BOS HSE UNMANNED Field Audit

• Client Name / Rig Name

• District

  Select Midland North Dakota Rio Vista Appalachia Leduc Grand Prairie

  • Midland
  • North Dakota
  • Rio Vista
  • Appalachia
  • Leduc
  • Grand Prairie

• Conducted on

  Date
• Location
  Address

• Overall Picture Of Site

  Media

HSE UnManned FIELD AUDIT

HSE 004 - Environmental

• Are there any holes or tears in containment that would need to be addressed with customer?

  Safe

  At Risk

  N/A

• Are there any noticeable spills or leaks to include pumps and centrifuge leaks?

  Safe

  At Risk

  N/A

• Are slides hung properly and securely to prevent cutting from dropping anywhere outside of the shale bin?

  Safe

  At Risk

  N/A

HSE 012 - Fire Explosion

• Is at least one fire extinguisher properly placed?

  Safe

  At Risk

  N/A

• Are fire extinguishers properly inspected and tagged?

  Safe

  At Risk

  N/A

HSE 017 - Electrical Safety

• Are all cords in good condition, labeled and properly inspected with snug and secure connections with no exposed wiring and rigged with a drip loop?

  Safe

  At Risk

  N/A

• Are circuit breaker boxes properly covered - with no empty spaces and all breakers/switches/controls in good working condition/serviceable?

  Safe

  At Risk

  N/A

• Is the outlet in the electrical cabinet properly covered?

  Safe

  At Risk

  N/A

• Are all master switch connector rods in place on all power panels and VFDs?

  Safe

  At Risk

  N/A

• Is grounding wire in keeping with the BOS SOP?

  Safe

  At Risk

  N/A

Other Stand Alone Categories / Questions

• Has a Commission Audit been performed on the last rig up or rig move?

  Yes

  No

  N/A

• Is stand properly pinned and secured with locking pins closed properly?

  Yes

  No

  N/A

• Are holes greater than 1 inch within walkways properly covered to eliminate tripping hazards?

  Safe

  At Risk

  N/A

• Are hand rails in good condition and properly installed and seated with all bolts and brackets in place?

  Safe

  At Risk

  N/A

• Are camlocks properly secured with pins and tape/Velcro/zip tie?

  Safe

  At Risk

  N/A

• Are BOS Tank signs and labels legible?

  Safe

  At Risk

  N/A

• Are open ended pipes, connections, valves capped or plugged?

  Safe

  At Risk

  N/A

• Are all guards properly fastened?

  Safe

  At Risk

  N/A

• Are all guards on pumps and centrifuges free from cranks at the corners and welds?

  Safe

  At Risk

  N/A

• Are all fan shrouds intact and damage free?

  Safe

  At Risk

  N/A

• Are areas under centrifuges guarded?

  Safe

  At Risk

  N/A

• Are centrifuges pinned to stand?

  Safe

  At Risk

  N/A

• Are all feed tube bolts installed and tight on the centrifuge?

  Safe

  At Risk

  N/A

• Are all centrifuge lid gaskets seated properly to prevent leaks?

  Safe

  At Risk

  N/A

• When was the last Centrifuge Service? (Days and/or run hours since last service)

• Was the service documented via Paper or I-Auditor?

  Paper

  I-Auditor

  Not Documented

• If documented via Paper, Why?

• Is interior of genset free of oil and/or dirt?

  Safe

  At Risk

  N/A

• Does the overall appearance of the backyard display good order and housekeeping?

  Safe

  At Risk

  N/A

Additional Comments

• Add Additional Comments and Pictures if Needed

Comment

• Comment

• Picture?

  Media

Signatures

• Add Auditors

Auditor

• Name of Auditor

  Sign

• Add Employees

Element

• Name of Employee

  Sign