been drilled in structural steel to

5.13 prevent accumulation of water?

5.14 Are ladders properly anchored at the bottom?

6. VALVES, PIPING & PIPE SUPPORTS

6.00 Valves, Piping & Pipe Supports Yes No NA Comments

Was a line-by-line review conducted to ensure the
6.01 piping was Installed as specified?
Do P& IDs and other drawings reflect as-built
6.02 conditions?
Has new piping been cleaned, flushed, and dried as
6.03 required?
Is access to equipment and valves adequate for
6.04 normal operation, shutdown/ start-up, maintenance
and emergencies?
Are valve chain-operators and wheels provided
6.05 where Required by Operations?
Has support cable been installed on “knocker” or
6.06 chain-operated valves to prevent wheel from coming
off the shaft and falling?
Have bleeder valves been installed as required in
6.07 control valve manifolds?
Are drain and depressuring valves installed on level
6.08 bridges for maintenance work and are all plugs
installed?
Is material blown-down from gauge glass/ level
6.09 instruments piped to a safe location?
Are vents and drains for normal operation visible,
6.10 easily Accessible and safely located?
6.11 Can the piping system be completely drained?
Are all drain and vent plugs in place? Have all
6.12 normally closed Drain and vent valves been
appropriately plugged or capped?
Are small piping connections in process service seal-
6.13 welded To the first block valve?
Has new piping been designed and installed to avoid
6.14 the creation of dead legs?
Has piping been painted/ coated for external
6.15 corrosion Protection as per design?
Are lines and valves heat traced and insulated where
6.16 applicable And has the insulation been installed to be
watertight?
Where applicable, is freeze protection available for
6.17 cold water lines, instrument connections, and lines in
dead-end service such as piping at standby pumps?
Are valve boxes/ pits properly guarded and avoiding
6.18 hazards rising out of the ground?
Have adequate steps been taken to avoid any trip
6.19 hazards, such as pipelines running along grade?
 Valves, Piping & Pipe Supports Yes No NA Comments
Where samples are drawn from light
hydrocarbon equipment does the piping have
6.20 double valves, closed drain facilities or release
to a safe location to avoid potential injuries (i.e.
not at eye level or a trip hazard?
is Properly designed sampling system installed
6.21 with piped vent to cold flare?
Have flanges been checked for proper bolting
6.22 and gasketing materials?
Are flange bolts tight and long enough? (full
6.23 thread engagement)Is spacing adequate for bolt
removal?
Can blinds be readily installed (i.e., flanges,
easily spread, no additional pipe supporting
6.24 necessary, access to blinding locations are
adequate, etc.)?
Has required NDE/ PWHT (Non-Destruction
6.25 Examination/ Post Weld Heat Treatment) been
performed? Have all deficiencies been rectified?
6.26 Has required hardness testing been performed?
Have materials of construction been properly
6.27 identified? (PMI, MTR etc.)
Has equipment/ piping been properly hydro
6.28 tested or tested per an alternative method?
Are all screens, orifices, filter elements, catalyst,
6.29 etc. in place for operation?
Have all valves and orifice plates been installed
6.30 in the correct flow direction?
Are there adequate isolation devices to
6.31 complete hazardous energy isolation of
equipment?
Have pipe supports been securely attached with
6.32 allowance for pipe movement per the design
(i.e. spring hangers, spring cans)?
Is instrument tubing support and layout
adequate? (Protection against vibration,
6.33 sagging, expansions/contractors, heat, moisture,
environment, etc.)
6.34 Are grounding connections installed and intact?
Have gags been removed from spring-loaded
6.35 supports and expansion joints?
Have pressure gauges been checked for proper
6.36 pressure rating and proper range?
6.37 Have all construction blinds been removed?
Has adequate back-flow prevention been
6.38 provided and installed properly?
Has the testing fluid been properly flushed from
6.39 the piping or vessel and all test blanks and
blinds been removed?
6.40 Have stress-relieving requirements been met?
Have valve, piping, and equipment been
6.41 tightness tested? And flange management
register provided
Have all pipes and flow line been properly
6.42 cleaned from any construction debris or dust.
Including Corrosion Inhibitor injection lines.
[Link] SAFETY VALVE

