Sample PSSR Form

Pre-Startup Safety Review Checklist
Project :
Summary :
PSSR Team
Name Position Signature Date PSSR Team Approval
I have reviewed the name and qualification of people

Reviewer Lead nominated as the member of PSSR team, and have approved
their assignment.
Reviewer Co-Lead
Reviewer
Reviewer
Reviewer
Reviewer Sign :
Reviewer Name :
Reviewer Title :
PSSR Facilitator
PSSR Facilitator
Scriber
Signatures of the PSSR Team above indicate acceptance that the equipment or project is safe and satisfactory to start-up with the exceptions note, after the Category A actions are completed.
Guidance :
These supplemental 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 through the entire section with an “X”. If the answer to any question is “No”, start-up cannot proceed until the issue has been resolved.
When the answer is "NO", resolve the issue by assigning action. The category will be "A" for actions to be closed before the startup, and will be "B" for actions that can be closed after the startup.
No. Project Team Reviewer

Revie Remarks/ Reference
Description Project Team Comments Reviewer Comments Actions Responsible Category Status/Target
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Yes No N/A Yes No N/A

1 General Documentation Yes No N/A Yes No N/A Project Team Comments Reviewer Comments Actions Responsible Category Status/Target
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1.01 Is the Engineering Change Form signed off to ALL Yes
allow implementation/build to occur?
1.02 Does the Work Pack or MOC Dossier clearly ALL Yes
show/outline what the change is or should
look like?

2 Procedures/ Training Yes No N/A Yes No N/A Project Team Comments Reviewer Comments Actions Responsible Category Status/Target
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File: 450550114.xlsx Page 1 of 31


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2.01 Have operating procedures been developed Oper Yes

for start-up, shutdown, emergency and
normal operations? (including communication
chart and plan for startup)
2.02 Have necessary changes been made to Oper N/A

existing operating/ maintenance procedures?


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2.03 Have the procedures been reviewed and Oper Yes

approved to ensure they reflect current
operating practice and standard procedure
format?
2.04 Are the operating procedures available in the Oper Yes

work areas of the operating personnel?
2.05 Have affected operating and maintenance Oper Yes

personnel and contractors (if appropriate)
been trained in or informed of all changes to
the new/ modified process?
2.06 Has operator and maintenance training Oper YES

documentation been completed?
Process Hazards Analysis/ Project Safety Revie Remarks/ Reference

3 Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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3.01 If a Hazards Analysis was conducted, have PSM Yes
all the recommendations/ action items been
closed?


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3.02 If a Hazards Analysis was conducted, has the PSM

approved documentation of the completed
action items been attached to the Workpack /
MOC Dossier?

4 Pressure Vessels/ Tanks & Exchangers Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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4.01 Has both exterior and interior of vessel skirt Cons Yes
been fireproofed per the Design?
Has both exterior of piping been fireproofed Yes

and insulation as per the Design?
4.02 Are vessel skirts adequately ventilated per Cons Yes

the Design?
4.03 Have ‘Danger Do Not Enter – Confined Cons N/A

Space Entry” signs been installed on vessel
skirts?
4.04 Are all vessel small-piping connections in Cons Yes
accordance with engineering standards?
4.05 Have vessels and tanks been inspected to Cons Yes

ensure that any tools or debris were not left
inside before final closure?
4.06 Where appropriate, have internals been Cons Yes

verified for proper installation and
documented?
4.07 Have alloy systems/ internals been verified Cons Yes

for correct materials?


