Title Page

  • Conducted on

  • Prepared by

  • Location

HSE Compliance

  • <br>Are holes and other slip, trip, and fall hazards on location identified and flagged or eliminated and communicated to all employees?

  • Explain and actions taken

  • <br>Has all equipment been spotted at least 20 feet from above ground power lines?

  • Explain and actions taken

  • Are all observed pinch points properly guarded?

  • Explain and actions taken

  • <br>Is the lighting on location adequate for all work areas?

  • Explain and actions taken

  • Are employees wearing proper PPE? Is it worn correctly?

  • Explain and actions taken

  • Is apron (chemical suit), rubber gloves, face-shield with goggles and respirator being worn while working with acid and chemicals as required? Are they available on location?

  • Explain and actions taken

  • <br>Is spare PPE available on location for visitors and employees?

  • Explain and actions taken

  • <br>Is fall protection available and being properly utilized for all jobs at a height of 4 feet or greater? Including ISO tanks, frac tanks, and the man basket?

  • Explain and actions taken

  • Is the emergency shower/eye wash station properly set up and operational?

  • Explain and actions taken

  • Cool down/warm up area established and properly stocked with water & ice?

  • Explain and actions taken

  • Is an emergency area established with a first aid kit, LAT/Long info, and emergency contact phone numbers? i.e. nearest hospital and phone number.

  • Explain and actions taken

  • Are all vehicles equipped with the appropriate fire extinguishers, in working order with current inspection and are properly mounted?

  • Explain and actions taken

  • <br>Is the wellhead flowline safety restraint (FSR) system in good condition, being used and has been installed correctly?

  • Explain and actions taken

  • Are the "Hot and Warm" zones chained off and entry/exit enforced to prevent unauthorized access?

  • Explain and actions taken

  • <br>Have the drive shafts on the pumps been inspected for loose bars and wrenches prior to starting pumps?

  • Explain and actions taken

  • <br>Are all containers (totes, buckets, jugs, etc.) properly labeled and on containment?

  • Explain and actions taken

  • Are there any open top totes being utilized?

  • Explain and actions taken

  • Are there any cleanout totes that have diesel and/or green flush in them?

  • Explain and actions taken

  • H2S monitors worn and worn properly? Including our sub-contractors.

  • Explain and actions taken

  • Do we have the proper means to LOTO equipment on location? i.e. authorized personnel, individual locks & tags, etc.

  • Explain and actions taken

  • Do the ISO tanks have properly installed handrails?

  • Explain and actions taken

  • Does spill containment meet the needs of the operation? Is it free from rips and tears? Are all spill possibilities addressed? i.e. equipment, totes, vehicles, etc.

  • Explain and actions taken

  • Is there soda ash on location?

  • Explain and actions taken

  • Are the Safety Data Sheets accessible and available?

  • Explain and actions taken

  • Are hoses tucked away to help prevent fall/trip hazards?

  • Explain and actions taken

  • Is a muster area identified and properly set up? An alternate identified?

  • Explain and actions taken

  • Are chock blocks being utilized an all affected vehicles and equipment?

  • Explain and actions taken

  • Are housekeeping issues addressed?

  • Explain and actions taken

  • Is the silica restricted area properly sectioned off? Are signs posted warning of the hazards associated with silica?

  • Explain and actions taken

Operations

  • Documentation of a pre-convoy meeting held prior to leaving the facility and the location if applicable?

  • Explain and actions taken

  • <br>Documentation of a proper pre-trip inspection conducted prior to leaving facility and returning from location and vice versa? Was it filled out correctly with supervisors signature?

  • Explain and actions taken

  • Was placarding and shipping manifest verified for all equipment carrying hazmat by the driver of the hazmat load and supervisor of the job? (chemical/radioactive)

  • Explain and actions taken

  • Was a pre-job meeting held utilizing the rig up JSA prior to rigging up on location and were all items on JSA discussed and documented in the well file? Show documentation.

  • Explain and actions taken

  • Are ground guides being used CORRECTLY for all backing and moving of equipment on location, using appropriate gear?

  • Explain and actions taken

  • <br>Was all equipment spotted in a safe and orderly fashion by the service supervisor or designee at least 60' from the wellhead; was adequate space left between vehicles for egress?

  • Explain and actions taken

  • Are lifting handles installed on swing arms of frac pumps and manifold trailer?

  • Explain and actions taken

  • <br>Were all spills contained and cleaned promptly and satisfactorily mitigated? Were environmental issues reported and all trash removed at the end of each stage?

  • Explain and actions taken

  • Has a pump numbering system been established and communicated to all location personnel and do the system numbers correspond with the numbers on the pump control panel?

  • Explain and actions taken

  • Are all treating lines constructed to allow flexible movement (90 degree rule) during treatment including a double chicksan configuration for all elevation and direction changes?

  • Explain and actions taken

  • Is the well properly rigged up per EcoStim SOP?

  • Explain and actions taken

  • Is a flapper type check valve installed for each line and as close to the well as possible and at the discharge or each pump?