7.00 Process Safety Valve Yes No NA Comments

Have existing PSV’s been checked to ensure they
7.01 are adequate for any changes in service or operating
conditions?
Has design information, including design sizing basis,
7.02 been documented for all new or re-evaluated PSV’s?
Have PSVs been bench tested and installed
7.03 correctly? Are they code stamped?
Have PSVs been field verified to determine
7.04 correctness for the service intended?
Are PSVs properly identified and tagged
7.05 appropriately (set pressure, ID number, etc.)?
Is the inlet line adequate to avoid restricting flow to
7.06 the PSV?
Is the suction or discharge piping of safety valves
7.07 free of trapped sections?
Is the PSV inlet and outlet piping properly supported
7.08 to avoid undue stress on the PSV?
Are all bleeders and small connections on lines to
7.09 and from PSV valves seal welded?
Are all PSVs readily accessible for visual inspection
7.10 of tags and seals or necessary maintenance?
Is sufficient working room available for changing out
7.11 the PSV (without the erection of scaffolding)?
Can the PSV be readily lowered to grade safely with
7.12 either portable or permanent rigging equipment?
7.13 Do thermal relief valves discharge to safe locations?
Are all relief valve paths to flare/vent system properly
7.14 locked and documented?
Are inlet and outlet isolation valves properly oriented
to avoid a potential dropped gate into the line (i.e.
7.15 installed with stem in horizontal position so gate
cannot fall off and block venting)?
Do bellows PSV valves have bug screens or vent
piped to a location where personnel are not
7.16 endangered and where the vent does not impinge on
a flange, bolting, or pipeline?
Are all specified Bursting Discs installed and
7.17 mounted correctly?
Are any small-bore plugs on Bursting disc holders
7.18 and external fittings re-installed?
Are valves car sealed as necessary (PSV, inlet,
7.19 outlet, bypass, etc.)?
7.20 Has adequate thermal relief been provided for long
runs of pipe or equipment, which can be blocked in.
8. ROTATING EQUIPMENT

8.00 Rotating Equipment Yes No NA Comments

Has equipment been installed according to
8.01 specifications? (P&ID’s, drawings, manufacturer’s
recommendations)
Is piping adequately supported so equipment can be
8.02 removed for maintenance without undue pipe stresses
being developed?
Are small piping connections in process service seal
8.03 welded and gusseted?
Does adequate pump/ compressor/ fan isolation
8.04 capability exist?
Where turbine casings are not designed for full line
8.05 steam pressure are exhaust valves locked open?
Have flanges been checked for proper bolting and
8.06 gasketing materials?
Are flange bolts long enough (full thread engagement)?
8.07 Is spacing adequate for bolt removal?
Have coupling guards been provided on pumps, motors,
8.08 fin fan mixers, etc.?
Are seal guards in place for pumps containing corrosive
8.09 or toxic materials?
8.10 Have seal flush piping connections been made?
Has all equipment such as valves, louvers, dampers,
8.11 etc. been operated?
Has equipment been checked for proper rotation? Has
8.12 Equipment been properly aligned according to
specification?
Are all screens, orifices, filter elements, catalyst, etc. in
8.13 place for operation?
8.14 Has there been a review of hazardous energy isolation?
Is there sufficient devices (drain bleeders, vent bleeders,
8.15 etc.) to properly prepare equipment for maintenance?
Has the unit/ equipment lubrication list been updated to
8.16 reflect any changes/ additions for rotating equipment?
8.17 Are MSDSs available for lubricants and seal fluids?
8.18 Has equipment lubrication been checked?
Have materials of construction been properly identified
8.19 according to specifications (i.e. alloys, PMI, MTR)?
Has an internal inspection been performed after
8.20 installation? (i.e. verify that any debris was removed
from pump prior to pipe bolt-up)
Has equipment/ piping been properly hydro tested or
8.21 tested per an alternative method?
 Rotating Equipment Yes No NA Comments
Are there adequate safety protection devices in place
8.22 on the equipment (such as blowout preventers, ball
cock valves, etc.)?
8.23 Have all construction blinds been removed?
Has personnel protection insulation been installed
per the design? Is the immediate vicinity of the
8.24 equipment isolation devices free from sharp points,
hot piping, etc.?
8.25 Is equipment ergonomically acceptable?
Are mechanical assistance (such as control valves,
8.26 motor operated valves, etc.) in place per the design?
Are all pumps, blowers, compressors, etc., and
8.27 associated drivers properly numbered?
Is switchgear associated with machinery properly
8.28 labeled?
Have all plastic thread protectors been removed from
8.29 equipment such as pump casings, and been properly
plugged or piped?
Are steam turbines and secondary lines steam
8.30 trapped properly?
Have permanent or temporary strainers been
8.31 installed?
Have case drains and vents been seal welded, piped
8.32 to sewer hub, or plugged?
Has the steam exhaust valve on turbine driven
8.33 equipment been car sealed open?
8.34 Is equipment adequately labeled?
Are capacities of lifting equipment, floors, and hoists
8.35 clearly displayed and visible to operator?
[Link]