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4.08 Have flange and manway nuts and stud bolts Cons Yes
been field checked to verify tightness?
(Flange Management)
4.09 Are flange bolts long enough? (2 threads min. Cons Yes
showing outside the nut) Is spacing
adequate for bolt removal?
4.10 Is vessel insulation tight and waterproofed? Cons Yes
4.11 Are tank/ vessel level measuring systems in Cons Yes

good working order?
4.12 Is there sufficient access for maintenance Cons Yes

and removal of exchanger for heads,
channels, and tube bundles?
4.13 Is there a high point vent to remove air and a Cons Yes
low point drain to remove water during start-
up and/ or to properly prepare equipment for
maintenance?
4.14 Are all drain and vent plugs in place? Cons Yes
4.15 Are tank/ vessel water draw-off valves Cons N/A

operable?
4.16 Have adequate isolation devices been Cons Yes

provided to complete hazardous energy
isolation of equipment? (for maintenance/
turnaround)
4.17 Are all vessel nameplates installed and Cons Yes

match design pressures and temperatures?


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4.18 Have hydrotest records been reviewed for Cons Yes

correct pressure?
4.19 Are there adequate safety protection devices Cons Yes

in place on the equipment (such as blowout
preventors, ball cock valves, etc.)?

5 Structural Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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5.01 Have structural members been fireproofed as Cons Yes

required by engineering standards?
5.02 Are openings in floor (plate, grating or slab) Cons Yes

for piping, vessels, etc. in accordance with
design?
5.03 Are ladders installed so that adequate toe Cons Yes

clearance exists between the backside of the
ladder rings and the nearest objects?
5.04 Are guys, cables and turnbuckle rods Cons Yes

properly marked as necessary to warn
vehicular and pedestrian traffic of their
presence?


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5.05 Do guy wires have equal tension and are free Cons Yes
from sagging?

6 Valves, Piping & Pipe Supports Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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6.01 Was a line-by-line review conducted to Eng Yes
ensure the piping was installed as specified?
6.02 Do P&IDs and other drawings reflect as-built Eng Yes

conditions?
6.03 Is access to equipment and valves adequate Eng Yes

for normal operation, shutdown/ startup,
maintenance and emergencies?
6.04 Are valve chain-operators and wheels Eng N/A

provided where required by Operations?
6.05 Has support cable been installed on Eng N/A

"knocker" or chain-operated valves to prevent
wheel from coming off the shaft and falling?
6.06 Have bleeder valves been installed as Eng Yes

required in control valve manifolds?
6.07 Are drain and depressuring valves installed Eng Yes

on level displacers for maintenance work and
are all plugs installed?
6.08 Is material blown-down from gauge glass/ Eng Yes

level instruments piped to a safe location?


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6.09 Are vents and drains for normal operation Eng Yes
visible, easily accessible and safely located?
6.10 Can the piping system be completely Eng Yes

drained?
6.11 Are all drain and vent plugs in place? Have Eng Yes
all normally closed drain and vent valves
been appropriately plugged or capped?
6.12 Are small piping connections in process Eng Yes

service seal-welded to the first block valve?
6.13 Has new piping been designed and installed Eng Yes
as avoid the creation of dead legs?
6.14 Has piping been painted/ coated for external Eng Yes
corrosion protection as per design?
6.15 Are lines and valves heat traced and Eng Yes
insulated where applicable and has the
insulation been installed to be watertight?
6.16 Where applicable, is freeze protection Eng N/A

available for cold water lines, instrument
connections, and lines in dead-end service
such as piping at standby pumps?
6.17 Are valve boxes/ pits properly guarded and Eng Yes
avoiding hazards rising out of the ground?
6.18 Have adequate steps been taken to avoid Eng Yes

any stumbling hazards, such as pipelines
running along grade?
6.19 Where samples are drawn from light Eng YES

hydrocarbon equipment does the piping have
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)?
6.20 Have flanges been checked for proper bolting Eng Yes
and gasketing materials?


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6.21 Are flange bolts tight and long enough? (2 Eng Yes
threads min. showing outside the nut)? Is
spacing adequate for bolt removal?
6.22 Can blinds be readily installed (i.e., flanges Eng Yes

easily spread, no additional pipe supporting
necessary, access to blinding locations is
adequate, etc.)?
6.23 Has required NDE/ PWHT (Non-Destruction Eng Yes

Examination/ Post Weld Heat Treatment)
been performed?
6.24 Has required hardness testing been Eng Yes

performed?
6.25 Have materials of construction been properly Eng Yes

identified?
6.26 Has equipment/ piping been properly Eng Yes

hydrotested or tested per an alternative
method?
6.27 Are all screens, orifices, filter elements, Eng Yes

catalyst, etc. in place for operation?
6.28 Have all valves and orifice plates been Eng Yes
installed in the correct flow direction?


