1st and 15th Field Tech Checklist

• Oporator

  Select

• Job

  Select

• Conducted on

  Date
• Location
  Address

• Conducted By

  Select

• Overall picture of the backyard to show Housekeeping

  Media

• Is PJRA complete for the shift?

  Yes

  No

  N/A

• Is the fire extinguisher inspected for the current month?

  Yes

  No

  N/A

• Have all rig site employees documented damage, downed equipment, and equipment safety hazards through the equipment service requests section on the portal?

  Yes

  No

  N/A

• What controls have been implemented to controls the hazards?

• Has the work area been walked and hazards been identified and controlled?

  Yes

  No

  N/A

• Has all electrical wiring and connections been inspected for exposed wiring, cuts, worn spots, or other potential electrical hazards?

  Yes

  No

  N/A

• Is PPE to include Hard Hat, Impact gloves, Coveralls, Fall Protection, LOTO Kit, and Respirator inspected and documented on the PPE Inspection Form?

  Yes

  No

  N/A

• What PPE is Missing

  Select Hard Hat Safety Boots Safety Glasses Reflective FR Clothing/Coveralls Impact resistance gloves LOTO Kit Respirator

  • Hard Hat
  • Safety Boots
  • Safety Glasses
  • Reflective FR Clothing/Coveralls
  • Impact resistance gloves
  • LOTO Kit
  • Respirator

• Does your job location have a face shield for use?

  Yes

  No

  N/A

• If required has the H2S monitor daily test been preformed?

  Yes

  No

  N/A

• Are all open ends plugged or capped?

  Yes

  No

  N/A

• Are all training certs present and up to date?

  Yes

  No

  N/A

• Is the pump house clean?

  Yes

  No

  N/A

• Have centrifuges on location have been serviced in the past 7 days and documented inspection on the Centrifuge Service Template

  Yes

  No

  N/A

• Are all camlock connections double secured?

  Yes

  No

  N/A

• Is pumphouse clean?

  Yes

  No

  N/A

• Are hoses in good operational condition?

  Yes

  No

  N/A

• Is the spill kit available and accessible?

  Yes

  No

  N/A

• Are hoses and cables run in an orderly fashion?

  Yes

  No

  N/A

• Is spill kit available and you know where to access it?

  Yes

  No

  N/A

Signatures

• Signature

  Sign