Information
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Pad Site
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Contract Companies Present
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Company Men Present
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Conducted on
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Prepared by
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Location
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Foremen Responsible for Job
1. Drilling Location
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Authorized Personnel Sign Posted 1910.145(c)(2)(i) RP54 7.1.2-3<br>
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Hard Hat/Safety Glasses Signs Posted 1910.145(c)(3)
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No Smoking Area’s Designated & Posted RP54 7.1.2-3 1910.145(c)(2)(i)<br> <br>
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No Parking within 100 ft of the rig RP54 6.1.15
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H2S warning signs erected, if applicable 1910.145(c)(2)(i) 1910.1000(e) 1910.1200(f)(5-6) RP54 7.1.2-3<br><br>
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Emergency escape air packs and life lines available, if applicable 1910.134(d)(2)(i) RP55 3.3 RP55 3.9<br><br>
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Escape & Guy wires flagged RP4G 7.6.f
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Outhouse/restroom facility provided or in close proximity to the site. (LT 10 min travel time or 2 miles, whichever is less) (Facility in close proximity only applies if the site is active for less than 1 day) 1910.141(c)(1)(i)<br>
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Outhouse clean and sanitary, if provided. 1910.142(d)(10)<br>
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Hard hats & Safety glasses available for visitors 1910.132(a<br>
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Toolpusher’s trailer grounded RP54 6.1.16<br>
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Toolpusher’s trailer securely positioned RP54 6.1.16<br>
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Housekeeping looks good? 1910.22(a)(1) RP54 6.5.1<br><br>
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Distance from overhead powerlines GT 10 ft RP54 10.1.1
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Toolpusher at rig location
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Muster area designated & posted 1910,38(c)(4
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Visitor tracking system in place I.E. a sign in box. 1910.38(c)(4)
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All vessels labeled as to their contents 1910.1200(f)(4-5)
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Supply storage house clean 1910.22(a)(1) RP54 6.5.1<br>
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Crew change house clean 1910.22(a)(1) RP54 6.5.1<br>
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Wind Sock available. (H2S may be present) RP55 4.5
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Evacuation/All-clear alarms system in place? 1910.38(d)
2. TRAINING, PPE & GENERAL SAFETY
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Someone has First Aid Training RP54 4.3.
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Certification Card(s) available RP54 4.3.1
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Pre-Job safety meetings conducted before each shift or if new hazards happen. RP54 6.1.7
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OSHA poster posted 1903.2(a)(1)
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Proper clothing worn by crew (No loose clothing). FRC RP54 5.2.5 RP54 5.2.6 1910.132(a)<br>
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Hard hats used by crew RP54 5.2.1 1910.135(a)(1-2)<br>
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Safety glasses used by crew RP54 5.2.2 1910.133(a)(1-5<br>
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Steel toed shoes used by crew RP54 5.2.3 1910.136(a)<br>
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Hazardous jewelry not worn by crew RP54 5.2.7 1910.132(a)<br>
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Fall protection used, when required RP54 5.5.
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No Smoking rules observed only in approved areas RP54 7.1.3
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First Aid Kit/Bloodborne Pathogen Kit available on site 1910.151(b) RP54 4.3.2<br>
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Emergency phone numbers posted RP54 4.2.1 RP55 4.6<br>
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MSDS’s available and accessible RP54 6.1.12 1910.1200(g)(1)<br>
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Emergency response plan from the rig available 1910.38(b) RP55 4.1-10<br>
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BOP training up to date RP54 6.4.4
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Written safety program available from each contractor RP54 6.1.7
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Hearing protection required in posted areas RP54 5.3.1-2 1910.95(a)<br>
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Long Hair contained RP54 5.2.8
3A. MUD PUMP AREA
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Drive belts guarded RP54 6.8.2-3
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Pony rods guarded RP54 6.8.2-3
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Shear pin pop-off valve present and covered 1910.169(b)(3)(i-iv)
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Pressure relief valves present 1910.169(b)(3)(i-iv)
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General housekeeping of the area RP54 6.5.1 1910.22(a)(1)<br>
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Discharge lines from relief valves are anchored
3B. MUD MIXING AREA
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Adequate personal protective equipment available. Rubber gloves, Face shield, Apron, Respirator, etc PER MSDS RP54 6.13.2 1910.132(a)<br>
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Personal protective equipment properly stored and clean RP54 6.13.2 1910.132(a)<br>
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Eye wash station available in close proximity and in working order 1910.151(c) <br>
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Eye wash station in a clean & sanitary condition 1910.141(d)(1)
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Eye wash station providing clean water supply 1910.141(b)(1)(i)
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General housekeeping RP54 6.5.1 1910.22(a)(1)<br>