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6.29 Are there adequate isolation devices to Eng Yes

complete hazardous energy isolation of
equipment? Are list of LO/LC valves and field
verification report available? Is LOTO
standard procedure available?
6.30 Have pipe supports been securely attached Eng Yes

with allowance for pipe movement per the
design (i.e. spring hangers, spring cans)?
6.31 Are grounding connections installed and Eng N/A

intact?
6.32 Have gags been removed from spring-loaded Eng Yes

supports and expansion joints?
6.33 Have pressure gauges been checked for Eng Yes

proper pressure rating and proper range?
6.34 Have all construction blinds been removed? Eng Yes

7 Process Safety Valves (PSV’s) Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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7.01 Have existing PSV’s been checked to ensure Eng N/A
they are adequate for any changes in service
or operating conditions?
7.02 Has design information, including design Eng Yes
sizing basis, been documented for all new or
re-evaluated PSV’s?
7.03 Have PSVs been bench tested and installed Eng Yes
correctly? Are they code stamped?


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7.04 Have PSVs been field verified to determine Eng Yes

correctness for the service intended?
7.05 Are PSVs properly identified and tagged Eng Yes

appropriately (set pressure, ID number, etc?
7.06 Does the inlet line appear adequate to avoid Eng Yes
restricting flow to the PSV?
7.07 Is the suction or discharge piping of safety Eng Yes

valves free of trapped sections?
7.08 Is the PSV inlet and outlet piping properly Eng Yes
supported to avoid undue stresses on the
PSV?
7.09 Are all bleeders and small connections on Eng N/A

lines to and from PSV valves seal welded?
7.10 Are all PSVs readily accessible for visual Eng Yes
inspection of tags and seals or necessary
maintenance?
7.11 Is sufficient working room available for Eng Yes

changing out the PSV (without the erection of
scaffolding)?
7.12 Can the PSV be readily lowered to grade Eng Yes

safely with either portable or permanent
rigging equipment?


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7.13 Do thermal relief valves discharge to safe Eng Yes

locations?
7.14 Are all relief valve paths properly flare locked Eng Yes
and documented?
7.15 Are inlet and outlet isolation valves properly Eng Yes
oriented to avoid a potential dropped gate
into the line (i.e. installed with stem in
horizontal position so gate cannot fall off and
block venting)?
7.16 Do bellows PSV valves have bug screens or Eng Yes

vents piped to a location where personnel are
not endangered and where the vent does not
impinge on a flange, bolting, or pipeline?
7.17 When applicable, have snuffing steam lines Eng N/A

been provided for PSV stacks?
7.18 If applicable, are snuffing steam manifolds Eng N/A

constructed to prevent condensate
accumulation, and are the snuffing steam
lines adequately labeled so the appropriate
line can be opened as necessary?
7.19 Is snuffing steam manifold located in a safe Eng N/A

location in the event the particular PSV
discharge was burning or liquid was being
discharged?
7.20 Do PSV stacks without snuffing steam have Eng Yes

drains to remove water or liquid
accumulation? Is the PSV drain piped to a
safe location?
7.21 Is a “street El” installed to drain valve body? Eng N/A

Is the drain piped to a safe location?

