SYSTEM HEALTH CHECK

The System Health Check tool will allow you to take a proactive approach to chemical system operation and maintenance. It was created by System Specialists who have built, commissioned and serviced over 1,200 chemical systems.

This can be your tool to identify potential safety risks, and reliability and process challenges before they become a problem. The form is completely confidential.

The three tier ranking system will provide you insight into your system's overall health and recommendations on how to reduce system disruptions and operating costs. The ratings have been applied based on STT’s 35 years of experience optimizing and servicing chemical systems.

The form is mobile-friendly. You may complete it using your Smartphone or Tablet.

Which areas would you like to review during the Health Check? *

Safety

Mechanical Reliability

Process Efficiency

Safety

Does your company encourage daily safety meetings?

Yes

No

Yes

No

Does your company have a specific training for your chemical system?

Yes

No

Yes

No

How often is chemical system training refreshed?

Never

Semi-annually

Annually

When was the last time you had a safety incident related to your chemical system?

This week

Within 1 month
Within 3 months

Not in recent memory

When was the last time you had a near-miss related to your chemical system?

This week

Within 1 month
Within 3 months

Not in recent memory

When was the last time the chemical storage silo pressure vacuum relief valve (PVRV) was inspected?

This week

Within 1 month
Within 3 months

Not in recent memory

When was the last time the chemical storage silo bin vent filter was inspected?

This week

Within 1 month
Within 3 months

Not in recent memory

Are there any spills or leaks on or in your chemical storage silo?

None

Trace
Some

Yes

Is there any sign of airborne dust in the chemical storage silo skirt?

None

Trace
Some

Yes

Is there any evidence of slurry or solution overflowing from the slaker/mixtank?

None

Trace
Some

Yes

Is all rotating equipment guarded sufficiently?

Yes

No

Yes

No

Are there any areas inside the plant where lighting is less than adequate?

Yes

No

Yes

No

Is there a safety shower, or eyewash station on each working level in the silo?

Yes

No

Yes

No

Does your company have a specific lock-out (switch, lock and tag) procedure?

Yes

No

Yes

No

Are e-stops available near working equipment?

Yes

No

Yes

No

When were e-stops tested last?

Within 1 month

1 to 6 months

6 to 12 months

> 12 months

Within 1 month

1 to 6 months
6 to 12 months

More than 12 months

Are any e-stops not functional?

Yes

No

Unsure

Yes

No

Unsure

Is an emergency evacuation route available from all levels within the chemical plant or silo?

Yes

No

Yes

No

Has the chemical storage silo ever suffered a leak resulting in a large spill of dry chemical in the silo skirt area?

Yes

No

Yes

No

Does the chemical storage silo show signs of wall deformation or split seams or welds (possibly due to over-pressure or over vacuum situations)?

Yes

No

Yes

No

Are there any tripping hazards on your working floor?

Yes

No

Yes

No

Running total - To be hidden and presented after submitting!

An email with the results will be sent following the completion of the Audit.
The email will also include a complimentary Audit Review Session with an STT Systems Specialist.

First Name: *

Company:

Phone number:

E-mail address: *

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