Information
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Document No.
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Rig No:
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Site
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Conducted on
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Prepared by
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Location
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Personnel
Before entering site
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Is a Emergency Evacuation Point sign visible?
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Are access points clear of obstructions?
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Do parked vehicles have wheel chocks?
Site Housekeeping
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Worksite is free from obstructions? (Slips, trips, fall hazards & rubbish)
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Tools & Equipment is being stored correctly and in Good Condition?
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Walkways & Platforms clean & free of oil, grease & tools?
Water
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Are screens present on the intake pipe ends
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Water & Cuttings are routed to sumps and are contained within the channels?
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Sumps are containing all water & cuttings ( no leaks/overflow)
Waste Segregation
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Is waste segregation system being adhered to
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Is scrap materials being brought to the scrap metal yard or industrial landfill
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Is scrap wood being brought to the burn pit
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Are food wastes being brought to the domestic landfill
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Is waste oil being put in a 45 gallon drum and brought to the hazmat building
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Are hydrocarbon contaminated material like gloves and rags being put in a drum and brought to the hazmat building
Fuel Handling
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Are there measures in place to prevent spills while refuelling
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Are there WHMIS labels attached to all necessary containers and are workers WHMIS trained
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Are there written protocols for handling emergencies and spills, including contact numbers
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Are workers familiar with spill response procedures
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Is the Drill Free from spills or leaks
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Are spills being reported to the environmental department
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Is a cyclone/baffled filter box being utilized
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Are cuttings taken to the industrial landfill
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Are containers containing hazardous material on containment
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Is there a spill kit present
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Are workers turning off equipment while unattended
Fire Fighting Equipment
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Fire extinguishers in current test & tag
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Are all portable fire extinguishers firmly secured?
First Aid Equipment
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Kits are stocked and clean?
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Are first aid kits easily accessible?
Lighting arrangements
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Is there lighting provided for night shift?
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Is all the electrical cabling positioned/fastened in such a way that is safe from getting damaged?
Equipment Inspections
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Daily pre-op for each vehicle is being conducted as required?
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Daily pre-op for the rig is being conducted?
High Pressure Hoses, Pressure vessels & Relief Valves
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Do all hoses appear to be structurally sound through a visual inspection?
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Do all hose fittings appear to be structurally sound through a visual inspection?
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Do all hose fittings appear to be fitted correctly?
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Are any of the fittings or hoses showing signs of leakage?
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Are whipchecks placed on all pressure hoses and a secured correctly?
Visual Inspection
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Walkway railings are secure and in a serviceable condition?
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Walkway steps/rungs have non-slip treads?
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Are all stair handrails in place?
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Hydraulic jacks are in good condition?
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Hydraulic jacks have fluid leaks?
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Work platforms are secured and free from obstructions?
Documentation
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Are the company policies, procedures, SOP's on-site?
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Are MSDS documents available for all products on-site?
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Are MSDS documents current?
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Are all persons on-site aware of where to find all the documentation?
Safety Items
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Is there any safety concerns
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Signature of Inspector
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Signature of Site Personnel
Actions
Issues Raised
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Issues raised that need actioning:
Issue:
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Issue status:
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Assigned to:
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Completion date:
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Issue has been closed out appropriately:
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Time and date action closed out
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ID of person closing out action