8 Rotating Equipment Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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8.01 Has equipment been installed according to Cons Yes
specifications? (P&ID’s, drawings,
manufacturer’s recommendations)
8.02 Is access to equipment and valves adequate Cons Yes

for normal operation, shutdown/ startup,


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8.03 Is piping adequately supported so equipment Cons Yes

can be removed for maintenance without
undue pipe stresses being developed?
8.04 Are small piping connections in process Cons N/A

service seal welded and gusseted?
8.05 Does adequate pump/ compressor/ fan Cons Yes

isolation capability exist?
8.06 Where turbine casings are not designed for Cons N/A
full line steam pressure are exhaust valves
locked open?
8.07 Have flanges been checked for proper bolting Cons Yes
and gasketing materials?
8.08 Are flange bolts long enough (threads do not Cons Yes
extend outside the nuts)? Is spacing
adequate for bolt removal?
8.09 Have coupling guards been provided on Cons Yes

pumps, motors, fin fan mixers, etc.?
8.10 Are seal guards in place for pumps Cons Yes

containing corrosive or toxic materials?


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8.11 Have seal flush piping connections been Cons Yes

made?
8.12 Has all equipment such as valves, louvers, Cons N/A

dampers, etc. been operated?
8.13 Has equipment been checked for proper Cons Yes

rotation? Has equipment been properly
aligned according to specifications?
8.14 Are all screens, orifices, filter elements, Cons Yes

catalyst, etc. in place for operation?
8.15 Have all valves and orifice plates been Cons Yes
installed in the correct flow direction?
8.16 Has there been a review of hazardous energy Eng Yes

isolation?
8.17 Is there sufficient devices (drain bleeders, Eng Yes

vent bleeders, etc.) to properly prepare
equipment for maintenance?
8.18 Has the unit/ equipment lubrication list been Eng Yes
updated to reflect any changes/ additions for
rotating equipment?
8.19 Are MSDSs available for lubricants and seal Eng Yes
fluids?


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8.20 Have materials of construction been properly Eng Yes

identified according to specifications (i.e.
alloys, PMI, MTR)?
8.21 Has an internal inspection been performed Cons Yes

after installation? (i.e. verify that any debris
was removed from pump prior to pipe bolt-up)
8.22 Has equipment/ piping been properly Cons Yes

hydrotested or tested per an alternative
method?
8.23 Are there adequate safety protection devices Eng Yes

in place on the equipment (such as blowout
preventors, ball cock valves, etc.)?
8.24 Have all construction blinds been removed? Cons Yes
8.25 Has personnel protection insulation been Cons Yes

installed per the design? Is the immediate
vicinity of the equipment isolation devices
free from sharp points, hot piping, etc?
8.26 Is equipment ergonomically acceptable? Cons Yes
8.27 Are mechanical assistance (such as control Eng Yes

valves, motor operated valves, etc.) in place
per the design?

9 Electrical Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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9.01 Has electrical installations been completed Eng Yes

per specifications (P&IDs, drawings,
manufacturer’s recommendations)?
9.02 Is all equipment compatible with the area Eng Yes

electrical classification?
9.03 Have all feeders, transformers been properly Eng Yes

inspected?
9.04 Have all motors been tested and vibration Eng Yes
checked? Has motor rotation been checked?
9.05 Is permanent equipment hooked up with Eng Yes

proper electrical cable, rather than cords?
9.06 If ventilation (HVAC) systems were added or Eng Yes

modified, has the design basis been
documented?
9.07 Are motor starters and control stations Eng Yes

properly identified, are starter switch handles
equipped with proper on-off markings and
checked for proper operation?


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9.08 Have breakers and other electrical equipment Eng Yes

been properly checked, labeled and
numbered?
9.09 Do lockout provisions exist at the switchgear Eng Yes

and/ or motor control center?
9.10 Has electrical heat tracing been turned on Eng N/A

and working for outside piping?
9.11 Are heat trace controllers working? Eng N/A
9.12 Is conduit and cable trays adequately Eng Yes

supported?
9.13 Are lighting fixtures, etc., properly supported? Eng Yes
9.14 Are bulbs and vapor globes in place; are Eng Yes
guards functional?


