Chaparral Energy FRAC Checklist

• FRAC Checklist

• Service Company

• Lease name

• Date/Time

  Date

• Prepared by

• Location
  Address

• Are holes and other slip, trip and fall hazards on location identified and eliminated or flagged and communicated to ALL employees?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Notes

• Has all equipment been spotted at least 20 feet from above ground power lines?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Are all observed pinch points properly guarded?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Is lighting needed on location adequate for all work areas?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are all personnel wearing the appropriate PPE and is it being worn correctly? This includes any special PPE needed while working with acid or chemicals i.e. Respirator with N95 filters.

  Select Yes No

  • Yes
  • No

• What PPE is missing or needed?

• Picture

  Media

• Is there spare PPE available on location for visitors and employees? This includes ear plugs.

  Select Yes No

  • Yes
  • No

• Note

• Is fall protection available and being utilized for all jobs at a height of 4 ft. or greater? i.e. FRAC tanks, man-baskets etc.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Is a working pressure transducer installed on each pump and was the over-pressure shutdown on each pump tested?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Was the red button on the pump console tested to kick all pumps into neutral?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Has a pump numbering system been established and communicated to all location personnel and do the numbers correspond with the numbers on the pump control panel?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are all vehicles equipped with the appropriate fire extinguishers? Are they in working order with current inspection?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Is the wellhead flow line safety restraint system in good condition, being used correctly, and installed properly?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Is the "High Pressure Zone" been taped off and enforced to prevent unauthorized access?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are all containers properly labeled?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are all engine exhaust systems that are operating within 100 ft. of the well, equipped with spark arresting mufflers or an equivalent system?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Is LOTO being utilized?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are safety data sheets (SDS) accessible and available?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Are first aid supplies available for use by employees? Do employees know where they are?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Is there a certified first aid/AED/CPR trained employee on location?

  Select Yes No

  • Yes
  • No

• Name:

• Is there a safety shower and eye-wash station on location? Is it placed in an area adjacent to the associated hazard i.e acid tank?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Is the proper signage displayed at the entrance of location?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Are the FRAC tanks grounded?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Do the FRAC tanks have containment around them?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• How many tanks are contained and what type of containment?

• Picture

  Media

• Note

• Are chock blocks being utilized on all applicable vehicles?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Has the emergency assembly area's and routes been identified and communicated down the chain? LAT/LONG, driving directions to the hospital, are they posted?

  Select Yes No

  • Yes
  • No

• Where is it posted?

• Picture

  Media

• Note

• Are vehicles grounded while being fueled?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are the hoses on the missile free from abrasions, gouges and cuts?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are the high pressure hoses secured in case of rupture i.e. Whip checks, hobbles, restraints? Are they installed properly?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Is there soda ash on site to neutralize acid spills?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Was a pre-job meeting held utilizing the rig up JSA prior to rigging up on location and we're all items on JSA discussed?

  Select Yes No

  • Yes
  • No

• Why?

• Are ground guides being used "correctly" for all backing and moving of equipment on location, using appropriate gear?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Was all equipment spotted in a safe and orderly fashion by the service supervisor or designee at least 60' from the wellhead and was adequate space left between vehicles for egress?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Are all possible spills contained and/or cleaned promptly and satisfactorily mitigated?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are Cellar Covers Installed?

  Yes

  No

  N/A

• Picture

  Media

• Note

• Are all treating lines constructed to allow flexible movement (90 degree rule) during treatment including chicksan configuration for all elevation and direction changes?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Is a double valve bleed-off installed between the treating line check valve and the wellhead?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are the number of lines run to wellhead adequate for the expected treating rate of the job and are the lines equalized?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are all essential personnel in communication with service supervisor, including controller of the master valve, boost pump operators etc,?

  Select Yes No

  • Yes
  • No

• Note

• Are all non-essential engines been shut down?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Has the missile been certified, tested and banded within the last 12 months?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Are hoses sufficiently long enough to contact the ground, providing support, and preventing undue stress at the king nipple?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are tag lines being utilized?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are proper tools being used for the task?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Are all observed pulleys, rotating shafts, belts, chain drives, and sprockets properly guarded?

  Yes

  No

• Picture

  Media

• Note

• Is all observed equipment clean and serviceable?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Are all hand tools in good condition and replaced/repaired as needed?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are all suction hoses at least 150psi rated and in good condition including king nipple?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are hoses, used for supercharge, steel fee forced, minimum 250psi rated, with staged connections and in good condition?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are hose covers being used on all discharge/supercharge hoses transferring or pumping acid or flammable fluids?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

• Are all observed chain, wire rope, slings etc. in good condition and marked with their rated capacity?

  Select Yes No

  • Yes
  • No

• Picture

  Media

• Note

• Is there trapped pressure that might be a concern?

  Yes

  No

  N/A

• Picture

  Media

• Note

• Are all observed end devices including hooks and safety latches in good condition?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture

  Media

• Note

PRV's, Hydraulic FRAC Valves

• Picture

  Media

• Comments:

Ball Launch System

• Picture

  Media

• Comments:

Wireline Operations

• Picture

  Media

• Comments:

• Anything else not mentioned:

• Pictures:

  Media

• Signature

  Sign