9.00 Electrical Yes No NA Comments

Has electrical installations been completed per
9.01 specifications (P&IDs, drawings, manufacturer’s
recommendations)?
Is all Ex / ATEX equipment compatible with the area
9.02 electrical classification?
Have all feeders, transformers, and motors been
9.03 properly Installed, inspected, test sheets completed
and verified?
Have all motors been tested and vibration checked?
9.04 Has motor rotation been checked?
Is permanent equipment hooked up with proper
9.05 electrical cable, rather than cords?
If ventilation (HVAC) systems were added or
9.06 modified, has the design basis been documented?
Are motor starters and control stations properly
identified, are starter switch handles equipped with
9.07 proper on-off markings and checked for proper
operation?
Have breakers and other electrical equipment been
9.08 properly checked, labelled, and numbered?
Do lockout provisions exist at the switchgear and/ or
9.09 motor control centre?
Has electrical heat tracing been turned on and
9.10 working for outside piping?
9.11 Are heat trace controllers working?
9.12 Is conduit and cable trays adequately supported?
9.13 Are lighting fixtures properly supported?
Are bulbs and vapor globes in place; are guards
9.14 functional?
Has there been a review of hazardous energy
isolation? Are there adequate isolation devices to
9.15 complete the hazardous energy isolation of
equipment?
Are junction and pull boxes bolted closed? And all
9.16 in/out cables are either from the bottom or the sides
of the JBs?
9.17 Are conduit seals installed in the proper location?
9.18 Is all electrical equipment properly grounded?
Are motor actuators and control wiring fireproofed on
remotely operated valves used to isolate critical
9.19 equipment? Are MOV’s cable trays and conduits
fireproofed as necessary? Cables tray cover
installed.
9.20 Have all MOVs been properly identified?
 Can MOVs be operated electrically and manually in
9.21 an emergency involving the equipment they were
installed to isolate?
 Electrical Yes No NA Comments
Have adequate access/ work platforms been
provided for normal operation and or shutdown/
9.22 startup of equipment? (MOV manual operations,
motor servicing, etc.)
Have electrical protective relays and safety devices
9.23 been calibrated?
9.24 Have all jumpers and bypasses been removed?
Do instrument/ electrical cabinets that require purge
9.25 have the purge activated?
Is there adequate overhead lighting in the work
9.26 area? Is there adequate lighting on the equipment
(such as sight glasses, gauges, etc.)?
Has equipment been properly aligned according to
9.27 specifications? Is there proper lubrication?
Are all required guards/ barriers in place? (coupling
9.28 guards on motors, guards in switchgear, etc.)
Do all High Voltage (HV) Equipment have accredited
9.29 HV Auditor approval for energization?
Does all EEHA have accredited EEHA Auditor
9.30 approval for energization?
9.31 Have all energization permits been completed?
Are underground cables and duct banks properly
9.32 marked, labelled, and identified? And spare rope
provided for future cable pulling.
If the installation is in a corrosive environment, are
9.33 adequate steps being taken to maintain electrical
equipment reliability?
Is emergency lighting provided in substations and
9.34 motor control centres?
Are vendor drawings, start-up procedures, and test
9.35 values available for start-up?
Have all bolts and seals been installed on explosion-
9.36 proof enclosures?
Have fences around substations been properly
9.37 grounded and have DANGER – HIGH VOLTAGE
signs been installed?
Are spares for critical drivers fed from separate
9.38 feeders?
Has the potential for static electricity build-up be
9.39 adequately addressed?
[Link] / CONTROLS