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9.15 Has there been review of hazardous energy Eng Yes

isolation? Are there adequate isolation
devices to complete the hazardous energy
isolation of equipment?
9.16 Are junction and pull boxes bolted closed? Eng Yes
9.17 Are conduit seals installed in the proper Eng Yes

location.
9.18 Is all electrical equipment properly grounded? Eng Yes
9.19 Are motor actuators and control wiring Eng N/A

fireproofed on remotely operated valves used
to isolate critical equipment? Are MOV’s
cable trays and conduits fireproofed as
necessary?
9.20 Have all MOVs been properly identified? Eng Yes
9.21 Can MOVs be operated electrically and Eng Yes

manually in an emergency involving the
equipment they were installed to isolate?


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9.22 Have adequate access/ work platforms been Eng Yes

provided for normal operation and or
shutdown/ startup of equipment? (MOV
manual operations, motor servicing, etc.)
9.23 Have electrical protective relays and safety Eng Yes

devices been calibrated?
9.24 Have all jumpers and bypasses been Eng Yes

removed?
9.25 Do instrument/ electrical cabinets that require Eng N/A

purge have the purge activated?
9.26 Is there adequate overhead lighting in the Eng Yes

work area? Is there adequate lighting on the
equipment (such as sight glasses, gauges,
etc.)?
9.27 Has equipment been properly aligned Eng Yes

according to specifications? Is there proper
lubrication?


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9.28 Are all required guards/ barriers in place? Eng Yes

(coupling guards on motors, guards in
switchgear, etc)
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10 Instrumentation/ Controls Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category
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10.01 Have all instruments been installed according Eng Yes
to specifications (P&IDs, drawings,
manufacturer’s recommendations)?
10.02 Is access to instrumentation adequate for Eng Yes

normal operation, shutdown/ startup,
10.03 Have instrument loop checks been Eng Yes

performed, including instrument calibration
and verifying proper DCS, PLC, local panel
responses, etc?


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10.04 Has all computer control logic and software Eng Yes
been thoroughly tested?
10.05 Have new instruments been added to the Eng Yes

appropriate inspection/ testing/ preventative
maintenance programs as defined by
Mechanical Integrity procedure?
10.06 Have safety systems (ISS, PES, EPS, and Eng Yes
Critical Alarms, etc.) been checked and are
they functioning as designed? Are SCE list,
performance standard and function test
report available?
10.07 Has heat tracing been turned on and working Eng Yes
for outside instrumentation?
10.08 Are guards in place to prevent accidental Eng Yes

tripping of switches?


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10.09 Are all instruments and controls clearly Eng Yes

tagged (loop ID & service, field instrument
wire tags)?
10.10 Have all jumpers and bypasses/inhibits been Eng Yes

removed?
10.11 Do instrument cabinets that require purge Eng N/A

have the purge activated?
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11.01 Are utility systems isolated from process Oper Yes
systems per regulatory standards? Do
double blocks, bleeder, and check valve exist
for all applications where required?
11.02 Do facilities exist to break away connections Oper Yes

when not in use (hose, blank, etc.)?
11.03 Are all utility connections clearly labeled (e.g., Oper Yes
steam, water, air, nitrogen)?
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12 Blowdown, Flare & Pump Out Systems
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12.01 Has the pump out system been designed for Eng N/A
emergency as well as routine shutdown
conditions?
12.02 Has unit relief capacity been checked for the Eng Yes
impact of this project?


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12.03 Has design information including design Eng Yes

capacity basis for load changes been
documented?
12.04 Are headers free of trapped sections? Eng Yes
12.05 Have isolation block valves in pressure Eng Yes

relieving systems been installed with stems in
horizontal position to guard against dropping
gates into lines?

13 Tank & Pump Pits Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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13.01 Are fire walls/ dikes fit for service? HSE Yes
13.02 Have ramps and steps been provided over HSE Yes
firewalls/ dikes?
13.03 Are firewall drain valves provided along with HSE Yes
safe access to drain valve?
13.04 Is catch basin inside firewall properly located HSE Yes

for effective drainage?


