Nitrogen Tank – Pre-Job Inspection CL-GL-HAL-NI-207

CUSTOMER NAME WELL & LOCATION DATE

OCS-G / Well # / Field & Block

Skid#

Tank# INSTRUCTIONS:  = Pass

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

PRE-JOB ACTIVITIES Pass / Initial

Fail
1 Ensure nitrogen tank is clean and drip pan and all frame surface areas are clean and free of
debris.

2 Ensure tank is equipped with proper assigned lift sling and safety shackles. Must be Nut
and Pin with Cotter Pin, no screw type allowed.

3
Record Sling CERT# _________________ CERT DATE: __________________

4 Perform DROPS inspections

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

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

TANK / CRYOGENIC PLUMBING Pass / Initial

Fail
(Note: these items to be inspected during filling operations)
7 Visually inspect for damage and ensure ALL valves are fully functional.

8 Fill tank to 95% Full Try Cock level with blow down valve opened.
9 Visually inspect all cryogenic plumbing and hoses for nitrogen leaks.

10 Inspect all Line Relief safety valves and risers for damage, leaks and ensure outlets are
directed into the drip pan.
11 Ensure the Traveling Regulator works properly by opening the valve and pressuring up the
tank to 1.5 BAR

12 Ensure the Tank Pressure gauge and liquid level gauge are properly working and visually
inspect for damage and/or leaks. Note: liquid level gauge pointer bouncing indicates a leak
in the gauge line(s)

13 If equipped, Ensure the main tank dual burst disc(s) are not blown.

14 Visually inspect main tank safety relief valves to ensure proper installation and are not
leaking. Ensure wire tag is intact and UV stamp is visible.

15 Ensure Blow Down, Fill, Return and Pressure Build valves are closed and road relief valve
is opened prior to shipping.
16 All Plug / hatch and CGA Fill Line and Return connection caps are installed and secured
with lanyards, (after filling complete)

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

Nitrogen Tank – Pre-Job Inspection CL-GL-HAL-NI-207

REQUIRED PAPERWORK Pass / Initial

Fail

17 Ensure this PRE-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).

18 Equipment Coordinator to create RPM Maintenance Order(s) to address any failed line
items.
COMMENTS (attach additional sheets if necessary)

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#:

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

Nitrogen Tank – Pre-Job Inspection CL-GL-HAL-NI-207

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