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Adequate lighting provided
3C. MUD TANKS & PITS
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Adequate stairs with handrails 1910.24(h) 1910.23(d)(1)<br>
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Adequate walkways and guardrails 1910.23(c)(1
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Guardrails installed on all raised platforms, walkways, etc above 48” 1910.23(c)(1) 1910.23(d)(1<br>
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Walkways free from obstruction and/or damage 1910.23(c)(1
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Guardrails provided on crossovers 1910.23(c)(1)
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Shale shaker properly guarded 1910.23(c)(3
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Explosion proof equipment used in the vicinity of the shale shaker 1910.307(b)(1-3) & subsections 1910.307(c) <br>
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Agitator shafts & couplings properly guarded 1910.212(a)(1)
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Mud guns properly secured RP54 9.11.2
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Jetting hoses properly secured RP54 9.11.2
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Approved lighting for the location installed 1910.307(b)(1)
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Stairways and ladders secured RP54 9.3.8
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General Housekeeping 1910.22(a)(1) RP54 6.5.1<br>
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All unused floor holes covered 1910.23(a)(8) 1910.23(a)(9<br>
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Electric wiring in good condition 1910.303(b)(1-2) 1910.303(c)<br>
4. GENERATOR AREA
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Generators properly located in safe area RP54 9.14.2
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Moving parts guarded 1910.212(a)(1
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Generators properly grounded RP54 9.14.11
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Cover panels on electrical control boxes installed and closed. 1910.305(b)(2)
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All electrical controls marked as to their function and legible. 1910.303(f
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HIGH VOLTAGE” warning signs erected 1910.145(c)(2)(i) 1910.305(b)(2)(ii<br>
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Insulating mats available at electrical panels 1910.335(a)(2)(ii)
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All electrical tools grounded 1910.304(f)(5)(v)
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Condition of electrical wiring 1910.303(b)(1-2
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Electrical wires properly strung 1910.305(a)(2)(iii) RP54 10.2.3<br>
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Unused electrical outlets covered 1910.305(b)(1-3)
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Air compressors properly guarded 1910.212(a)(1
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Air storage tanks equipped with pop-off valve 1910.169(b)(3)(i-iv)
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Lockout/Tagout devices available RP54 6.9.1 RP54 9.14.9<br>
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Hearing Protection Required” warning signs erected. 1910.95(b)(1
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Hearing protection available 1910.95(a)
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Adequate lighting installed RP54 9.14.7 1910.303(h)(3)(ii)<br>
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General Housekeeping RP54 6.5.1
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Equipment properly classified for the location RP54 9.14.6 RP54 10.2.1 RP500 4.1-5 RP500 5.1-2<br>
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Electrical wiring/fixtures/etc approved for the location (Cl 1 Div 1 or 2 location) RP54 10.2.1 1910.307(b)(1-2)<br>
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Wires not running along the ground RP54 10.2.3 1910.305(a)(1)(iii)(G)<br>
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Receptacles and plugs in good condition 1910.303(b)(1)
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Fire extinguishers rated for electrical fires 1910.157(d)(1)
5. FIRE PROTECTION
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B/C class fire extinguishers available RP54 7.2.4 RP54 7.2.5<br>
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Adequate number of fire extinguishers available 1910.157(d)(2-6) RP54 7.2.4 RP54 7.2.5<br>
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Fire extinguishers properly charged 1910.157(c)(4)
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Fire extinguishers properly located 1910.157(c)(1) RP54 6.5.5 RP54 7.2.2 RP54 12.1.3<br>
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Flammables stored in UL listed safety cans 1910.106(d)(2) RP54 8.1.1<br>
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No Smoking rules enforced RP54 7.1.2-6
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Spark and heat arrester, or water, on all engine exhausts RP54 9.15.3
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Welding work performed safely RP54 7.2.6
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All engines located approx 100 ft from the well or gas source, if possible RP54 9.14.2 RP54 9.15.3<br>
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Fire extinguishers tagged and/or inspection data logged into database 1910.157(e)(1) RP54 7.2.3 RP54 7.2.7<br>
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Fire extinguisher location easily identified 1910.157(c)(1) RP54 6.5.5 RP54 7.2.2<br>
6. FUEL STORAGE TANKS
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Fuel storage tanks properly located RP54 8.3.5 1910.106(b)<br>
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All storage valve connections identified as to their function 1910.106(b)
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Discharge nozzles in good condition 1910.106(b)
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Discharge hoses in good condition 1910.106(b
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Discharge valves in good condition 1910.106(b)
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Piping and fuel lines in good condition 1910.106(b)
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Stationary ladders on storage tanks in good condition 1910.27(f)
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Approved lighting for the location installed 1910.307(b)(1)
