Information

  • Document No.

  • Rig No:

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Before entering site

  • Is a Emergency Evacuation Point sign visible?

  • Are access points clear of obstructions?

  • Do parked vehicles have wheel chocks?

Site Housekeeping

  • Worksite is free from obstructions? (Slips, trips, fall hazards & rubbish)

  • Tools & Equipment is being stored correctly and in Good Condition?

  • Walkways & Platforms clean & free of oil, grease & tools?

Water

  • Are screens present on the intake pipe ends

  • Water & Cuttings are routed to sumps and are contained within the channels?

  • Sumps are containing all water & cuttings ( no leaks/overflow)

Waste Segregation

  • Is waste segregation system being adhered to

  • Is scrap materials being brought to the scrap metal yard or industrial landfill

  • Is scrap wood being brought to the burn pit

  • Are food wastes being brought to the domestic landfill

  • Is waste oil being put in a 45 gallon drum and brought to the hazmat building

  • Are hydrocarbon contaminated material like gloves and rags being put in a drum and brought to the hazmat building

Fuel Handling

  • Are there measures in place to prevent spills while refuelling

  • Are there WHMIS labels attached to all necessary containers and are workers WHMIS trained

  • Are there written protocols for handling emergencies and spills, including contact numbers

  • Are workers familiar with spill response procedures

  • Is the Drill Free from spills or leaks

  • Are spills being reported to the environmental department

  • Is a cyclone/baffled filter box being utilized

  • Are cuttings taken to the industrial landfill

  • Are containers containing hazardous material on containment

  • Is there a spill kit present

  • Are workers turning off equipment while unattended

Fire Fighting Equipment

  • Fire extinguishers in current test & tag

  • Are all portable fire extinguishers firmly secured?

First Aid Equipment

  • Kits are stocked and clean?

  • Are first aid kits easily accessible?

Lighting arrangements

  • Is there lighting provided for night shift?

  • Is all the electrical cabling positioned/fastened in such a way that is safe from getting damaged?

Equipment Inspections

  • Daily pre-op for each vehicle is being conducted as required?

  • Daily pre-op for the rig is being conducted?

High Pressure Hoses, Pressure vessels & Relief Valves

  • Do all hoses appear to be structurally sound through a visual inspection?

  • Do all hose fittings appear to be structurally sound through a visual inspection?

  • Do all hose fittings appear to be fitted correctly?

  • Are any of the fittings or hoses showing signs of leakage?

  • Are whipchecks placed on all pressure hoses and a secured correctly?

Visual Inspection

  • Walkway railings are secure and in a serviceable condition?

  • Walkway steps/rungs have non-slip treads?

  • Are all stair handrails in place?

  • Hydraulic jacks are in good condition?

  • Hydraulic jacks have fluid leaks?

  • Work platforms are secured and free from obstructions?

Documentation

  • Are the company policies, procedures, SOP's on-site?

  • Are MSDS documents available for all products on-site?

  • Are MSDS documents current?

  • Are all persons on-site aware of where to find all the documentation?

Safety Items

  • Is there any safety concerns

  • Signature of Inspector

  • Signature of Site Personnel

Actions

Issues Raised

  • Issues raised that need actioning:

  • Issue:
  • Issue status:

  • Assigned to:

  • Completion date:

  • Issue has been closed out appropriately:

  • Time and date action closed out

  • ID of person closing out action

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.