  • Explain and actions taken

  • <br>If used, is the isolation/plug valve correctly installed in the treating line between the check valve and the manifold? Is it supported/stabilized?

  • Explain and actions taken

  • <br>Is a double valve bleed off installed between the treating line check valve and the wellhead?

  • Explain and actions taken

  • <br>Are the number of lines run to the wellhead adequate for the expected treating rate of the job and are the lines equalized?

  • Explain and actions taken

  • <br>Was a pressure test of the treating lines performed prior to the start of each stage?

  • Explain and actions taken

  • <br>If a PRV is used, is it correctly installed in the main treating line between the check valve and the pump(s) or manifold and is the outlet pointed away from all equipment and personnel or is a variance been obtained for alternative rig-up?

  • Explain and actions taken

  • Was the red button on the pump console tested to kick all pumps into neutral?

  • Explain and actions taken

  • <br>Are all essential personnel in communication with the service supervisor, including controller of the master valve, boost pump operators, etc.?

  • Explain and actions taken

  • Was a pre-pump meeting held utilizing the "Pre-Job Safety and Operations Checklist," and were all items discussed and documented in the well file?

  • Explain and actions taken

  • <br>Have all non-essential engines been shut down?

  • Explain and actions taken

  • <br>Have all trucks on location been inspected for loose hand tools, hoses, etc., before leaving the location?

  • Explain and actions taken

  • <br>Are the proper tools being used for the task?

  • Explain and actions taken

  • <br>Are hoses sufficiently long enough to contact the ground ,providing support and preventing undue stress at he king nipple?

  • Explain and actions taken

  • <br>Are tag lines being used?

  • Explain and actions taken

  • <br>Is the crane being operated in a safe manner? Licensed operator?

  • Explain and actions taken

  • <br>Is a daily crane inspection completed?

  • Explain and actions taken

  • Is a working pressure transducer installed on each pump and was the over-pressure shutdown on each pump tested?

  • Explain and actions taken

  • <br>Are totes properly secured with 2 each 4" nylon straps?

  • Explain and actions taken

  • <br>Have all frac pumps been modified with a 2" x 1" valve and gage port for bleed-off of fluid end?

  • Explain and actions taken

Equipment, Maintenance, & Iron

  • <br>Are all observed pulleys, rotating shafts, belts, chain drives, and sprockets properly guarded?

  • Explain and actions taken

  • <br>Is the interior and exterior of all observed trucks and equipment clean, except what would be expected for this job?

  • Explain and actions taken

  • <br>Is iron being maintained properly?

  • Explain and actions taken

  • <br>Are all hand tools in good condition and replaced/repaired as needed?

  • Explain and actions taken

  • <br>Are all suction hoses at least 150psi rated and in good condition including king nipple?

  • Explain and actions taken

  • Spot-check 2 tractors and verify that the cab book (with all applicable paperwork), ELD, triangles, first aid kit, back-up paper log book, and paper DVIR are present. Capture the mileage as well and place it and the asset numbers inspected in the comment section below along with any missing items needed.

  • Are any vehicles or equipment leaking any type of fluid?

  • Explain and actions taken

  • Have the pumps been greased?

  • Explain and actions taken

  • Are there puddles of grease left on the ground that need cleaned up?

  • Explain and actions taken

  • Are hoses, used for supercharge, steel reinforced, minimum 250 psi rated, with swaged connections and in good condition? (NO banded connections)

  • Explain and actions taken

  • <br>Are hose covers being used on all discharge/supercharge hoses transferring or pumping acid or flammable fluids?

  • Explain and actions taken

  • Are all affected hoses, iron, valves, etc. properly secured and supported?

  • Explain and actions

  • <br>Is the crane properly marked with its rated capacity?

  • Explain and actions taken

  • <br>Are all observed chain, wire rope, slings, etc., in good condition and marked with their rated capacity?

  • Explain and actions taken

  • Does all iron have the correct 6 month color band on them?

  • Explain and actions taken

  • Are all plug valves greased per SOP?

  • Explain and actions taken

  • Is all bad iron removed and tagged and brought back to the yard?

  • Explain and actions taken

  • Are all observed end devices including hooks and safety latches in good condition?

  • Explain and actions taken

  • Are the crane controls clearly and properly marked and the load chart legible?

  • Explain and actions taken

  • <br>Are all unused 4" supercharge unions on the blender and manifold trailer capped with 4" caps and hammer tightened?

  • Explain and actions taken

Technical

  • <br>Were all pre-job QC bucket tests performed, documented and communicated to the customer prior to the job?

  • Explain and actions taken

  • <br>Was the densitometer sand count <3% from actual volumes?

  • Explain and actions taken

  • <br>Was the chemical pump count variances <3% from strapped volumes?

  • Explain and actions taken

  • <br>Are all pumps properly primed in accordance with EcoStim standards?

  • Explain and actions taken

  • <br>Are before and after chemical inventories taken and the volume of all chemicals used documented and accounted for in the job packet?

  • Explain and actions taken

Energized Treatments

  • <br>Is all N2 equipment rigged up properly?

  • Explain and actions taken

  • Add signature

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.