10.00 Instrumentation/ Controls Yes No NA Comments

Have all instruments been installed according to
10.01 specifications (P&IDs, drawings, manufacturer’s
recommendations?
Is access to instrumentation adequate for normal
10.02 operation, shutdown/ startup, maintenance and
emergencies?
Have instrument loop checks been performed,
including instrument calibration and verifying proper
10.03 DCS, PLC, local panel responses, etc.? Graphic of
the new facility uploaded in the DCS screens.
Has all computer control logic including Alarm
10.04 requirements (response time, criticality, response)
and software been thoroughly tested?
10.05 Are ESD systems tested and ready for operation?
Have new instruments been added to the appropriate
inspection/ testing / preventative maintenance
10.06 programs as defined by Mechanical Integrity
procedure?
Have safety systems (SIS, PCS, SDS, and Critical
10.07 Alarms, etc.) been checked and are they functioning
as designed?
Has heat tracing been turned on and working for
10.08 outside instrumentation?
Are all instruments and controls clearly tagged (loop
10.09 ID & service, field instrument wire tags)?
Have all unnecessary overrides / inhibits been
10.10 removed?
Do instrument cabinets that require purge have the
10.11 purge activated?
Instruments are aligned to the process isolation root
10.12 valves and manifolds?
10.13 Are valves positioned correctly as per the P& ID?
10.14 Basic tuning parameters set for new control loops?
Have any alarms configured as part of this scope
10.15 added to Master Alarm Database?
Is instrument tubing adequately supported and leak-
10.16 checked?
Has winterization of instruments and leg lines been
10.17 done correctly?
Have control and shutoff valves been checked to
10.18 ensure failsafe operation in the event of instrument
air or electrical disruption (check P & ID)?
Are thermowells installed where temperature
instruments are used in flammable, toxic, or
10.19 otherwise hazardous pressurized or vacuum
systems?
 Instrumentation/ Controls Yes No NA Comments
Do insertion flow meters and analyzer sample probes
have a blowout device, e.g. stop or safety chain?
10.20 Does the prevention device prohibit the complete
removal of the flow element or probe under
pressure?
Are excess flow valves installed in the gauge glass
10.21 columns in toxic, flammable, or high-pressure steam
service?
Are facilities in place to allow for on-line testing of trip
10.22 elements on critical instruments?
Has above ground wiring been fireproofed where
10.23 required?
Has the fail-safe function of valves been properly
10.24 installed and tested and the actuator air supplies
been valved in?
Is all Ex / ATEX equipment compatible with the area
10.25 electrical classification?
Has there been a review of hazardous energy
isolation? Are there adequate isolation devices to
10.26 complete the hazardous energy isolation of
equipment?
10.27 Are junction and pull boxes bolted closed?
10.28 Is all instrument equipment properly grounded?
Are motor actuators and control wiring fireproofed on
remotely operated valves used to isolate critical
10.29 equipment? Are MOV’s cable trays and conduits
fireproofed as necessary
10.30 Have all jumpers and bypasses been removed?
Do instrument cabinets that require purge have the
10.31 purge activated?
Is fire and smoke detection provided in substations
10.32 and motor control centres?
10.33 Are hydrocarbon detectors provided as required?
Are vendor drawings, start-up procedures, and test
10.34 values available for start-up?
Has the potential for static electricity build-up be
10.35 adequately addressed?
[Link]

