Information

  • Document No.

  • Conducted on

  • Client

  • Location

  • Rig

  • Well Name

  • Shift Roster

  • Injury Free Days

  • Personnel

  • Supervisor

Safety

  • Toolbox completed

  • Add media

  • Reason why

  • Person making decision

  • PRA Completed?

PRA

  • Name

  • Date

  • Job Location

  • Job Description

  • STOP, THINK AND IDENTIFY THE TASK , MANAGE THE RISK

  • Do I fully understand the task?

  • Controls

  • Am I fit to carry out the task?

  • Controls

  • Do I have the correct tools for the task?

  • Controls

  • Is there a procedure for the task?

  • Controls

  • Am i trained and competent to carry out this task?

  • Controls

  • Do I have the correct PPE for the task?

  • Controls

  • Is my work area safe?

  • Controls

  • Can I get caught in or between anything?

  • Controls

  • Can my work effect anybody else's safety eg interaction?

  • Controls

  • Have I identified and isolated all dangerous energy sources?

  • Controls

  • Is there exposure to excessive heat/dust/noise/vibration?

  • Controls

  • Can anything fall on me?

  • Controls

  • Is a permit required?

  • Controls

  • Can my actions harm the environment?

  • Controls

  • Have you identified and controlled all potential hazards

  • STOP WORK AND INFORM YOUR SUPERVISOR

Code Hours

  • Pickup move setup

  • Hours

  • Hours

  • Drill Actual

  • Hours

  • Hours

  • Coring

  • Hours

  • Hours

  • Reaming

  • Hours

  • Hours

  • Cementing

  • Hours

  • Hours

  • Circ/Flush Hole

  • Hours

  • Hours

  • Pre Start/ Lube Rig

  • Hours

  • Hours

  • Logging / Surveying

  • Hours

  • Hours

  • Run / Pull Casing

  • Hours

  • Hours

  • Standby

  • Hours

  • Hours

  • Wet Weather Standby

  • Hours

  • Hours

  • Breakdown

  • Hours

  • Hours

  • Water Carting

  • Hours

  • Hours

  • Tripping Rods

  • Hours

  • Hours

  • Travel (crew)

  • Hours

  • Hours

  • Nipple up/down

  • Hours

  • Hours

  • Scheduled Maintenance

  • Hours

  • Hours

  • Sign in /Sign out

  • Hours

  • Hours

  • Safety and Training

  • Hours

  • Hours

  • Miscellaneous

  • Hours

  • Hours

  • Workshop

  • Hours

  • Hours

Meter age

    Hole
  • Hole Number

  • Time start

  • Time finish

  • Total Time

  • From

  • To

  • Total

  • Bit Type

  • Formation

  • Size (inch)

  • Size (mm)

  • Air /Mud

  • Comments

Recovery

    Hole
  • Hole Number

  • Time start

  • Time finish

  • TotalTime

  • From

  • To

  • Total

  • Recovery

  • %

  • Comments

Consumables

    Hole
  • Hole Number

  • Type

  • Amount

  • Add media

  • Comments

  • Sign off

  • Person
  • Name and position

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.