Daily Safety Report

• Document No.

• Site location

  Jourdanton Pipe Yard

  Gillette Pipe Yard

  Gonzalez Pipe yard

• Started at

  Date

• Performed by

  Frank Escalante

  Joe Ramos

  TJ Willson

  Richard Nava

  Tony Dallas
• Location
  Address

Recap last week topics and Discuss safety issues & corrective actions

Morning Safety Topic & Department

• Casing department

  Tubing/Rod Department

  Production Department

  I & E Warehouse

  IOS - TOS

Weather report 8:00 am

• Safe

  At Risk

  N/A

• Temperature

• Humidity

• Wind

• Heat Index temperature

Safety opportunities/corrective actions

• Safety opportunities and corrective actions 8:00 am - 10:00 am

  no

  yes

• Safety opportunities and corrective actions 10:00 am - 12:00 pm

  no

  yes

• Safety opportunities and corrective actions 12:00 pm - 2:00 pm

  no

  yes

Weather report 3:00 pm

• Safe

  At Risk

  N/A

• Temperature

• Humidity

• Wind

• Heat Index temperature

• Safety opportunities and corrective actions 2:00 pm - 4:00 pm

  no

  yes

• Safety opportunities and corrective actions 4:00 pm - 6:00 pm

  no

  yes

• Safety opportunities and corrective actions 6:00 pm - 12:00 am.

  no

  yes

• Incident to report

  no

  yes

• Time left the yard

  Date