11.00 Utilities Yes No NA Comments

Are utility systems isolated from process systems per
regulatory standards? Do double blocks, bleeder,
11.01 and check valve exist for all applications where
required?
Do facilities exist to break away connections when
11.02 not in use (hose, blank, etc.)?
Are utility connections clearly labelled (e.g., steam,
11.03 water, air, nitrogen)?
Have all small piping connections been braced as
11.04 required to provide adequate strength?
Are take-offs for steam, instrument air, and fuel gas
11.05 piping taken from the top of the header?
Are steam trap discharges properly located? (e.g., it
is not a good idea to have hot condensate
11.06 discharging into sewers where light hydrocarbons are
likely to be present.)

[Link], FLARE & PUMP OUT SYSTEMS

12.00 Blowdown, Flare & Pump Out Systems Yes No NA Comments

Has the pump out system been designed for
12.01 emergency as well as routine shutdown conditions?
Has unit relief capacity been checked for the impact
12.02 of this Project?
Has design information including design capacity
12.03 basis for load changes been documented?
12.04 Are headers free of trapped sections?
Have isolation block valves in pressure relieving
12.05 systems been installed with stems in horizontal
position to guard against dropping gates into lines?
[Link] AND PUMP KITS

13.00 Tank and Pump Kits Yes No NA Comments

13.01 Are firewalls/ dikes fit for service?

Have ramps and steps been provided over firewalls/
13.02 dikes?
Are firewall drain valves provided along with safe
13.03 access to drain valve?
Is catch basin inside firewall properly located for
13.04 effective drainage? Secondary containment for
Chemical tank?
13.05 Is stairway properly installed?
Have pressure vessel (PV) vents been installed
13.06 correctly?
Has insulation been properly applied (materials,
13.07 weatherproofing, etc.)?
13.08 Are vessel nameplates visible?
Have inspection ports been provided at the correct
13.09 locations on insulated vessels?
Is the work on coating system application completed
13.10 and does it meet requirements?
Have blanketing instrumentation and indication been
13.11 provided at grade level and properly installed?
13.12 Are handrails provided on tank roofs where required?
Is there a hydrocarbon sample-point and has it been
13.13 installed in an environmentally sound fashion?
[Link] SITING & LAYOUT

14.00 Unit Siting & Layout Yes No NA Comments

Have appropriate measures been taken to prevent
14.01 inert, toxic, or flammable vapours from collecting in
open ditches, pits, sumps, or pockets?
14.02 Is there adequate access for emergency vehicles?
Is vehicular traffic appropriately restricted from
14.03 areas where pedestrians could be injured or
equipment damaged?
Are vehicle barriers installed to prevent impact to
14.04 critical equipment?
[Link] PLANNING & RESPONSE FIRE PROTECTION EQUIPMENT
Emergency Planning & Response,
15.00 Yes No NA Comments
Fire Protection Equipment
Have the required changes to the emergency
15.01 response plan been made?
15.02 Have exits or egress routes been identified?
Are any special firefighting procedures required for
15.03 new or modified equipment? If so, are the procedures
available to all appropriate personnel?
Has training on these procedures been provided to
15.04 the appropriate personnel?
Have fire extinguishers been provided at designated
15.05 stations? Are they charged, sealed, and ready for
use?
Have monitor nozzles been strategically located
15.06 throughout the unit and are they in good condition?
Have safety showers and eyewash stations been
15.07 properly installed and tested for operation?
Have personnel been made aware of the locations of
safety equipment and fire protection equipment?
15.08 Have “as-built” changes been redlined on the
Firewater Plot Plan?
Have fire protection systems including but not limited
15.09 to sprinkler, deluge and foam systems been
functionally tested and properly identified?
Are the unit/ equipment isolation devices positioned
15.10 for access during emergency situations?
Are emergency isolation devices free from inherent
15.11 dangers in the immediate vicinity? (Hot piping, sharp
points, etc.)
Are mechanical assistance devices (such as control
valves, motor operated valves, etc.) in place to close
15.12 unit/ equipment isolation devices during emergency
situations?
Are alarm stations visible, easily accessible, and
15.13 operational?
Do speakers work and are speakers audible from
15.14 every location?
Is the uninterruptible power supply (UPS)
15.15 operational?
Are hydrocarbon/ combustible gas detectors provided
15.16 as required?
15.17 Are H2S detectors provided as required?
15.18 Are Oxygen sensors provided as required?
Are Low Temperature detectors provided as
15.19 required?
15.20 Are heat / flame detectors provided as required?
15.21 Are coloured / clear beacons provided and visible?
15.22 Have muster points been clearly identified ?
[Link] WAYS

