Title Page

  • Operator

  • Conducted on

  • Rig Name and Number

  • Prepared by

  • Location

Trailer House

  • Outside Area of Trailer Clean and Trash Removed? Provide Photos

  • Office area Clean? Provide Photos

  • Aerion Computer Available? Provide Photos

  • Retort Kit Available? Provide Photos

  • Provide Pictures of common living area

Centrifuge #1

  • Provide Picture of Asset Number

  • Centrifuge Clean? Provide Picture

  • All Coffin Bolts and Latches in place? Provide Photos

  • Inspect Coffin for wear and tear, Provide Photos

  • Inspect Centrifuge Base and Isolators. Provide Photos

  • All Guards in Place? Provide Photos

  • Inspect Starter Box, Ensure all Bolts Are in Place? Provide Photos

  • Inspect Motors and Motor Guards? Provide Photos

  • Inspect Cables and Cable Glands, Provide Photos

  • Inspect Main Feed Wire.

Centrifuge #2

  • Provide Picture of Asset Number

  • Centrifuge Clean? Provide Picture

  • All Coffin Bolts and Latches in place? Provide Photos

  • Inspect Coffin for wear and tear, Provide Photos

  • Inspect Centrifuge Base and Isolators. Provide Photos

  • All Guards in Place? Provide Photos

  • Inspect Starter Box, Ensure all Bolts Are in Place? Provide Photos

  • Inspect Motors and Motor Guards? Provide Photos

  • Inspect Cables and Cable Glands, Provide Photos

  • Inspect Main Feed Wire.

Centrifuge Stand #1

  • Provide Picture of Asset Number.

  • Stand Clean? Provide Pictures

  • All Pins and Keepers installed on legs? Provide Pictures

  • Centrifuge Slide Clean and Chains in Place? Provide Photos

  • Inspect Ladder and Stairs. Provide Photos

  • Stand Grounded? Provide Photos

  • Inspect Pump and hoses

  • All walkways and Work area clear of Trip Hazards? Provide Photos

Centrifuge Stand #2

  • Provide Picture of Asset Number.

  • Stand Clean? Provide Pictures

  • All Pins and Keepers installed on legs? Provide Pictures

  • Centrifuge Slide Clean and Chains in Place? Provide Photos

  • Inspect Ladder and Stairs. Provide Photos

  • Stand Grounded? Provide Photos

  • Inspect Pump and hoses

  • All walkways and Work area clear of Trip Hazards? Provide Photos

Drying Shakers and Shaker Tank

  • Provide Photo of Shaker tank Asset Number.

  • Shaker Tank Clean? Provide Photo.

  • Shaker Tank Grounded? Provide Photo.

  • Inspect Shaker Tank for leaks.

  • Inspect Shaker Tank Valves.

  • Provide Potos of Shaker Asset Numbers

  • Shaker Clean? Provide Photos

  • Inspect Shaker Motors.

  • Shaker Skirt or Slide in Place? Provide Photos

  • All Motor Bolts In place? Provide Photos.

  • Inspect Starter Box, Provide Photos

  • Inspect Distribution Panel. Main Wire, Receptacles. Ensure inside panel are in place. Provide Photos.

30HP Vacuum

  • Provide Photo of Asset Number

  • 30HP Vacuum Clean? Provide Photos

  • Inspect all hatches, ensure that hatch bolt are in place and tighten. Provide Photos

  • Ensure all bolts are in place.

  • Inspect all cable glands, receptacles and plugs, Provide Photos

  • inspect cable for wear, cuts and flat spots.

  • Ensure that cable is off the ground.

  • Inspect 30Hp Motor, wire and Glands

Excavator and Equipment Installation

  • Provide Photos of Excavator, Asset Number, Booms and Bucket.

  • Provide Photos of complete Equipment Installation.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.