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13.05 Is stairway properly installed? HSE Yes

14 Unit Sitting & Layout Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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14.01 Have appropriate measures been taken to HSE Yes
prevent inert, toxic, or flammable vapors from
collecting in open ditches, pits, sumps, or
pockets?
14.02 Is there adequate access for emergency HSE Yes

vehicles?
14.02
14.03 Is vehicular traffic appropriately restricted HSE Yes

from areas where pedestrians could be
injured or equipment damaged?
14.03
14.04 Are vehicle barriers installed to prevent HSE Yes

impact to critical equipment? (including spark
arrester)
14.04
Emergency Planning & Response, Fire Revie Remarks/ Reference

15 Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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15.01 Have the required changes to the emergency HSE N/A
response plan been made?
15.02 Have exits or egress routes been identified? HSE Yes


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15.03 Are any special fire fighting procedures HSE Yes

required for new or modified equipment? If
so, are the procedures available to all
appropriate personnel?
15.04 Has training on these procedures been HSE Yes

provided to the appropriate personnel?
15.05 Have fire extinguishers been provided at HSE Yes

designated stations? Are they charged,
sealed, and ready for use?
15.06 Have monitor nozzles been strategically HSE Yes

located throughout the unit and are they in
good condition?
15.07 Are hydrant wrenches available? HSE Yes
15.08 Have safety showers and eyewash stations HSE Yes

been properly installed and tested for
operation?
15.09 Have personnel been made aware of the HSE Yes

locations of safety equipment and fire
protection equipment? Have “as-built”
changes been redlined on the Firewater Plot
Plan?
15.10 Have fire protection systems including but not HSE Yes
limited to sprinkler, deluge and foam systems
been functionally tested and properly
identified?


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15.11 Are the unit/ equipment isolation devices HSE Yes

positioned for access during emergency
situations?
15.12 Are emergency isolation devices free from HSE Yes

inherent dangers in the immediate vicinity
(hot piping, sharp points, etc.)
15.13 Are mechanical assistance devices (such as HSE Yes

control valves, motor operated valves, etc.) in
place to close unit/ equipment isolation devices
during emergency situations?

16 Access Ways Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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16.01 Do all platforms have proper construction, HSE Yes
(standard toe plates, handrails
16.02 Is there more than one route of escape from HSE Yes
any sizable area or platform?
16.03 Do ladders extend no more than 10m in HSE Yes

height without a break or offset?
16.04 Are chains or mechanical closures properly HSE Yes

installed on ladders or platform levels and are
they operational?
16.05 Are ladders caged when extending over 3m HSE Yes

in height or when a person may fall more
than 3m from a ladder to some other platform
or grade?


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16.06 Are areas directly under stairways, ladders or HSE Yes

catwalks free of a catch basin or sewer
manways?
16.07 Are access routes clear of piping, valves, HSE Yes

head knockers, (less than 7 feet vertical
clearance), or tripping hazards?
16.08 Are handrails, ladder rails, etc. free of any HSE Yes
abrupt finger catchers?
16.09 Are ladders installed so that adequate toe HSE Yes

clearance exists between the backside of
ladder rungs and the nearest object?
16.10 Are safety gates at ladder platforms closed HSE Yes

and mechanically functional?
16.11 Are all portable ladders in good condition HSE Yes

and do they have inspection stickers?
16.12 Are walking and working surfaces level, HSE Yes

secured, and non-slippery?

17 Health Issues Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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17.01 Have plans been established for IH HSE Yes
monitoring ( e.g., noise, benzene, etc.) to the
new/ modified process and/ or mapping
during operation?
17.02 Have labeling requirements been completed? HSE Yes
17.03 Has the MSDS database been updated to HSE Yes

reflect new chemicals and flammable
materials?


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17.04 Is ventilation functional in areas that contain HSE Yes

hazardous fumes, vapors, dust, and
excessive heat?
17.05 Have all personal protective equipment/ HSE Yes

clothing requirements been identified and
made available to personnel?