16.00 Access Ways Yes No NA Comments

Do all platforms have proper construction, (standard
16.01 toe plates, and handrails)?
Is there more than one route of escape from any
16.02 sizable area or platform?
Do ladders extend no more than 30 feet in height
16.03 without a break or offset?
Are ladders caged when extending over 7 feet (3
meters) in height or when a person may fall more
16.04 than 7 feet (3 meters) from a ladder to some other
platform or grade?
Are areas directly under stairways, ladders, or
16.05 catwalks free of a catch basin or sewer manways?
Are access routes clear of piping, valves, head
16.06 knockers, (less than 7 feet vertical clearance), or
tripping hazards?
Are handrails, ladder rails, etc. free of any abrupt
16.07 finger catchers?
Are ladders installed so that adequate toe clearance
16.08 exists between the backside of ladder rungs and the
nearest object?
Are safety gates at ladder platforms closed and
16.09 mechanically functional?
Are all portable ladders in good condition and do they
16.10 have inspection stickers?
Are walking and working surfaces level, secured, and
16.11 non-slippery?

[Link] ISSUES

17.00 Health Issues Yes No NA Comments

Have plans been established for Industrial Hygiene
17.01 monitoring (e.g., noise, benzene, etc.) to the new/
modified process and/ or mapping during operation?
17.02 Have labelling requirements been completed?
Has the SDS database been updated to reflect new
17.03 chemicals and flammable materials?
Is ventilation functional in areas that contain
17.04 hazardous fumes, vapours, dust, and excessive
heat?
Have all personal protective equipment/ clothing
17.05 Requirements been identified and made available to
personnel?
[Link] ISSUES

18.00 Environmental Issues Yes No NA Comments

Have all applicable permits and licenses from
regulatory agencies for commissioning and on-
18.01 going operation been received and reviewed by
Operations personnel if necessary, and placed on
file?
Have provisions been made for disposal of all
wastes including construction waste, start-up
18.02 wastes, off spec product, excavated dirt/ gravel
etc.?
18.03 Are emission control devices operable?
Has environmental monitoring equipment been
18.04 tested and placed in service?
Are surface sewer drains isolated from potential
18.05 process upsets?
18.06 Are environmental control devices in good order?
Are clean up measures/ equipment readily available
18.07 in case of contamination of local area?
Are all Oily Water Sewer (OWS) drain hubs filled
18.08 with water?
Has the Oily Water Sewer/ Storm Sewer Plot Plan
18.09 been redlined for “as-built” changes?
18.10 Is diking, draining, and curbing adequate?
Will run-off rainwater be adequately contained if it
18.11 can become contaminated?
Are sewers in the area properly identified as “clean”
18.12 or “process” sewers?
[Link] WORK PRACTICES

