Nitrogen Tank – Post Job Inspection CL-GL-HAL-NI-208

PROPERTY / SAP # CUSTOMER NAME WELL LOCATION DATE

M.O.# INSTRUCTIONS:  = Pass

F = Fail (note failures in Failed Line Items section)
N/A = Not Applicable (note reason for N/A in Comments section)

POST-JOB ACTIVITIES Pass / Fail Initial

1 Visually inspect all Frame, Outer Tank Vessel, Piping and components, fittings, drip pan
for damage. REPORT ANY DAMAGES OR MISSING ITEMS TO EQUIPMENT
COORDINATOR / IEM.

2 Thoroughly wash nitrogen tank and drip pan. Plug / hatch and CGA Fill Line and Return
connection caps are installed and secured with lanyards,
3 Perform DROPS inspections

4 Ensure HES, regulatory decals and location tags are clearly identifiable and placard
1977 is clearly visible on all (4) sides on nitrogen tank.

FRAME AND LIFTING SYSTEM Pass / Fail Initial

5 Verify lifting slings are in good condition and have up to date certification tags on them
and meet Halliburton minimum standards, local and customer regulations

6 Verify all shackles, nuts and cotter pins are in good condition and properly secured. All
shackles must be nut and pin, no screw type shackles allowed
7 Visually inspect pad eyes and welds for cracks, damage and are within inspection date

8 Visually inspect all corner critical lift paths of the frame for cracked welds

9 Use lifting equipment guideline instructions to perform inspection of lifting devices and
bottom of skid base for damage and excessive corrosion

10 Inspect forklift pockets for condition, cracks, and debris,

11 Verify Tare Weight, WLL/Payload Weight, and Max Gross Weight (MGW) are on the
equipment.

12 Touch up paint and as necessary to Halliburton specifications, this includes all high
visibility markings

LIFTING SYSTEM, cont’d Pass / Fail Initial

Approved By: Global Operations Manager Revision Date: 10/4/2022

Nitrogen Tank – Post Job Inspection CL-GL-HAL-NI-208

Record Sling Unit Number: _____________ Capacity: _________________

Record Sling CERT# _________________, CERT DATE: __________________

Record DNV 2.7-1 visual inspection DATE: ______________ (must be within last 12 months)
Record DNV 2.7-1 NDT DATE: ____________________ (must be within last 4 years)
If any date is within 30 days, report to Equipment Coordinator / IEM.

TANK / CRYOGENIC PLUMBING Pass / Fail Initial

13 Ensure proper installation of the main tank safety relief valves and have not been altered
with wire seal intact. And certifications are up to date and UV stamp is visible
14 Ensure the Tank Pressure gauge and liquid level gauge are properly working, visually
inspect for condition and/or leaks, Gauge Isolation Valves are in the correct position

15 Visually inspect the annular vacuum burst disc for damage and O-Ring plate disk is in
place and not clamped down. Note: do not pry on the O-Ring plate.

16 Inspect all Line Relief safety relief valves and risers for damage and ensure outlets are
open and directed into the drip pan.

17 Ensure Blow Down, Fill, Return and Pressure Build valves are closed and road relief
valve is opened.
18 Ensure all valves are functional, no valve stem damage, and handles are in good
condition
REQUIRED PAPERWORK Pass / Fail Initial

19 Ensure this POST-JOB EQUIPMENT REPORT is completed as required and signed off.
Remit to Equipment Coordinator and report any damages and/or failed items (noted
within Comment section). Note: if Post Job check is performed 15 days prior to Level A
PM call, this check is considered a Level A PM to be entered in SAP.
20 Equipment Coordinator to create RPM Maintenance Order(s) to address any failed line
items.
COMMENTS (attach additional sheets if necessary)

Approved By: Global Operations Manager Revision Date: 10/4/2022

Nitrogen Tank – Post Job Inspection CL-GL-HAL-NI-208

Performed by: Employee #

Performed by: Employee #

FAILED LINE ITEMS

List all defects that were found during the PM inspection with an appropriate explanation. This list will be used to create RPM (Result
from Preventative Maintenance) orders as required.

PM Checklist Line Item: RPM Order#:

Description of issue:

PM Checklist Line Item: RPM Order#:

Description of issue:

PM Checklist Line Item: RPM Order#:

Description of issue:

PM Checklist Line Item: RPM Order#:

Description of issue:

PM Checklist Line Item: RPM Order#:

Description of issue:

PM Checklist Line Item: RPM Order#:

Description of issue:

PM Checklist Line Item: RPM Order#:

Description of issue:

Approved By: Global Operations Manager Revision Date: 10/4/2022

Nitrogen Tank – Post Job Inspection CL-GL-HAL-NI-208

PM Checklist Line Item: RPM Order#:

Description of issue:

PM Checklist Line Item: RPM Order#:

Description of issue:

Approved By: Global Operations Manager Revision Date: 10/4/2022