Big Lake Services Rig Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL

• Adequate distance from overhead electric power lines (minimum 10 feet)

  Yes

  No

  N/A

• Hazard signs displayed

  Yes

  No

  N/A

• JSA Completed

  Yes

  No

  N/A

• First aid kit & BBP Kit available

  Yes

  No

  N/A

• Eyewash kit available

  Yes

  No

  N/A

• Facial hair compliance

  Yes

  No

  N/A

• Guy wires flagged

  Yes

  No

  N/A

• Fall lane of derrick clear

  Yes

  No

  N/A

• Vehicles out of guy pattern

  Yes

  No

  N/A

• Good overall housekeeping

  Yes

  No

  N/A

• Emergency numbers displayed in doghouse

  Yes

  No

  N/A

• Phone or radio equipped on location for emergency purposes

  Yes

  No

  N/A

• 50 foot smoking policy

  Yes

  No

  N/A

• Spark arrestor/water on exhaust

  Yes

  No

  N/A

• Pump location (exhaust)

  Safe

  At Risk

  N/A

• Spacing/return tanks/pump/all engines

  Safe

  At Risk

  N/A

• Fuel/Oil Leaks

  Yes

  No

  N/A

• Lockout / Tagout

  Yes

  No

  N/A

• Safety Guards on all rotating Machinery

  Yes

  No

  N/A

• All Vehicles on location turned off before bleeding well

  Yes

  No

  N/A

• Wellhead pressure _________psi

  Yes

  No

  N/A

• TIW valve open and on floor with handle in easy and accessible place

  Yes

  No

  N/A

• Whip checks used on all pressure lines ( hot oiler, pump trucks)

  Yes

  No

  N/A

• Hand placement

  Yes

  No

  N/A

Permits

• Rig permit in rig cab

  Yes

  No

  N/A

GUYING

• Crown to ground guy lines in place

  Yes

  No

  N/A

• Guy lines at least 20' from overhead electric lines

  Yes

  No

  N/A

• Adequate number of wind guys

  Yes

  No

  N/A

• Condition of wires

  Safe

  At Risk

  N/A

• Correct diameter of lines

  Yes

  No

  N/A

• Three clamps/turnbuckle minimum

  Yes

  No

  N/A

• Ground anchors

  Safe

  At Risk

  N/A

• Tubing board guys in place

  Yes

  No

  N/A

• Tubing board guys strung and crossed for racking

  Yes

  No

  N/A

• 4 clamps minimum on guy lines, wire rope and guy wires

  Yes

  No

  N/A

• Guy lines secured to anchors and derrick

  Yes

  No

  N/A

• Pull test on anchors not to exceed 2 years

  Yes

  No

  N/A

• Internal guys adjusted for tension

  Yes

  No

  N/A

• Outriggers in place and pinned

  Yes

  No

  N/A

FOUNDATION

• Adequate supplemental footing provided

  Yes

  No

  N/A

HAND TOOLS

• Rod wrenches

  Yes

  No

  N/A

• Others

  Yes

  No

  N/A

MAST/DERRICK

• Ladder condition

  Safe

  At Risk

  N/A

• Tubing board condition

  Safe

  At Risk

  N/A

• Manual latch dog extension/retraction mechanism

  Safe

  At Risk

  N/A

• Scoping ram stabilizers

  Safe

  At Risk

  N/A

• Crown-Sheave Gaurds

  Safe

  At Risk

  N/A

• Finger board safety chain in place

  Yes

  No

  N/A

• Derrick locking pins in place with safety pins

  Yes

  No

  N/A

VEHICLES

• Glass, mirrors

  Safe

  At Risk

  N/A

• Lights, reflectors, etc. in good working order

  Yes

  No

  N/A

• Good housekeeping in cab

  Yes

  No

  N/A

• Adequate seatbelts

  Yes

  No

  N/A

• Tires chocked on free standing trailers

  Yes

  No

  N/A

• Brakes

  Safe

  At Risk

  N/A

DOGHOUSE

• Good housekeeping

  Yes

  No

  N/A

• Stove condition

  Safe

  At Risk

  N/A

• Electrical/lights in good working condition

  Yes

  No

  N/A

• Hitch and safety chain

  Safe

  At Risk

  N/A

• Doghouse properly placed (wind consideration)

