PRE-FLOW CHECKLIST

23060 FM 159
Navasota, Texas 77868
Office: 432-755-4687
Manager: David Glawson
Field Superintendent: Jury Valladarez

THIS MUST BE COMPLETED AND SIGNED BY ALL INVOLVED PARTYS BEFORE REMOVING
J6 ENERGY LOCKS FROM WELL LISTED BELOW. THIS INCLUDES CUSTOMER REP AND SUPERVISOR.
Customer: District Location:
Lease Location and LSD: Job #
Customer Rep: Customer Rep Signiture:
Sweet: Sour: Date: Time:
Any N/A Must Have Comments Filled Out.

ADEQ INADEQ N/A COMMENTS

A. Signs
Lease Entrance
4 - Danger High Pressure
Sign with Customer Name
6 - Warning Pylons

B. Personal Safety
Emergency Response Plan Complete
JSEA
Hard Hats
Safety Footwear
Eye Protection
Ear Protection
First Aid Supplys
Certificates:
a: H2S
b:First Aid
c: Core Training
Fire Retartant Clothing
Facial Hair
6- Fire Extinquishers
H2S Monitors
SCBA
Wind Direction Indicators

ADEQ INADEQ N/A COMMENTS

C: Sand Traps
J6 Number on Equipment
 Clean
Working Pressure
Drain Valves Seal
Pop Off in good condition
Gauge in Place

D: Flowline
Size:
Working Pressure
Pressure Tested
Blocked Level
Secured, Cabled/ Weighted
Gauge in Place

E: Gas/ Flareline
Pipe Size:
Blocked Level
Secured, Cabled/ Weighted

F: Spacing
Wellhead to choke manifold 25 ft
Wellhead to Seperator 50 ft
Seperator to Atmopheric Tanks 75 ft
Seperator to Flare Stack 75 ft
Wellhead to Tanks 100 ft
Tanks to Flare 100 ft
Flare to Wellhead 100ft
Heater to Tanks 100ft
Heater to Seperator 75ft
Office Trailer to Wellhead & Tanks 100ft
Office Trailer to Seperator 75ft
Wellhead to non-pressurized
starage tanks 150ft

ADEQ INADEQ N/A COMMENTS

G: Seperator
Asset #
Seperator working Pressure
Relief Valve Checked
Last service date
Purged
Bull Plugs installed
Pressure Tested
Valves operational
 Lines Clear
Instument supply system checked
BP valve stroked and checked
Inside valves set
Daniels Meter Checked
Plate up
Check lubrication fitting and grease stick
condition pre lube unit before opening well
Sightglasses Clean
Barton Calibration up to date
Gounded/ Bonded

H: Oil and Water Line

Pipe Size:
Hammer unions double checked
Blocked Level
Valve Alinment

J: Relief Line
Pipe Size:
Hammer unions double checked
Blocked Level

K: Tanks
Gounded/ Bonded
Level
Valves operational
Valves set
Tank Stairs/ Hand rails
Thief Hatch Sealed
Buckets to Drain Vac hose in

L: Flare Stack
Shooter Tube Checked
Flare Catched checked
Lines Clear
Ignitor Checked
No. Guy Wires
Correct Angles
Cables Flagged
3 Clamps per Cable end
Stack straight
Fire Hazard Checked
 ADEQ INADEQ N/A COMMENTS
L: Office Shack
Asset #
Safety Board
potable water 5 gal.
HSE Manual
Emergency Response Plan Posted
JSEA Posted
Pre-Flow Checklist Posted
Fire Extiguisher
Heat Works
Office Area Clean
Bench Area Clean
Floor Clean
Test Program Ready
Communication

Crew Members & Signatures

Day Supervisor print Helper print

sign sign
Night Supervisor print Helper print
sign sign
Helper print Helper print
sign sign

Now That Everthing is Ready You May Remove Lock From Wellhead