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Fuel tanks properly labeled RP54 8.4.1d 1910.1200(f)(4-5<br>
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“Flammable” warning signs erected 1910.145(c)(2)(i) 1910.1200(f)(5-6) RP54 7.1.2-6 RP54 8.4.1d<br>
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“No Smoking” signs erected 1910.145(c)(2)(i) 1910.1200(f)(5-6) RP54 7.1.2-6 RP54 8.4.1d<br>
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No Open Flame” signs erected RP54 7.1.2-6 1910.145(c)(2)(i) RP54 8.4.1d<br>
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Vapor release vents elevated & away from ignition sources 1910.106(b
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General housekeeping RP54 6.5.1 1910.22(a)(1)<br>
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Grass & debris kept away from area RP54 6.5.1
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B/C Class fire extinguisher available RP54 8.4.1e 1910.157(c)(1) 1910.157(d)(1)<br>
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Protective caps on all fuel cylinders RP54 8.3.3
7. PIPE RACK AREA
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Ends of pipe racks properly chocked 1910.176(b) RP54 9.12.3<br>
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Spacers used to separate layers of pipe 1910.176(b)
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Layers of pipe properly chocked 1910.176(b) RP54 9.12.3<br>
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Stairs with handrails provided 1910.25(h)
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Derrick stand and ladder in good condition 1910.27
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Dead end of drilling line anchored RP9B 3.3.9
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Approved lighting installed 1910.307(b)(1)
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General housekeeping 1910.176(c) RP54 6.5.1<br>
8. BLOW-OUT PREVENTERS
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BOP properly installed RP54 6.4.1
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BOP properly tested RP54 6.4.1 RP54 6.4.13<br>
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BOP stack properly stabilized RP54 6.4.10
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All hydraulic lines connected RP54 6.4.18
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All unused hydraulic lines capped and secured RP54 6.4.18
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Accumulator unit properly located
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Accumulator valves in appropriate position, open or closed and secured
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Gauges properly located
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Choke manifold and line secured RP54 6.4.18
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Approved lighting for the location installed 1910.307(b)(1)
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Warning signs erected 1910.145(c)(2)(i) RP54 7.1.2-3<br>
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Proper drainage provided RP54 6.5.2
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General housekeeping RP54 6.5.1 1910.22(a)(1)<br>
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Safety valve and handle for tubing installed RP54 6.4.2
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Hydraulic lines protected
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BOP Control Lines & Valves identified RP54 6.4.11
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Daily inspections of the BOP’s conducted RP54 6.4.7
9. DERRICK & SUBSTRUCTURE
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Derrick/A-Frame assembly pins in place RP54 9.2.8
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Assembly pins secured with keepers RP54 9.2.8
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Number of wind guys RP4G 6.1-8RP54 9.2.10<br>
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Condition of guy lines RP4G 5.1.c
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Diameter of guy lines RP9B 3.7.4
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3 clamp minimum, 4 clamp minimum with sheave RP9B 3.7.4
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Clamps properly attached RP9B 3.7.4
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Ground anchors RP4G 7.1-8
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Anchor pull test performed RP4G 7.1-8
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Anchors positioned IAW rig manufacturer’s specifications RP4G 7.1-8
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TUBING BOARD GUYS
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Strung and crossed for racking
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3 clamp minimum RP9B 3.7.4
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Clamps properly attached RP9B 3.7.4
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Fall lane of derrick clear
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Vehicles out of guy pattern
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Manufacturer’s specification/operation plate attached to derrick RP54 9.2.2
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Damage and/or corrosion to derrick (waste metal) RP54 9.16.1
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Damage and/or corrosion to substructure (waste metal) RP54 9.16.1
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Condition of derrick ladder RP54 9.3.1-2
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Climb assist device available 1910.27(d)(5)
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Climb assist device used by derrickman. and in good condition
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Full body harness with lanyard available 1910.132(c)(1) RP54 5.5.1<br>
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Fall protection devices in use RP54 5.5.1
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Derrick/Tubing boards in good condition RP54 9.2.17<br>
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Guardrails installed on derrick board RP54 9.3.17 RP54 5.5.1<br>
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Pipe fingers in good condition RP54 9.2.17
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Derrick board walk around platform in good condition, if available
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Finger board in good condition RP54 9.2.17 RP54 9.3.16<br>
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Crown guardrails installed RP54 9.3.17 1910.23(c)(1)<br>
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Scoping ram stabilizers in good condition RP54 9.2.4
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Crown sheave guards in place RP54 9.7.5