18 Environmental Issues Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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18.01 Have all applicable permits and licenses from HSE Yes
regulatory agencies for commissioning and
on-going operation been received and
reviewed by Operations personnel if
necessary, and placed on file?
18.02 Have provisions been made for disposal of all HSE Yes
wastes including construction waste, startup
wastes, off spec product, excavated dirt/
gravel etc.?
18.03 Are emission control devices operable? HSE Yes
18.04 Has environmental monitoring equipment HSE Yes

been tested and placed in service?
18.05 Are surface sewer drains isolated from HSE Yes

potential process upsets?
18.06 Have new Continuous Emission Monitoring HSE N/A

Devices (CEMS) been calibrated and have
QA/QC checks been performed?
18.07 Are environmental control devices in good HSE Yes

order?
18.08 Are all Oily Water Sewer (OWS) drain hubs HSE Yes
filled with water?
18.09 Has the Oily Water Sewer/ Storm Sewer Plot HSE Yes
Plan been redlined for “as-built” changes?

19 Miscellaneous Issues Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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19.01 Are access route free of debris, construction HSE Yes

materials, etc?
19.02 Is there adequate overhead lighting in the HSE Yes

work area? Is there adequate lighting on the
equipment (such as sight glasses, etc.)?
19.03 Are any depressed area/ open excavations HSE Yes

properly identified and barricaded?
19.04 Have any abandoned foundations and HSE Yes

supports been removed or guarded to avoid
tripping or stumbling hazards?
19.05 Has the area been cleared of litter such as HSE Yes
bottles, cans or other trash? (a general
housekeeping inspection should be
performed)
19.06 Has the area been properly cleaned to HSE Yes

prevent a slipping hazard?
19.07 Have all left over materials such as HSE Yes

scaffolding, tools, nuts, bolts, gaskets, pipe,
instrument materials, etc. been removed?
19.08 Have all gas cylinders either been removed HSE Yes
or properly stored and secured, and properly
capped if not in use?
19.09 Has a safe storage and dispensing location HSE Yes

for flammable or combustible liquid drums
been provided? Have empty drums been
removed?
19.10 Do drums in use have self-closing valves HSE N/A

installed where necessary?
19.11 Has new equipment been properly identified Cons N/A
in the field and control room?


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19.12 Have adequate communications been Oper Yes

provided to operate the facility safely
(telephones, radios, alarms)?
19.13 If applicable, are signs denoting “danger of HSE N/A

thermal expansion from trapped liquids”
properly posted?
19.14 Has adequate protection been provided on HSE N/A

valve stems that extend into access ways?
19.15 Have vents and drains been located so that HSE Yes
discharges, including liquids, do not
endanger personnel, public, or property?
19.16 Are personnel protected from contact with hot HSE Yes
surfaces?
19.17 Are HAZARD signs posted near furnaces, HSE Yes

rotating equipment, and other sources of high
noise to warn personnel that proper hearing
protection must be worn?
19.18 Do signs and barricades identify work area HSE Yes

hazards and provide instruction?
19.19 Have special tools required to perform any HSE Yes

task safely and efficiently been provided?
19.20 Have sample points been provided where Oper Yes

necessary?
19.21 Are there any other safety concerns with this ALL N/A
change?
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Remarks/ Reference
Others: Yes No N/A Yes No N/A Reviewer Comments Actions Responsible Category Status/Target
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A HSE Yes
Are Medical Evacuation Equipment

available?
B Oper Yes
Are personnel for phase-1 startup available,
adequate, and qualified?
C Oper Yes
Are phase-1 operations personnel available,
D Oper Yes
Is Phase-1 Startup Organization Chart
available?


