Delta Water Group Operations Audit

• Conducted on

  Date

• Prepared by

• Location

• Audit Date:

  Date

• Customer:

• Lease Name:

• Job Start Date:

  Date

• Completion Date:

  Date

• Enviro Score:

  Select Compliant Non-Compliant N/A

  • Compliant
  • Non-Compliant
  • N/A

• Frac Stage:

• Notes:

• Job Manager:

• Job Supervisor:

• # of Employees:

• Auditor:

• # of SSE:

• Sub-Contractor:

• SSE Mentor(s):

• Safety

  Safe

  At Risk

  N/A

• JSA Satisfactory:

  Yes

  No

  N/A

• Crew Condition:

  Good

  Fair

  Poor

  N/A

• PPE Applied:

  Compliant

  Non-Compliant

  N/A

• Weather Conditions:

• Tools/Equip:

  Good

  Fair

  Poor

  N/A

• Excavation Work:

  Yes

  No

  N/A

• Fall Protection:

  Yes

  No

  N/A

• Electrical Connections / Trailer & Equip:

  Select Level1 - OK to use as is Level 2 - OK to use but needs to be addressed after job Level 3 - Needs to be repaired prior to leaving job site Level 4 - Unsafe to use

  • Level1 - OK to use as is
  • Level 2 - OK to use but needs to be addressed after job
  • Level 3 - Needs to be repaired prior to leaving job site
  • Level 4 - Unsafe to use

• Water Safety:

  Safe

  At Risk

  N/A

• Respiratory:

  Safe

  At Risk

  N/A

• Lockout/Tagout:

  Safe

  At Risk

  N/A

• Fire Safety:

  Safe

  At Risk

  N/A

• Sim Ops:

  Yes

  No

  N/A

• Combustibles:

  Safe

  At Risk

  N/A

• Housekeeping / Site Conditions:

  Good

  Fair

  Poor

  N/A

• Safety Notes:

• Environmental

  Compliant

  Non-Compliant

  N/A

• Fluid Being Transferred:

  Yes

  No

  N/A

• Other Fluid on Location:

  Yes

  No

  N/A

• Pumps in Containment:

  Yes

  No

  N/A

• Secondary Containment:

  Yes

  No

  N/A

• Leaks / Spills:

  Yes

  No

  N/A

• # of Pumps:

• # of Heaters:

• Standby Pump Rigged Up:

  Yes

  No

  N/A

• Condition of Equipment:

  Good

  Fair

  Poor

  N/A

• Trucks onsite:

• Cargo Securement:

  Good

  Fair

  Poor

  N/A

• DVIR Performed:

  Yes

  No

  N/A

• Assets accounted for:

  Yes

  No

  N/A

• Notes:

Frac Tanks

• # of Fresh Water Tanks:

• # of Working Tanks:

• # of Acid Tanks:

• Leaks Observed:

  Yes

  No

  N/A

• Hoses Secured to Tanks:

  Yes

  No

  N/A

• Containment Secure:

  Yes

  No

  N/A

• Spills to Date:

  Yes

  No

  N/A

• Tank Floats Functioning:

  Yes

  No

  N/A

• Tank Levels Adequate:

  Yes

  No

  N/A

• Procedures Followed:

  Yes

  No

  N/A

• Evidence of Overflow:

  Yes

  No

  N/A

Poly Pipe/Water line

• Linear Feet Used:

• Freshwater Leaks:

  Yes

  No

  N/A

• Leaks Detected:

  Yes

  No

  N/A

• Damaged Pipe or Hose:

  Yes

  No

  N/A

• Road Crossings taken care of:

  Yes

  No

  N/A

• Pipe Properly Braced:

  Yes

  No

  N/A

• Re-Circulation Line Secure:

  Yes

  No

  N/A

• Trash & Debris Observed:

  Good

  Fair

  Poor

  N/A

• Notes / Challenges:

• Photo

  Media

• Photo

  Media

• Photo

  Media

• Photo

  Media

• Photo

  Media

• Photo

  Media