D2C RIGGING/LIFTING INSPECTION v1.1

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• D2C Foreman

GENERAL

• Adequate distance from overhead power lines (minimum 10 feet)

  Yes

  No

  N/A

• Hazard signs displayed

  Yes

  No

  N/A

• First aid kit available

  Yes

  No

  N/A

• Eyewash kit available

  Yes

  No

  N/A

• Guy wires flagged

  Yes

  No

  N/A

• Fall lane of derrick clear

  Yes

  No

  N/A

• Vehicles out of guy pattern

  Yes

  No

  N/A

• Good overall housekeeping

  Yes

  No

  N/A

• Emergency numbers displayed in doghouse

  Yes

  No

  N/A

GUYING

• Crown to ground guy lines in place

  Yes

  No

  N/A

• Adequate number of wind guys

  Yes

  No

  N/A

• Condition of wires

  Safe

  At Risk

  N/A

• Correct diameter of lines

  Yes

  No

  N/A

• Three clamps/turnbuckle minimum

  Yes

  No

  N/A

• Ground anchors

  Safe

  At Risk

  N/A

• Tubing board guys strung and crossed for racking

  Yes

  No

  N/A

• Three clamps minimum

  Yes

  No

  N/A

• Internal guys adjusted for tension

  Yes

  No

  N/A

• Outriggers in place and pinned

  Yes

  No

  N/A

HAND TOOLS

• Rod wrenches

  Yes

  No

  N/A

• Others

  Yes

  No

  N/A

MAST/DERRICK

• Ladder condition

  Safe

  At Risk

  N/A

• Tubing board condition

  Safe

  At Risk

  N/A

• Manual latch dog extension/retraction mechanism

  Safe

  At Risk

  N/A

• Scoping ram stabilizers

  Safe

  At Risk

  N/A

• Crown-Sheave Gaurds

  Safe

  At Risk

  N/A

• Finger board safety chain in place

  Yes

  No

  N/A

• Derrick locking pins in place with safety pins

  Yes

  No

  N/A

VEHICLES

• Glass, mirrors

  Safe

  At Risk

  N/A

• Lights, reflectors, etc. in good working order

  Yes

  No

  N/A

• Good housekeeping in cab

  Yes

  No

  N/A

• Adequate seatbelts

  Yes

  No

  N/A

• Tires chocked on free standing trailers

  Yes

  No

  N/A

• Brakes

  Safe

  At Risk

  N/A

DOGHOUSE

• Good housekeeping

  Yes

  No

  N/A

• Stove condition

  Safe

  At Risk

  N/A

• Electrical/lights in good working condition

  Yes

  No

  N/A

• Hitch and safety chain

  Safe

  At Risk

  N/A

CARRIER

• Guardrails/handrails on elevated walkways and steps

  Yes

  No

  N/A

• Head, tail and signal lights working

  Yes

  No

  N/A

• Wheels chocked

  Yes

  No

  N/A

• Condition of tires and wheels

  Safe

  At Risk

  N/A

• Fuel tanks labeled

  Yes

  No

  N/A

• Exhaust system

  Safe

  At Risk

  N/A

• No loose or flammable materials stored in cab

  Yes

  No

  N/A

• Glass and mirrors

  Safe

  At Risk

  N/A

• Windshield wipers

  Safe

  At Risk

  N/A

• Hydraulic leveling jacks secured by mechanical locknuts

  Yes

  No

  N/A

• Brakes/Emergency

  Safe

  At Risk

  N/A

DRAWORKS CONDITION

• Gaurds in place

  Yes

  No

  N/A

• Tubing and drilling line condition

  Safe

  At Risk

  N/A

• Sufficient wraps left on drum with blocks in down position

  Yes

  No

  N/A

• Deadline anchor and retainer

  Yes

  No

  N/A

• Cathead line divider/gap

  Safe

  At Risk

  N/A

• Catline condition

  Safe

  At Risk

  N/A

• 3 wraps on drill line

  Yes

  No

  N/A

• Tubing/sandline brakes condition

  Safe

  At Risk

  N/A

OPERATOR STATION/WORK PLATFORM FLOOR

• All controls labeled

  Yes

  No

  N/A

• Work floor

  Safe

  At Risk

  N/A

• Steps/handrails

  Safe

  At Risk

  N/A

• All gauges functioning properly

  Yes

  No

  N/A

POWER TONGS CONDITION

• Tong door

  Safe

  At Risk

  N/A

• Stiff arm. snub/safety line

  Yes

  No

  N/A

• Tong hose disconnects

  Safe

  At Risk

  N/A

• Tong positioner

  Safe

  At Risk

  N/A

TRAVELING ASSEMBLY CONDITION

• Blocks

  Safe

  At Risk

  N/A

• Sheave gaurds/lock

  Safe

  At Risk

  N/A

• Bales/links

  Safe

  At Risk

  N/A

• Elevators/air slips

  Safe

  At Risk

  N/A

• Condition of slings

  Safe

  At Risk

  N/A

WELL CONTROL EQUIPMENT

• BOPs installed, tested and functional

  Yes

  No

  N/A

SAFETY EQUIPMENT/PRACTICES

• Geronimo line in place/anchored

  Yes

  No

  N/A

• SRL fall protection device in place

  Yes

  No

  N/A

• Safety harness, lanyard provided at tubing board, rod basket and stabbing board

  Yes

  No

  N/A

• Derrick ladder climbing device provided

  Yes

  No

  N/A

• Fire extinguishers (60 lbs)

  Yes

  No

  N/A

• Personal protective equipment in use or available

  Yes

  No

  N/A

• H2S equipment in use

  Yes

  No

  N/A

• Emergency kill switches available

  Yes

  No

  N/A

• MSDS/EMERGENCY/SPCC Book present

  Yes

  No

  N/A

• 30 minute SCBA tanks present (2)

  Yes

  No

  N/A

BOP TRAILER

• Chained to anchor

  Yes

  No

  N/A

• Proper locks used

  Yes

  No

  N/A

• Paperwork in order

  Yes

  No

  N/A

TRUCK TRACTOR

• Mileage

• Vehicle Number

PUSHER SIGNATURE

• PUSHER SIGNATURE

  Sign