Title Page

  • Prepared by

  • Conducted on

  • Location
  • Completions Supervisor(s)

  • Shift

  • Frac Services

  • Safety Topic

Completions Operation

  • Sign in/out

  • Comments:

  • LEG Orientation

  • Comments:

  • Communication

  • Comments

FRAC

  • Iron Managment

  • Comments

  • Chemical Managment

  • Comments

  • Frac Equipment

  • Comments

  • Rig up/down

  • Comments

  • Sand Managment

  • Comments

  • Frac, Gel, Acid Tanks

  • Comments

  • Transfer Pumps

  • Comments

Daily Inspections

  • Forklift

  • Comments

  • Manlift

  • Comments

  • Equipment Grounding

  • Comments

  • Crane

  • Comments

  • Trailer/Living Quarters

  • Comments

  • Fire Extinguishers

  • Comments

  • Slings/Restraints

  • Comments

  • Fall Protection

  • Comments

  • Tools

  • Comments

  • Eyewash Station

  • Comments

Work Enviorment

  • Guards/Barricades

  • Comments

  • Housekeeping and Storage

  • Comments

  • Traffic Flow

  • Comments

  • Light Plants

  • Comments

Wireline

  • Rigging Equipment

  • Comments

  • Lubricator

  • Comments

  • Sheave

  • Comments

  • Wire Rope Integrity

  • Comments

  • Communication

  • Comments

Wellhead

  • Hydraulic Lines/Accumulator

  • Comments

  • Valves

  • Comments

  • Flanges

  • Comments

  • Well Cellars

  • Comments

Flowback

  • Iron Manangment

  • Comments

  • Transfer Pump

  • Comments

  • Open Top Tanks

  • Comments

  • Frac Tanks

  • Comments

  • Gas Monitoring

  • Comments

  • Wind Sock

  • Comments

PPE

  • Hard Hat

  • Comments

  • FRC Clothing

  • Comments

  • Eye Protection

  • Comments

  • Steel Toe Boots

  • Comments

  • Gloves

  • Comments

  • Hearing Protection

  • Comments

  • Respiratory Protection

  • Comments

  • Chemical PPE

  • Comments

Summary Of Daily Activity

  • Summary Of Daily Activity (include daily report, observations, & corrective measures)

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