Life Saver Compliance Checklist (CNG)
Assessor :__________________________Compressor Operator Names:_______________________________________________
Date : __________ Time : _________Zone _______________Location ___________________________OMC
_______________
S. Compliance
Fore-court Closeout comments
No. Yes No
Are the CNG filling staff are trained, competent and authorized for re-
1
filling the vehicles?
2 Check that no-one uses Mobile Phone
3 check there is no source of naked flame in CNG outlet premises ?
4 Are the passengers getting out of vehicle during filling?
Check whether opertators are ensuring engine is switched-off, ignition
5
key removed and hand brakes are applied before CNG refueling.
Check whether Dispenser Operator visually checks the electrical
6 systems in the vehicle for its proper maintaince and if found in bad
condition, removing the vehicle from site.
Check that dispenser operators are ensuring metal plate fitted on the
vehicle before refilling to ensure CNG cylinder is hydro-tested, which
7
is required to be tested in every 5 years at CCOE approved testing
facility
Are the dispenser operators ensuring no audible leakage from the
8
CNG system before / during / after the refueling of the gas.
Whether Dispenser Operators areaware of the actions to be taken in
9 case of any gas leakage (like Isolate / Turn off the Gas supply and
instructing drivers to get the vehicle checked from CNG retrofitters.)
10 Are the vehicles following proper entry-exit path.
11 Whether the Fillermen are wearing shoes / Uniform
Does everyone know the location of each ESD, Gas isolation valve &
12
electrical main supply.
Remark : ___________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Dealer Stamp & Signature Date of Obs. Closeout
________________________ ____________
Note: Please handover a copy to RO Dealer
Life Saver Compliance Checklist (CNG)
Comp. Make…………………………..
Assessor :__________________________Compressor Operator Names:___________________________________________________________
Date : __________ Time : _________Zone _______________Location ___________________________OMC ________________
Compliance
S. No. Compressor Area Closeout comments
Yes No
Check whether the Compressor operators are trained & competent
1
(having valid STC card).
2 check there is no source of naked flame in CNG compressor area?
3 Whether the compressor parameter log book is properly maintained.
Check whether compressor operators are visually inspecting the
4 equipments during change of shift (Pressure Gauge, SRV and
mechanical instruments)
Check whether explosion proof boxes have all bolts in place and are
5
maintained properly.
Check if the Fire extinguishers are properly maintained and are in
operating condition.(1 no 10 kg DCP per compressor and 1 no 10 kg
6 DCP per storage cascade within compressor area, 1 no 10kg DCP per
dispensers, 1 no 5 kg CO2 extinguisher each for electrical room and
compressor area)
Check whether all the instruments are calibrated and tied with the
7
calibration tag. (Pressure Gauges, SRV’s, Transmitters, etc)
8 Check there is no gas /oil /coolant leakage inside compressor
9 Check that ESD's are in operational condition.
Check whether Gas Detector and Flame detector are functioning
10
properly.
Check whether compressor operator is aware of the actions to be taken
11
in case of any emergency situation.
Check whether all the signage's are displayed at compressor area. (e.g.
12
Emergency Numbers, Use of PPE, No smoking, No Naked Flame)
13 Check if the Operators are wearing uniform and PPE
14 Is the Cascade are Hydro-tested after every 5 years?
15 Check that compressor area is properly fenced with restricted entry.
Check whether Task Risk Assessment has been completed before
16
carrying-out any engineering activity in compressor premises.
17 Check the condition of earthing strip of the compressor.
Check whether before starting any engineering work, in compressor
18 premises permit to work (PTW) and/or an Electrical Isolation Certificates
are issued.
Check whether lock-out and tag out process is followed/implemented
19
before carrying-out any maintenance activity.
20 Is the Compressor area maintained neat and clean
Check whether the permit to work if required is issued by competent
21
authority at the work site.
Check the condition of Electric Room (Rubber Mat, Houskeeping CO2
22
Fire Extinguisher)
Remark : __________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Dealer Stamp & Signature Date of Obs. Closeout
________________________ ____________
Note: Please handover a copy to RO Dealer
