Title Page
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Commander
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BUM
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Site Supervisor
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Unit Status
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Company/Well
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Conducted on
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Prepared by
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Location
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Personnel
Follow up
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Is there a copy of the previous audit available at the location?
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Are there any outstanding action items from the previous audit?
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Does the site supervisor have access to the most current version of Cretic Energy Services' HSEMS?
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Is there a JSA available, with today's date and signatures of all employees, visitors and contractors?
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Have each of the hazard control items been completed?
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Does the JSA have a person of "ultimate authority " listed?
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Are there blank copies of Cretic's incident report form available?
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Are there blank copies of Cretic's observation report form available?
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Is all administrative paperwork kept in an area that is acceptable to all employees?
General work environment
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Is the general condition of the worksite considered to be "clean and orderly "?
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Are the work areas well illuminated?
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Are all washing facilities and restrooms clean and sanitary?
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Is there an adequate amount of garbage receptacles on site?
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Is there any signs of leaking or spilled material around waste receptacles?
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Can the site supervisor produce a copy of the most recent handover notes?
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Is there an SSE on location?
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Does the SSE know their mentors name?
Personal Protective Equipment
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Are all employees dressed in the proper Cretic Energy Services' FRC uniform?
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Are all employees wearing the proper eye protection for the task that they are performing?
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Are all employees wearing the proper hand protection for the job they are doing?
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Is the location equipped with safety goggles?
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Is the location equipped with face shields?i
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Is the location equipped with proper fall protection equipment?
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Do all employees have access to proper forms of hearing protection ?
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Are all employees wearing the proper form of foot protection for the task that they are performing?
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Are all employees wearing the proper form of head protection for the task that they are performing?
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Are all employees wearing a personal H2S monitor?
Walking and working surfaces
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Are all walkways clear of obstacles and obstructions?
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Are all walkways clean and clear of oil, grease, water, or any other conditions that may cause slipping?
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Are all walking surfaces properly maintained with grips or treads to prevent slipping?
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Are all handrails free of oil, grease, water, or any other conditions that may cause a loss of grip?
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Are all stairs and steps in good condition and capable of supporting their intended loads?
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Are all emergency routes clear and accessible?
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Are all handrails free from defects and properly secured?
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Are there any items tied to the handrails that could cause an employee to not use the handrails?
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Are there any items leaning against handrails that could possibly be knocked over by a person using the handrails?
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Are all ladders in good working order and capable of supporting their maximum intended load?
Fire protection
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Are all extinguishers accessible, with no obstructions or blockages?
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Are all extinguishers in good condition?
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Do any extinguishers show signs of discharge?
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Are all extinguishers secured to prevent damage or accidental discharge?
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Is the location of each extinguishers clearly marked with signs, markings or other labels?
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Are there signs on site identifying the location of the muster areas?
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Are there extinguishers located in close proximity to flammable/combustible liquids and electrical equipment?
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Does each extinguisher have a marking indicating that it has been visually inspected in the last month?
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Does the site have a sufficient number of fire extinguishers?
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Does each employee on site know the location of the extinguishers?
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Does each extinguisher have, in place, a pin and holding tab?
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Does each extinguisher have the date of the last annual inspection clearly marked on it?
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What was the date of the last fire drill?
Electrical safety and LOTO
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Do all employees know the location of the main disconnect for the equipment they are working with?
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Do all employees have access to the main power supply for all equipment on site?
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Are all power supplies, switches, controls and ESDs labeled?
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Is there any visible damage to any wires, conduit, cords, cover plates or switches?
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Is there proper grounding on each piece of equipment and a service/system ground?
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Is there any equipment, services, or moving parts that cannot be completely locked out.
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Is there a lock out kit on site?
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Is there a written procedure, with diagrams, detailing how to lock out each piece of equipment?
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Is there blank copies of Cretic Energy Services' lock out permit?
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Are all extension cords in good condition?
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Do all power tools have a grounding prong or a double insulated symbol?
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Are all exterior receptacles and wet area receptacles connected to a GFCI protected circuit or pig tail?
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Are there any multiple plug adaptors on site?
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Does each employee on site have proof of completing awareness level training in LOTO and Electrical Safety?
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Is there a current copy of Cretic Energy Services' LOTO policy available on site?
Machine Guarding
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Are the points of operation for each machine on location adequately guarded?
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Are all shut off switches within reach of the primary operator?
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Are all ESDs labeled to indicate which machine they control?
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Are all machines kept in good condition?
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Are all machine guards installed in a manner as to not create additional hazards?
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Does each machine have a single point in which energy can be controlled?
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Are guards clearly identified on each machine?
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When engaged, do all guards prevent access to the machine's point of operation ?
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Is there an automatic feed mechanism that can potentially create a hazard during maintenance of any machine on site?
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Is each machine fitted with a positive locking device to prevent movement during service, maintenance, or repair?
Hand and Power Tools
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Are all tool in good working order and free from visible damage?
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Are all hand tools free of mushroomed handles and chipped heads?
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Is each tool stored in its proper location?
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Is there any signs of abuse or uncharacteristic damage to hand tools?
Hazcom
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Is there a list of all hazardous materials on location?
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Is the list accessible to all employees?
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Is there a designated "Right to Know " station on location?
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Do all chemical containers have legible labels?
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Is there any damage to chemical containers that could cause a leak or spill?
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Do all employees have access to chemical protective clothing?
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Is there a spill control kit on site?
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Is the location of the spill control kit clearly marked?
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Is the spill kit sufficiently large enough to contain the volume of material that is under control of Cretic Energy Services' employees?
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Is there an emergency response guide or equivalent means to assist employees in case of a spill?
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Is there evidence that the spill control kit has been used?
First Aid
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Are emergency numbers prominently displayed in a common area and accessible to all employees?
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Is the first aid drawer or kit orderly and accessible and containing only first aid supplies?
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Are all supplies clearly labeled and in the manufacturer's original container?
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Is there an inventory sheet of all first aid supplies in the first aid kit or drawer?
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Is there a functioning eye wash station or eye wash kit on site?
Vehicles
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Are all wheel chocks and safety cones in place, as required?
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Is there any radar, laser, or other form of speed detection devices in any vehicle?
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Do all vehicles have a current registration in them?
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Do all vehicles have a current insurance card or deceleration page in them?
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Is there any signs of damage to any Cretic Energy Services vehicles on site?