Information
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Audit Title
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Conducted on
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Client / Site
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Add location
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Prepared by
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The observations and recommendations are purely advisory and based on practices and conditions observed and information provided at the time of this site visit. Observations and recommendations are not intended to include every loss or accident potential. It's the report recipient's responsibility to make further observations and take whatever action that may be necessary to prevent losses, enforce safety procedures and eliminate hazardous conditions so as to comply with any federal, state, or local law, rule or regulation concerning safety and health.
Certification of Compliance - Sturctural Components
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Mast in compliance with API 4G Annex A, Table 2: Cat III (2-yrs) and Cat IV (10 years)
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Date of most recent inspection
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Capture most recent inspection performed
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Date of next inspection
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Substructure in compliance with API 4G - Annex D, Table 2: Cat III (2-yrs) and Cat IV (10 years)
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Date of most recent inspection
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Capture most recent inspection performed
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Date of next inspeciont
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Crown Block in compliance with API 8b: Cat III (6-mos) and Cat IV (5 years)?
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Date of most recent inspection
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Capture most recent inspection
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Date of next inspection
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Certification of Compliance - Traveling Equipment
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Traveling Block, becket, connectors and link adapters ALL in compliance with API 8b, Table 1: Cat III (6-mos) and Cat IV (5 years)?
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Date of most recent inspection
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Capture most recent inspection performed
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Date of next inspection
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Elevator Links, Adapters and Extensions ALL in compliance with API 8b, Table 1: Cat III (6-mos) and Cat IV (1 Year)?
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Date of most recent inspection
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Capture most recent inspection performed
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Date of next inspection
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Top Drive or Swivel in compliance with API 8b, Table 1: Cat III (6-mos) and Cat IV (5 Year)?
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Date of most recent inspection
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Capture most recent inspection performed
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Date of next inspeciont
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Casing and Pipe Elevators in compliance with API 8b, Table 1: Cat III (6-mos) and Cat IV (1 Year)?
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Date of most recent inspection
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Capture most recent inspection
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Date of next inspection
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Rotary Swivel Bail Adapters in compliance with API 8b: Cat III (6-mos) and Cat IV (1 Year)?
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Date of most recent inspection
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Capture most recent inspection
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Date of next inspection
Certification of Compliance - Ancillary Equipment
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Dead Line Anchor in compliance with API 8b, Table 1: Cat III (6-mos) and Cat IV (5 years)?
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Date of most recent inspection
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Capture most recent inspection performed
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Date of next inspection
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Drawworks Brake Linkage, Pins, and band pad eyes in compliance with API 7L(6 months)?
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Date of most recent inspection
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Capture most recent inspection performed
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Date of next inspection
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The Drilling line has a certification letter from the Manufacturer (API 9A - 6.1.1)
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Date of most recent inspection
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Capture most recent inspection performed
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Date of next inspeciont
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Drawworks Rating Certification Letter or Rating Plate from manufacturer available (API 7K - F.2.g)
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Date of most recent inspection
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Capture most recent inspection
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Date of next inspection
Certification of Compliance - ALL HP Hoses and Hard Line
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Do ALL HP mud hoses have an OEM Rating Letter & Pressure Test Chart as required by API 16C (Annual)
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HS&E Equipment - Fall Pro
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Reviewing Fall Protection Register?
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Is the "Fall Pro" Register up to date?
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Last documented Fall Protection Harness and Lanyard Inspection?
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Capture images of the "Fall Pro" Register
HS&E Equipment - Lift Registers
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Reviewing Lift Registers?
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Is the "Lift" Register up to date?
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Last documented Lifting/Hoisting Apparatus Inspection?
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Capture images of the "Lift" Register
HS&E Equipment - Emergency Eye Wash Station
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Reviewing Emergency Eye Wash Register?
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Is the "Emergency Eye Wash" Register up to date?
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Last documented Emergency Eye Wash Station Inspection?
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Capture images of the "Eye Wash" Register
HS&E Equipment - Emergency Shower Station
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Reviewing Emergency Shower Register?
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Is the "Emergency Shower" Register up to date?
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Last documented Emergency Shower Activation/Inspection?
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Capture images of the "Emergency Shower" Register
HS&E Equipment - Respiratory Protection
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Reviewing Respiratory Protection Register?
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Is the "Respiratory Pro" Register up to date?
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Last documented Respiratory Protection Inspection?
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Capture images of the "Respiratory Pro" Register
HS&E Equipment - duplicate
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Reviewing Pressure Relief Valve (PRV) Register?
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Is the "PRV" Register up to date?
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Last documented PRV Inspection?
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Capture images of the "PRV" Register
HS&E Equipment - duplicate
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Reviewing Fall Protection Register?
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Is the "Fall Pro" Register up to date?
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Last documented Fall Protection Harness and Lanyard Inspection?
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Capture images of the "Fall Pro" Register
Conclusion
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Observations and recommendations are purely advisory and based on practices and conditions observed and information provided at the time of this survey. Observations and recommendations are NOT intended to include every loss or accident potential. The report recipient(s) and/or company representative are responsible to make further observations and take whatever action that may be necessary to prevent losses, enforce safety procedures and eliminate hazardous conditions so as to comply with any federal, state, or local law, rule or regulation concerning safety and health.
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