Ammonia Refrigeration » Plant Safety - Self Inspection Checklist

Name of Business:

Date of Inspection:

Area Inspected:

Signature of Inspector:

  • Plant Safety Yes    No    N/A

  1. Are all employees properly trained?            

  2. Are all personnel assigned to work with anhydrous ammonia capable of working in a hazardous area?            

  3. Are goggles used by all persons handling anhydrous ammonia?            

  4. Are ammonia-resistant gloves used by all persons handling anhydrous ammonia?            

  5. Is a safety water tank or an approved deluge shower available?            

  6. Is a "First Aid Water" decal on the safety tank or shower?            

  7. Are rain suits or slickers available?            

  8. Are boots available?            

  9. Are two fullface masks available?            

  10. Are canisters current?            

  11. Are two self-contained air masks available for emergencies?            

  12. Are safety belts and life lines available?            

  13. Is an approved first aid kit available?            

  14. Are fire extinguishers in good condition?            

  15. Have the local emergency authorities been trained in handling anhydrous ammonia emergencies?            

  16. Are emergency telephone numbers conspicuously posted?            

  17. Are storage tanks approved for anhydrous ammonia?            

  18. Is the paint on storage tanks in good condition?            

  19. Are the "Caution-Ammonia" or "Anhydrous Ammonia" decals in place?            

  20. Are the "Warnings" and "First Aid" decals in place?            

  21. Are "Wear Your Goggles" decals located throughout the work area?            

  22. Are all valves, and like equipment, approved for anhydrous ammonia?            

  23. Are the liquid and vapor valves properly identified?            

  24. Are excess flow checks in all openings where required            

  25. Are relief valves checked and replaced regularly?            

  26. Are all relief valves capped?            

  27. Is all piping done with schedule 80, black pipe (no galvanized or brass)?            

  28. Are all hoses labeled for anhydrous ammonia?            

  29. Are all hoses and pipes equipped with relief valves where needed?            

  30. Are hoses inspected regularly and changed when age or condition require?            

  31. Are transfer connection areas (transport stubs, loading stations, and so on) marked "Caution-Ammonia" or "Anhydrous Ammonia"?            

  32. Is there an automatic backcheck in the transport liquid line?            

  33. Are wheel chocks for nurse tanks, motor transports, and rail cars available?            

  34. Are "Stop-Tank Car Connected" signs available and in use?            

  35. Is the site clean and well kept            

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