19.00 Miscellaneous Issues Yes No NA Comments

Is lockout/Tag out program in effect for personnel

19.01 protection?
Is permit to work system in place? Training provided
19.02 and arrangements in place for all active permits to be
suspended prior to activity covered by this PSSR
19.03 Have the sampling procedure been developed?
Have safe upper and lower operating limit guidelines
19.04 been developed?
Are battery limits clearly identified and barricaded?
19.05
Is lock open/lock close register in place and updated?
19.06
Is inhibits/overrides register in place?
19.07

2MISCELLANEOUS ISSUES

20.00 Miscellaneous Issues Yes No NA Comments

Are access route free of debris, construction

20.01 materials, etc.?
Are any depressed areas/ open excavations properly
20.02 identified and barricaded?
Have any abandoned foundations and supports been
20.03 removed or guarded to avoid tripping or stumbling
hazards?
Has the area been cleared of litter such as bottles,
20.04 cans or other trash? (a general housekeeping
inspection should be performed)
Has the area been properly cleaned to prevent a
20.05 slipping hazard?
Have all left over materials such as scaffolding, tools,
20.06 nuts, bolts, gaskets, pipe, instrument materials, etc.
been removed?
Have all gas cylinders either been removed or
20.07 properly stored and secured, and properly capped if
not in use?
Has a safe storage and dispensing location for
20.08 flammable or combustible liquid drums been
provided? Have empty drums been removed?
Has new equipment been properly identified in the
20.09 field and control room?
Have adequate communications been provided to
20.10 operate the facility safely (telephone, radios,
alarms)?
If applicable, are signs denoting “danger of thermal
20.11 expansion from trapped liquids” properly posted?
Has adequate protection been provided on valve
20.12 stems that extend into access ways?
 Have vents and drains been located so that
20.13 discharges, including liquids, do not endanger
personnel, public, or property?
Are personnel protected from contact with hot/cold
20.14 surfaces?
Are HAZARD signs posted near furnaces, rotating
equipment, and other sources of high noise to warn
20.15 personnel that proper hearing protection must be
worn?
Do signs and barricades identify work area hazards
20.16 and provide instruction?
Have special tools required to perform any task
20.17 safely and efficiently been provided?
Have sample points been provided where
20.18 necessary?
Are there any other safety concerns with this
20.19 change?

COMMENTS
 Pre-Start-up Safety Walk down
DATE RESPONSIBLE
PERSON
1. First aid kit installed
2. Firefighting extinguishers installed
3. Fire and gas systems in area available
4. Signs installed as required (temporary and permanent)
5. Involved personnel are safety inducted and initiated to IMP
6. Scaffolding and temporary platforms removed as required to allow safe
operation
7. Mechanical tools/ equipment not required by design or operation
removed
8. Extraneous combustible material removed
9. All debris has been removed from area
10. Access ways, walkways and stairs are clear of obstructions. Slips, trips
and falls hazards are removed.
11. Traffic control methods relevant to operation/start up in place
12. Suspension of ongoing work has been agreed and control methods
are active
13. All non-essential personnel (e.g. Temporary security guards) have
been removed out of area before introducing hydrocarbons
14. Plot plan completed and site communication issued to workforce
15. All permits within the boundary isolation have been completed, signed
off or withdrawn
16. All unnecessary N2 hoses have been disconnected prior to
introduction of hydrocarbons
17. Boundary fences barricading erected
18. Temporary buildings removed from blast area
19. Non-essential temporary equipment removed from blast area
20. Bunds clear of debris and contaminants and drain valves are closed
21. Firefighting equipment in place per Equipment Layout Plan locations
22. Lighting adequate for night inspection
23. Wind socks installed and visible
Confirmation that requirements have been met and authorization to proceed.
Name Signature Date
Project Manager sign-off

Project HSSE Expert sign-off

Operations Field Manager sign-off

CSU Manager sign-off

Production superintendent sign-off

Production superintendent sign-off

5 PSSR ATTENDEES

PSSR Attendees Date Signature

We have completed the above PSSR to the best of our ability.
6 OPEN ACTION ITEM LIST

Open Item Action List Yes No NA Comments

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