Title Page
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Document No.
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Audit Checklist
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Client / Site
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Conducted on
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Prepared by
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Location
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Date
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Rig#/Cost Center
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Auditor
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Crew Chief
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Supervisor
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SAFETY
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JSP / JSA / Energy Control reviewed
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Off location JSP/ JSA
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Temperature recorded per hr over 80 degrees
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Safety Captain list completed a & initialed by supervisor
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Accident Handbook on location / utilized
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Fire extinguishers
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Required Fall Equipment
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Personal Protective Equipment
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Site specific orientation
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Proper identification / Passport cards
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Location hazards ID on electrical checklist
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LOTO Policy, fluke, glove kit
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H2S monitor location, proper calibration dates
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LOCATION
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Location housekeeping
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Pits / Sumps, flagged or barricaded
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EQUIPMENT
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Slings & shackles inspected
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Escape rope properly installed / stake condition
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Utilizing floor stand where needed
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Proper use & condition of hand tools
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Redbook inspection updated
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Equipment static line properly bonded at W/H
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VEHICLES
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Vehicles, equipment properly parked / spotted
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Utilizing spotter when backing all equipment
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Tool truck housekeeping
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Seat belt condition & use all vehicles
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Vehicle Accidents Packets were required
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Proper pins & keepers were required
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First aid kits complete, tool truck / rig
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Reflective triangles in rig cab
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Rig housekeeping
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Rig stickers
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All controls identifiable