ract No.

(If Applicable):Si
gnature: Date:
vapor.
P
as Identify
isolated
Ensure
&Chain
ID.air
Carry
CheckLock
location.
Arrange out
replacement.
opening
leveled
Confirm
Erectsafetythe
Depressurize
Override the
appropriate
pressure.
Slightly
Use
Remove
required.
Tighten the
Pulley,
line
gasket
worksite.
The
removedlifting Flange
properly.
the& Flange
Tag
correct
gas
secured
ground
slightly
work
open
old
all gas
/in
unit
one
goggles
proper drain
test
isolation
harness
flange
proper
the
tools,
after area to
lifting
if
studs
wind bolt
& isbe
erating
to
detectors/be
the
specification
for
scaffolding
case
the safe
while
valve replaced
replaced
fluid
tools
free
required.stud
install
&
tackles,
up bolts
& integrity referring
atis
ifspecification
working
&at required.
workingto safe
flange
properly
from
&to
new area.
tackles
toxic
one
uniformly.
scaffolding
housekeeping for
height.
confirmby
(such
no
safely.
must asbe
at

Job: Flange Replacement