Casing Field Evaluation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre-Job

• Did all personnel sign in when they arrived on location?

  Yes

  No

  N/A

• Was a JSA completed prior to rig up of equipment?

  Yes

  No

  N/A

• Was a JSA completed prior to beginning job?

  Yes

  No

  N/A

• Are all JSA signature sheets accounted for?

  Yes

  No

  N/A

• Have changes/additions been made to the JSA's to accommodate for job specific conditions?

  Yes

  No

  N/A

• Are there any unusual challenges present? (weather, mud, extreme temperatures, down hole problems, etc)

  Yes

  No

  N/A

Personnel

• Are all personnel utilizing required PPE?

  Yes

  No

  N/A

• Is all PPE in good repair? (clean, minimal tears/rips, etc)

  Yes

  No

  N/A

• Please select the number of SSE Employees on the Casing Crew.

  Zero

  One

  Two

  Three

  Four

Crew Pusher

• Did the crew pusher hold a pre-job safety meeting and ensure that all lines of communication are properly established?

  Yes

  No

  N/A

• Crew Pusher inspected the rig and equipment for unsafe conditions?

  Yes

  No

  N/A

• Crew Pusher ensured that all equipment is rigged up properly?

  Yes

  No

  N/A

• Crew Pusher ensured that all Noble Casing, Inc personnel and rig personnel used proper procedures?

  Yes

  No

  N/A

• Crew Pusher ensured that the crew worked safely?

  Yes

  No

  N/A

Tong Operator

• The Tong Operator rigged up the tongs correctly?

  Yes

  No

  N/A

• The Tong Operator inspected and function tested the tongs prior to starting job?

  Yes

  No

  N/A

• The Tong Operator ensured that the snub line is properly sized, properly angled and secured correctly?

  Yes

  No

  N/A

• Does the Tong Operator watch the Stabber during make up of joints?

  Yes

  No

  N/A

• Does the Tong Operator correctly make up the shoe and float?

  Yes

  No

  N/A

• Does the Tong Operator ensure the centralizes are run correctly?

  Yes

  No

  N/A

• Does the Tong Operator manage the crew effectively on the floor?

  Yes

  No

  N/A

Stabber (if utilized)

• Did the Stabber inspect all fall protection equipment?

  Yes

  No

  N/A

• Did the Stabber correctly rig up fall protection?

  Yes

  No

  N/A

• Is the Stabber properly utilizing the SRL (safety restraint lanyard)?

  Yes

  No

  N/A

• Is the Stabber practicing 100% tie off?

  Yes

  No

  N/A

• Did the Stabber inspect the stabbing board?

  Yes

  No

  N/A

• Does the Stabber practice good communication with the driller?

  Yes

  No

  N/A

• Did the Stabber discuss proper hand signals with the driller?

  Yes

  No

  N/A

• Is the Stabber practicing good hand placement?

  Yes

  No

  N/A

Floor Hand/Backup Hand

• Does the Floor Hand ensure the correct amount of pipe dope is used at each connection?

  Yes

  No

  N/A

• Does the Floor Hand inspect the pin and box for damage?

  Yes

  No

  N/A

• Does the Floor Hand ensure proper placement of hands when working back-up tongs?

  Yes

  No

  N/A

• Does the Floor Hand ensure proper hand placement while boxing or setting n casing?

  Yes

  No

  N/A

• Does the Floor Hand box the pipe before the Stabber is ready?

  Yes

  No

  N/A

• Does the Floor Hand watch the Stabber to ensure the elevator is latched before disengaging the slips?

  Yes

  No

  N/A

V-Door Operator

• Is the pick up line correctly wrapped on each joint?

  Yes

  No

  N/A

• Does the V-Door Operator ensure body extremities are kept away from the PU/LD machine sheave, hat, pole, trough, etc.?

  Yes

  No

  N/A

• Does the V-Door Operator ensure proper body placement by not turning back to the V-Door?

  Yes

  No

  N/A

• Does the V-Door Operator ensure proper body placement by not placing body in path of incoming casing?

  Yes

  No

  N/A

• Has the V-Door rope been properly inspected, installed and used?

  Yes

  No

  N/A

• Is the V-Door Operator aware of tongs and snub line?

  Yes

  No

  N/A

• Is the V-Door Operator wearing a reflective vest and is it clean and does it fit well?

  Yes

  No

  N/A

Vehicles/Power Units

• Are all vehicles parked in such a position as to follow Noble Casing, Inc's first move forward policy?

  Yes

  No

  N/A

• Is the parking break set on all vehicles?

  Yes

  No

  N/A

• Are wheel chocks being utilized on all vehicles?

  Yes

  No

  N/A

• Are all areas around vehicle(s) clear of litter/garbage?

  Yes

  No

  N/A

• If observed, were any of the vehicles speeding?

  Yes

  No

  N/A

• If observed, were all vehicle occupants wearing seat belts?

  Yes

  No

  N/A

• Are there any obvious defects with vehicles? (flat tires, dents, scrapes, etc. If yes, please document type of defect, note vehicle or asset number, and photograph damage)

  Yes

  No

  N/A

• Are there any leaks from any vehicle or power unit?

  Yes

  No

  N/A

• Is there a spill kit available for all vehicles and power units?

  Yes

  No

  N/A

Power Tongs

• Are there any leaks on the tongs or connections?

  Yes

  No

  N/A

• Are the tong dies in good condition?

  Yes

  No

  N/A

• Are replacement tong dies available?

  Yes

  No

  N/A

• Are hydraulic hoses properly tied off?

  Yes

  No

  N/A

• Are hoses adequately run/placed to minimize tripping hazard for V-door operator and other personnel?

  Yes

  No

  N/A

• Is the door valve functioning properly?

  Yes

  No

  N/A

• Is the appropriate torque gauge installed and functioning properly?

  Yes

  No

  N/A

Electric Stabbing Board

• Was the electric stabbing board function tested prior to being placed in the derrick?

  Yes

  No

  N/A

• Are the cords properly secured?

  Yes

  No

  N/A

• Do the lines on the stabbing board present any hazards during board movement?

  Yes

  No

  N/A

• Are all safety devices installed and functioning properly?

  Yes

  No

  N/A

Air Slips

• Are the hoses hooked up properly?

  Yes

  No

  N/A

• Have the hoses been run to minimize tripping hazards?

  Yes

  No

  N/A

• Is the safety lever/latch being used?

  Yes

  No

  N/A

• Is the regulator/water separator working/drained?

  Yes

  No

  N/A

• Are dies/cavins in good condition?

  Yes

  No

  N/A

Large Body Tools/Fill Tool/SJE

• After latching/in latching large body tools (350 ton tools) 1" tool bar is removed?

  Yes

  No

  N/A

• Have air lines been properly inspected?

  Yes

  No

  N/A

• Have air lines been run in such a way as to mitigate tripping hazards to the floor hand and Stabber?

  Yes

  No

  N/A

• Are the mud lines run properly?

  Yes

  No

  N/A

• Have the mud tools been properly inspected?

  Yes

  No

  N/A

• Are all safety cables in place?

  Yes

  No

  N/A

Behavior Based Safety

• Is there any indication of Rushing, Frustration, Fatigue or Complacency?

  Yes

  No

  N/A

• Is there any indication of Mind Not On Task, Eyes Not On Task, Line Of Fire or Loss Of Balance, Traction or Grip?

  Yes

  No

  N/A

Post Job

• Was a JSA completed prior to rigging down equipment?

  Yes

  No

  N/A

• I certify that I completed this field evaluation and that all items are true and correct to the best of my knowledge.

  Sign