  Yes

  No

  N/A

CARRIER

• Guardrails/handrails on elevated walkways and steps

  Yes

  No

  N/A

• Head, tail and signal lights working

  Yes

  No

  N/A

• Wheels chocked

  Yes

  No

  N/A

• Condition of tires and wheels

  Safe

  At Risk

  N/A

• Fuel tanks labeled

  Yes

  No

  N/A

• Exhaust system

  Safe

  At Risk

  N/A

• No loose or flammable materials stored in cab

  Yes

  No

  N/A

• Glass and mirrors

  Safe

  At Risk

  N/A

• Windshield wipers

  Safe

  At Risk

  N/A

• Hydraulic leveling jacks secured by mechanical locknuts

  Yes

  No

  N/A

• Brakes/Emergency

  Safe

  At Risk

  N/A

DRAWORKS CONDITION

• Gaurds in place

  Yes

  No

  N/A

• Tubing and drilling line condition

  Safe

  At Risk

  N/A

• Sufficient wraps left on drum with blocks in down position

  Yes

  No

  N/A

• Deadline anchor and retainer (tieback)

  Yes

  No

  N/A

• Cathead line divider/gap

  Safe

  At Risk

  N/A

• Catline condition

  Safe

  At Risk

  N/A

• 3 wraps on drill line

  Yes

  No

  N/A

• Tubing/sandline brakes condition

  Safe

  At Risk

  N/A

• Brake handle

  Yes

  No

  N/A

OPERATOR STATION/WORK PLATFORM FLOOR

• All controls labeled

  Yes

  No

  N/A

• Work floor

  Safe

  At Risk

  N/A

• Steps/handrails

  Safe

  At Risk

  N/A

• All gauges functioning properly

  Yes

  No

  N/A

POWER TONGS CONDITION

• Tong door

  Yes

  No

  N/A

• Stiff arm. snub/safety line

  Yes

  No

  N/A

• Tong hose disconnects

  Safe

  At Risk

  N/A

• Tong positioner

  Safe

  At Risk

  N/A

TRAVELING ASSEMBLY CONDITION

• Blocks

  Safe

  At Risk

  N/A

• Sheave gaurds/lock

  Safe

  At Risk

  N/A

• Bales/links

  Safe

  At Risk

  N/A

• Elevators/air slips

  Safe

  At Risk

  N/A

• Condition of slings

  Safe

  At Risk

  N/A

WELL CONTROL EQUIPMENT

• BOPs installed, tested and functional, installed with all nuts and bolts, Manual BOP closing handles properly installed

  Yes

  No

  N/A

• BOP closed and TIW valve installed during breaks

  Yes

  No

  N/A

• Full opening safety valve (TIW) and handle on rig floor in OPEN position and easily accessible

  Yes

  No

  N/A

SAFETY EQUIPMENT/PRACTICES

• Geronimo line in place/anchored

  Yes

  No

  N/A

• SRL fall protection device in place

  Yes

  No

  N/A

• Safety harness, lanyard provided at tubing board, rod basket and stabbing board

  Yes

  No

  N/A

• Derrick ladder climbing device provided

  Yes

  No

  N/A

• Fire extinguishers (60 lbs)

  Yes

  No

  N/A

• Personal protective equipment in use or available

  Yes

  No

  N/A

• Emergency kill switches available

  Yes

  No

  N/A

• MSDS/EMERGENCY/SPCC /JSA Book Present

  Yes

  No

  N/A

• (2) 30 minute SCBA tanks present <br>(Checked and Dated Monthly)

  Yes

  No

  N/A

H2S

• H2s rig monitors in place and monthly inspected

  Yes

  No

  N/A

• H2s personal monitors in place and monthly inspected

  Yes

  No

  N/A

Environmental

• Cellar and location around wellhead free of oil accumulation

  Yes

  No

  N/A

• All drums and containers clearly labled

  Yes

  No

  N/A

• All trash contained

  Yes

  No

  N/A

• No fuel or hydraulic leaks

  Yes

  No

  N/A

BOP TRAILER

• Chained to anchor

  Yes

  No

  N/A

• Proper locks used

  Yes

  No

  N/A

• Paperwork in order

  Yes

  No

  N/A

Comments

Photos

• Add media

  Media

RIG & TRUCK

• Rig #: Rig Hub:

• Truck #: Truck Mileage:

OPERATORS SIGNATURE

• OPERATORS SIGNATURE

  Sign

SAFETY REPRESENTATIVE

• SAFETY REP. SIGNATURE

  Sign