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Flare Malfunction Form - Ad Hoc

This form is completed whenever a flare malfunction occurs to record the issue and support investigation, repairs, and follow-up. For flare malfunctions found during normal operations, (not during AVO or OGI inspection).
Sandbox - Chord Energy
09/30/2026

Flare Malfunction Form - Ad Hoc

The aim is to document flare faults when they occur, including observed symptoms, operating conditions, and actions taken. It supports prompt reporting, investigation, and corrective action to restore reliable operation and reduce safety and environmental risks.

    Flare Malfunction

    Trigger Source

    Was this flare malfunction detected by Field Personnel or in the Control Center?

    if the answer is "oneOf [Field Personnel]"

    CC Notification

    Have you notified the Control Center that the flare is out?

    if the answer is "oneOf [Yes,No]"

    Malfunction Start

    According to the Control Center, what date/time did the flare begin malfunctioning? If you cannot get in contact with the Control Center or they cannot see the issue, estimate the start date/time of the malfunction.

    if the answer is "oneOf [No]"

    Contact the control center and notify them that the flare is out and it is being addressed.

    Foreman Notification

    if the answer is "oneOf [No]"

    Contact the Production Foreman and notify them that the flare is out so they can report to the DEQ.

    Flare Type

    What type of flare is malfunctioning?

    Failure Reason

    Describe the cause of failure, if known.

    if the answer is "oneOf [Other]"

    Other Cause

    If other failure reason, describe here:

    Repair Status

    Was the repair attempt successful in getting flare operating again by end of day?

    if the answer is "oneOf [No]"

    If the flare malfunction cannot be resolved be 5PM CST, the site must be shut-in.

    Shut-in Time

    Date and time facility was shut in:

    if the answer is "oneOf [Yes]"

    Repair Time

    Date and Time flare was restored to proper operation:

    CC Verification

    Contact Control Center - Is the flare operating correctly in SCADA and free from alarms?

    if the answer is "oneOf [No]"

    Thermocouple

    Is the Thermocouple operating properly? Check the control panel to confirm proper function, such as a green light, “System OK”, or temperature >150oF.

    if the answer is "oneOf [No]"

    Thermocouple

    Were you able to repair the thermocouple?

    if the answer is "oneOf [Yes]"

    A follow-up work order will be generated for you to document the thermocouple repair.

    if the answer is "oneOf [No]"

    A follow-up work order will be generated for I&E to repair the thermocouple.

    if the answer is "oneOf [Yes]"

    A follow-up work order will be generated for I&E/SCADA to correct the tag.

    if the answer is "oneOf [N/A]"

    CC Applicability

    Why is this question not applicable?

    if the answer is "oneOf [Control Center]"

    CC Notification

    When did the Control Center notify personnel about the flare outage?

    At Location

    What time did you arrive at location to address the flare malfunction?

    Site Status

    Is the facility operating?

    if the answer is "oneOf [No]"

    Notify the Control Center and inform them the site is not operating.

    Notify your production foreman to advise environmental to make the appropriate notification to DEQ.

    if the answer is "oneOf [Yes]"

    Flare Status

    Are the flares lit?

    if the answer is "oneOf [Yes]"

    Notify the Control Center that the Flare is lit.

    CC Alarm

    Is the control Center Center flare temperature alarm gone?

    if the answer is "oneOf [No]"

    A follow-up work order will be generated for either I&E to repair the thermocouple or SCADA to correct the tag.

    if the answer is "oneOf [No]"

    Flare Type

    What type of flare is malfunctioning?

    Failure Reason

    Describe the cause of failure, if known.

    if the answer is "oneOf [Other]"

    Other Cause

    If other failure reason, describe here:

    Repair Description

    Describe what steps were taken during the repair attempt:

    Repair Status

    Was the repair attempt successful?

    if the answer is "oneOf [No]"

    If the flare malfunction cannot be resolved be 5PM CST, the site must be shut-in.

    Shut-in Time

    Date and time facility was shut in:

    if the answer is "oneOf [Yes]"

    Repair Time

    Date and Time flare was restored to proper operation:

    CC Verification

    Contact Control Center - Is the flare operating correctly in SCADA and free from alarms?

    if the answer is "oneOf [No]"

    Thermocouple

    Is the Thermocouple operating properly? Check the control panel to confirm proper function, such as a green light, “System OK”, or temperature >150oF.

    if the answer is "oneOf [No]"

    Thermocouple

    Were you able to repair the thermocouple?

    if the answer is "oneOf [Yes]"

    A follow-up work order will be generated for you to document the thermocouple repair.

    if the answer is "oneOf [No]"

    A follow-up work order will be generated for I&E to repair the thermocouple.

    if the answer is "oneOf [Yes]"

    A follow-up work order will be generated for I&E/SCADA to correct the tag.

    A follow-up work order will be generated for I&E to repair the thermocouple or SCADA to correct the tag.

Source: Sandbox - Chord Energy (Community Member)

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