BOS QHSE Commissioning Audit

• Client Name / Rig Name

• District

  Select Midland North Dakota Appalachia Rio Vista Leduc Grand Prairie

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

• Conducted on

  Date
• Location
  Address

• Overall Picture Of Site

  Media

BOS QHSE Commissioning Audit

Section 1 - Technician

• Does the employee have a current and completed PJRA?

  Yes

  No

  N/A

• Does the Technician have a current and completed HSE site plan for the current site?

  Yes

  No

  N/A

• Can the Technician adequately describe their scope of work and KPI's for the current site?

  Yes

  No

  N/A

• Does the Technician have a current PPE Inspection, completed at the start of their hitch?

  Yes

  No

  N/A

• Is hard hat in a clean and sanitary condition and white with a BOS Logo?

  Yes

  No

  N/A

• Are safety glasses ANSI / CSA approved and being worn properly?

  Yes

  No

  N/A

• Are FRC/coveralls in good condition without tears or excessively dirty with grease or invert?

  Yes

  No

  N/A

• Are safety toed boots in good condition?

  Yes

  No

  N/A

• Does the Technician have impact gloves and other gloves that are adequate for the work tasks?

  Yes

  No

  N/A

• Are respirators in a clean and sanitary condition, properly stored with cartridges detached when not in use?

  Yes

  No

  N/A

• Are cartridges marked with the End-of-Life date if package is opened?

  Yes

  No

  N/A

• Does the Technician have hearing protection readily available when asked to show?

  Yes

  No

  N/A

• Does the Technician have proper fall protection equipment, harness, SRL, with a carabiner?

  Yes

  No

  N/A

• Is body harnesses and SRL in good shape, and properly cleaned and stored?

  Yes

  No

  N/A

• Is the H2S monitor in good working condition and being worn properly?

  Yes

  No

  N/A

• Is a LOTO kit available with green numbered locks and tags with the Technician’s name on them?

  Yes

  No

  N/A

• Are electronic or hard copy SOP's readily available?

  Yes

  No

  N/A

• Are SDSs and a Chemical Inventory List current and readily available on site?

  Yes

  No

  N/A

• Does the Technician have a readily accessible emergency spill kit?

  Yes

  No

  N/A

• Does the Technician have all current certification cards to include First Aid/CPR, Heavy Equipment, SafelandUSA, H2S Awareness and Respirator Fit Test or equivalent for the Country of Work?

  Yes

  No

  N/A

• Have all Annual Competencies been completed for this technician (LOTO, Heavy Equipment, (BOS Driver Evaluation)?

  Yes

  No

  N/A

• Are SSE's properly identified by identifiable markings on the hard hat?

  Yes

  No

  N/A

Section 2 - Common Observations for all Levels

• Are there containers that have no lids that could cause potential waste from rain?

  Yes

  No

  N/A

• Are chemicals in secondary containers properly labeled?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is the effluent line secure and stabilized?

  Yes

  No

  N/A

• Are walkways clean, clear and free of slip/trip/fall hazards?

  Yes

  No

  N/A

• Are hoses in good operational condition?

  Yes

  No

  N/A

Section 3 - Ground Level

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

  Yes

  No

  N/A

• Has 3rd party equipment such as loaders, excavators, and/or generators been serviced and are operational?

  Yes

  No

  N/A

• Are high noise areas properly labeled / identified?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are information and hazard signs visible?

  Yes

  No

  N/A

• Are fire extinguishers properly placed - Max of 50 ft distance between fire extinguisher?

  Yes

  No

  N/A

• Are fire extinguishers properly inspected and tagged?

  Yes

  No

  N/A

• Does equipment have certified lifting point on it?

  Yes

  No

  N/A

• Are lifting straps properly marked with load limits?

  Yes

  No

  N/A

• Are lifting straps inspected?

  Yes

  No

  N/A

• Are barricades set up and used during heavy equipment operations when required?

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is the outlet in the electrical cabinet properly covered?

  Yes

  No

  N/A

• Is grounding wire in keeping with the BOS SOP?

  Yes

  No

  N/A

• Are the handles on all hand-tools in good condition?

  Yes

  No

  N/A

• Are tools, equipment and spare parts properly stored and in adequate condition?

  Yes

  No

  N/A

• Are BOS Tank signs and labels legible?

  Yes

  No

  N/A

• Are all belt guards properly fastened on pumps?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Section 4 - Floor Level

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there proper and secure anchor points on the BOS tank?

  Yes

  No

  N/A

Section 5 - Centrifuge Stand Level

• Are overhead lights double secured?

  Yes

  No

  N/A

• Are lights and illumination operational and adequate?

  Yes

  No

  N/A

• Are centrifuges pinned to stand?

  Yes

  No

  N/A

• Have Traveling blocks been removed from the Centrifuge?

  Yes

  No

  N/A

• Saddles Inspected inside the centrifuge and without wear?

  Yes

  No

  N/A

• Pictures of Saddles

  Media

• Plows inspected inside the centrifuge and without wear?

  Yes

  No

  N/A

• Pictures of Plows

  Media

• Scroll/Tiles inspected and without wear?

  Good

  Fair

  Poor

  N/A

• Pictures of the Scroll/Tiles

  Media

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

  Safe

  At Risk

  N/A

• Are areas under centrifuges guarded?

  Yes

  No

  N/A

• Are all fan shrouds intact and damage free?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

• Are all guards and coffin lids properly secured?

  Yes

  No

  N/A

• When was the last Centrifuge Service? (Days since last service)

Section 6 - Additional Observations

• Is the BOS vehicle parked in the appropriate area?

  Yes

  No

  N/A

• Do living quarters display good order and housekeeping?

  Yes

  No

  N/A

Additional Comments

• Add Additional Comments and Pictures if Needed

Comment

• Comment

• Picture?

  Media

Signatures

• Is Commissioning Audit Complete?

  Yes

  No

  N/A

• Name of Employee

  Sign

• Add Employees

Element