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E Oper Yes
Are personnel for phase-2 startup available,
F Oper Yes
Are phase-2 operations personnel available,
G Oper Yes
Is Phase-2 Startup Organization Chart
available?
H Are mark up drawings (as built) available, Oper Yes

verified, and approved?
I Are resources arrangement has been agreed Oper Yes

and approved for phase-1 startup?
J Are battery limits for first gas in, transition, Oper Yes
and phase-2 start up available and
approved?
K Are fire fighting team, equipment and fire HSE Yes

truck available on site?
L Is the temporary equipment such as gas Eng Yes

booster compressor, boiler, has already re-
certified?
M Flowline: N/A
AR Well to Manifold Pipeline
N Pipeline: N/A
Manifold Pipeline to CPP
O Trunkline: N/A
CPP to Metering JBL
Connection from JBL to Pertagas Tie In point
P Has Water Injection Line ready to be N/A

operated?

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Pre-Startup Safety Review Checklist

Pre-Startup Safety Review Checklist

I have reviewed the name and qualification of people

No. Project Team Reviewer

Revie Remarks/ Reference

Revie Remarks/ Reference

File: 450550114.xlsx Page 1 of 31

No. Project Team Reviewer

2.01 Have operating procedures been developed Oper Yes

2.02 Have necessary changes been made to Oper N/A

File: 450550114.xlsx Page 2 of 31

No. Project Team Reviewer

2.03 Have the procedures been reviewed and Oper Yes

2.04 Are the operating procedures available in the Oper Yes

2.05 Have affected operating and maintenance Oper Yes

2.06 Has operator and maintenance training Oper YES

Process Hazards Analysis/ Project Safety Revie Remarks/ Reference

File: 450550114.xlsx Page 3 of 31

No. Project Team Reviewer

3.02 If a Hazards Analysis was conducted, has the PSM

Revie Remarks/ Reference

Has both exterior of piping been fireproofed Yes

4.02 Are vessel skirts adequately ventilated per Cons Yes

4.03 Have ‘Danger Do Not Enter – Confined Cons N/A

4.05 Have vessels and tanks been inspected to Cons Yes

4.06 Where appropriate, have internals been Cons Yes

4.07 Have alloy systems/ internals been verified Cons Yes

File: 450550114.xlsx Page 4 of 31

No. Project Team Reviewer

4.10 Is vessel insulation tight and waterproofed? Cons Yes

4.11 Are tank/ vessel level measuring systems in Cons Yes

4.12 Is there sufficient access for maintenance Cons Yes

4.15 Are tank/ vessel water draw-off valves Cons N/A

4.16 Have adequate isolation devices been Cons Yes

4.17 Are all vessel nameplates installed and Cons Yes

File: 450550114.xlsx Page 5 of 31

No. Project Team Reviewer

4.18 Have hydrotest records been reviewed for Cons Yes

4.19 Are there adequate safety protection devices Cons Yes

Revie Remarks/ Reference

5.01 Have structural members been fireproofed as Cons Yes

5.02 Are openings in floor (plate, grating or slab) Cons Yes

5.03 Are ladders installed so that adequate toe Cons Yes

5.04 Are guys, cables and turnbuckle rods Cons Yes

File: 450550114.xlsx Page 6 of 31

No. Project Team Reviewer

Revie Remarks/ Reference

6.02 Do P&IDs and other drawings reflect as-built Eng Yes

6.03 Is access to equipment and valves adequate Eng Yes

6.04 Are valve chain-operators and wheels Eng N/A

6.05 Has support cable been installed on Eng N/A

6.06 Have bleeder valves been installed as Eng Yes

6.07 Are drain and depressuring valves installed Eng Yes

6.08 Is material blown-down from gauge glass/ Eng Yes

File: 450550114.xlsx Page 7 of 31

No. Project Team Reviewer

6.10 Can the piping system be completely Eng Yes

6.12 Are small piping connections in process Eng Yes

6.16 Where applicable, is freeze protection Eng N/A

6.18 Have adequate steps been taken to avoid Eng Yes

6.19 Where samples are drawn from light Eng YES

File: 450550114.xlsx Page 8 of 31

No. Project Team Reviewer

6.22 Can blinds be readily installed (i.e., flanges Eng Yes