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Cracks, metal fatigue or wear evident at hinge points RP54 9.2.4
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Safety retainers in use on hinge pins RP54 9.2.8
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Derrick locking pins in place with safety pins RP54 9.2.8
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Dead line properly anchored RP54 9.6.5 RP9B 3.3.9<br>
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Approved lighting for the location installed 1910.307(b)(1)
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Derrick emergency escape line installed RP54 6.10.1
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Geronimo on-line and ready for immediate access and use. RP54 6.10.1
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Emergency escape line adequately anchored, per manufacturers specifications, in a clear area away from the rig. RP54 6.10.1
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Tools secured at elevated levels RP54 9.2.13
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Mud standpipe/hose secured
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Data plates installed on derrick that provide information on guying, derrick, etc inst
10. DRILL FLOOR AREA
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Kelly bushing guard used RP54 9.8.3
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Controls adequate if guard not used RP54 9.8.3
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Rotary chain drive guarded 1910.212(a)(1-3)
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All unused floor holes covered 1910.23(a)(8-9) RP54 9.1.1 RP54 9.3.20 RP54 9.3.21<br>
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Driller at or near controls RP54 9.4.4
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Drillers controls properly labeled/identified
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Pipe slips & Dies in good condition RP54 9.9.2
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V-door gate provided and in place 1910.23(c)(1)
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Air hoist line in good condition RP9B 3.2.7
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Air hoist line properly layed RP9B 3.3.3
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Cathead line divider/grip in good condition RP54 9.5.1
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Catline not worn or kinked, if available RP54 9.5.10
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Headache post in good condition RP54 9.5.8
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Anti-two blocking device installed and operational RP54 9.2.16 RP54 9.4.8<br>
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Drilling line in good condition RP9B 3.3.10
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Drawworks properly guarded RP54 9.4.2 RP54 9.6.4<br>
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Proper lay of drill line on reel RP9B 3.3.10(b)
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Appropriate lighting installed 1910.307(b)(1)
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General housekeeping RP54 6.5.1 1910.22(a)(1)<br>
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Drill floor level
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Minimum 2 exits from drill floor doghouse
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Guardrails installed along open edges of drill floor RP54 9.3.17 1910.23(c)(1)<br>
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First aid kit available in drill floor doghouse 1910.151(b)
11. POWER AND HAND TOOLS
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Tong snubbing lines in good condition RP54 9.9.6
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Tong body & jaws in good condition RP54 9.9.7
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Tong stiff arm available and operational RP54 9.9.4
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Condition of tong jerk line(s) RP54 9.9.6
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Condition of hand tools RP54 6.8.6
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“Iron Roughneck” used
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IR body & jaws in good condition RP54 9.9.7
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IR hydraulic system leaks RP54 9.9.9
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Electric hand tools double insulated or grounded RP54 6.8.7
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Guards installed on/over all belts, drive chains, gears and drives RP54 6.8.2
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“Dead man” switch installed on all Electric and Pneumatic tools RP54 6.8.8
12. HOISTING TOOLS, HOOKS, BAILS, ELEVATORS AND OTHER RELATED EQUIPMENT
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Traveling blocks in good condition RP54 9.7.1
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Traveling blocks properly guarded RP54 9.7.4
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Elevators in good condition RP54 9.7.1 RP54 9.7.8<br>
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Rod hook in good condition RP54 9.7.1
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Hoisting hook equipped with safety latch or equiv. RP54 9.7.3
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Crown block assembly secured RP54 9.7.5
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Transfer elevators in good condition RP54 9.7.1
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Crew members not permitted to ride traveling block RP54 6.11.1
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Circulating hose secured to gooseneck and swivel RP54 9.7.7
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Power swivel secured RP54 9.7.7
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Hoisting line inspected daily RP54 9.6.1
13. STAIRS, LADDERS, HANDRAILS & GUARDRAILS
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Adequate stairs provided off rig RP54 9.3.10 1910.24(b)<br>
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Minimum of 2 stairways to drill floor RP54 9.3.10 1910.36(b)(1)<br>
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Stairs secured with a pin/keep or nut/bolt/keeper RP54 9.3.8
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No obstructions RP54 9.3.11
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Adequate handrails provided on stairs RP54 9.3.8 1910.24(h)<br>
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Stair treads of uniform size RP54 9.3.9 1910.24(d)<br>
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Non-skid type stair treads 1910.24(f)