Chaparral Energy Contractor Service Rig Inspection_2016

• Service Rig Company and Rig #

• Conducted on

  Date

• Prepared by

• Location
  Address

• Chaparral Energy Personnel on Location

• Rig Operator

General

• Is the rig adequate distance from overhead power lines?

  Yes

  No

  N/A

• Are flammable liquid stored in the proper containers?

  Yes

  No

  N/A

• Is the service rig hazard sign displayed?

  Yes

  No

  N/A

• Is a first aid kit available on the rig location?

  Yes

  No

  N/A

• Are the service rig guy wires flagged?

  Yes

  No

  N/A

• Is the fall lane of the derrick clear?

  Yes

  No

  N/A

• Is the overall housekeeping on the service rig satisfactory?

  Yes

  No

  N/A

• Are pipe racks and catwalks satisfactory?

  Yes

  No

  N/A

• Are fire hazards controlled?

  Yes

  No

  N/A

• Is the latitude and longitude board displayed on the service rig? Is it updated with current well location coordinates?

  Yes

  No

  N/A

• Pictures:

  Media

Guying

• Are the condition of the guy lines acceptable?

  Yes

  No

  N/A

• Is the diameter of the guy line correct per manufacturers recommendations?

  Yes

  No

  N/A

• Is there a minimum of three wire rope clamps on all guy wires including the tubing guy wires?

  Yes

  No

  N/A

• Are the ground anchors in good condition and pull tested to 18,600 lbs. Is there a tag attached to the ground anchors?

  Yes

  No

  N/A

• Are the tubing board guys strung and crossed for racking?

  Yes

  No

  N/A

• Are the internal guys adjusted for tension?

  Yes

  No

  N/A

• Pictures:

  Media

Mast & Derrick

• Is the manufacturers specifications plate on the Mast/Derrick?

  Yes

  No

  N/A

• Is the mast/derrick free of excess corrosion and damage?

  Yes

  No

  N/A

• Ladder condition?

  Safe

  At Risk

  N/A

• Racking platform condition?

  Safe

  At Risk

  N/A

• Rod basket condition?

  Safe

  At Risk

  N/A

• Crows nest condition?

  Safe

  At Risk

  N/A

• Manual latch dog extension and retraction mechanism condition?

  Safe

  At Risk

  N/A

• Latch dog condition?

  Safe

  At Risk

  N/A

• Scoping ram stabilizer condition?

  Safe

  At Risk

  N/A

• Crown sheave guards condition?

  Safe

  At Risk

  N/A

• Are the hinge points free of signs of metal failure such as cracks?

  Yes

  No

  N/A

• Is the finger board safety cable operational?

  Yes

  No

  N/A

• Are the derrick locking pins in place?

  Yes

  No

  N/A

• Are hinge point dowel pins provided with a safety retainer?

  Yes

  No

  N/A

• Is the hydraulic system free of leaks?

  Yes

  No

  N/A

• Lighting system condition?

  Safe

  At Risk

  N/A

• Pictures:

  Media

Carrier

• Are handrails in place on elevated walkways and steps?

  Yes

  No

  N/A

• Are the wheels chocked?

  Yes

  No

  N/A

• Are the fuel tanks labeled?

  Yes

  No

  N/A

• Is the carrier free of leaking fuel?

  Yes

  No

  N/A

• Are the hydraulic leveling jacks secured by mechanical lock nuts?

  Yes

  No

  N/A

• Pictures:

  Media

Drawworks

• Machine guarding.

  Safe

  At Risk

  N/A

• Tubing line and sandline condition? Look for any kinking or crushing on the wire rope.

  Safe

  At Risk

  N/A

• Is there sufficient wraps left on the drum with the blocks in the down position,

  Yes

  No

  N/A

• Dead line anchor condition?

  Safe

  At Risk

  N/A

• Road gear lockout condition?

  Safe

  At Risk

  N/A

• Handling winch condition?

  Safe

  At Risk

  N/A

• Pictures:

  Media

Operator Station/Work Platform/Floor

• Are all operator controls labeled?

  Yes

  No

  N/A

• Is the work floor free of hazards? i.e slip, trip and fall etc.

  Yes

  No

  N/A

• Pictures:

  Media

Tools and Equipment

• Tong safety gate condition?

  Safe

  At Risk

  N/A

• Backup tongs condition?

  Safe

  At Risk

  N/A

• Stiff arm and snub line condition?

  Safe

  At Risk

  N/A

• Head guard condition?

  Safe

  At Risk

  N/A

• Are the hoses and fittings securely connected and free of defects?

  Yes

  No

  N/A

• Traveling blocks in good condition?

  Safe

  At Risk

  N/A

• Sheave guard condition?

  Safe

  At Risk

  N/A

• Are the bales/links free of defects?

  Yes

  No

  N/A

• Elevator condition?

  Safe

  At Risk

  N/A

• Rod hook condition?

  Safe

  At Risk

  N/A

• Transfer elevator condition?

  Safe

  At Risk

  N/A

• Weights/Wire Rope/Winch Line/Attachments

  Safe

  At Risk

  N/A

• Pipe rack condition?

  Safe

  At Risk

  N/A

• Are the walkways free of tripping hazards?

  Yes

  No

  N/A

• Are the BOP's installed, tested and functional?

  Yes

  No

  N/A

• Is the standpipe secure on the mud circulating system?

  Yes

  No

  N/A

• Safety pressure relief valve condition?

  Safe

  At Risk

  N/A

• Is there high pressure fittings in the high pressure system?

  Yes

  No

  N/A

• Is the discharge line from the relief valves anchored?

  Yes

  No

  N/A

• Mud mixing area condition?

  Safe

  At Risk

  N/A

• Is the rotary hose secured to the gooseneck and swivel with safety hobbles?

  Yes

  No

  N/A

• Pictures:

  Media

Safety Equipment

• Is there a safety harness and restraint lanyard provided at the tubing board, rod basket and stabbing board?

  Yes

  No

  N/A

• Derrick ladder climbing device condition?

  Safe

  At Risk

  N/A

• Is there an emergency derrick escape equipment on the service rig or nearby? Is it operational and easily accessible?

  Yes

  No

  N/A

• Date rig crew conducted rig rescue training.

  Date

• If the crew has not conducted training within the last 12 months, what is their plan to meet this requirement?

• Is there 2 - 20 lb Class A, B, C Extinguishers on the service rig? Are they charged and free of defects?

  Yes

  No

  N/A

• Is appropriate PPE being worn by all personnel?

  Yes

  No

  N/A

• Pictures:

  Media

SRL Information

• SRL condition?

  Safe

  At Risk

  N/A

• Harness Information; model #, lot # etc.

• Pictures:

  Media

• Comments and/or anything not covered needs to go here.

• Pictures:

  Media

• Date:

  Date

• Signature

  Sign