Information

  • Prepared by

  • RIG #

  • Drilling/Servicing Company Name:

  • TOOL PUSHER:

  • Operations:

  • START DATE:

  • COMPLETION DATE:

  • References:

    29 CFR 1910, Code of Federal Regulations, Safety & Health Regulations for General Industry
    29 CFR 1926, Subpart P, Code of Federal Regulations, Safety & Health Regulations for Construction, Excavations and Trenching
    API Spec 4F, Specification for Drilling & Well Servicing Structures, 2nd Edition - 2001
    API RP 4G, Recommended Practice for Maintenance & Use of Drilling and Well Servicing Structures, 3rd Edition - 2004
    API RP 9B, Recommended Practice on Application, Care and Use of Wire Rope for Oilfield Service, 11th Edition - 2002
    API RP 49, Recommended Practice for Drilling and Well Servicing Operations Involving Hydrogen Sulfide, 2nd Edition - 2001
    API RP 53, Recommended Practice for Blowout Prevention Equipment Systems for Drilling Wells, 3rd Edition - 1997
    API RP 54, Recommended Practice for Safety & Health for Oil & Gas Well Drilling and Servicing Operations, 3rd Edition – 1999.
    API RP 67, Recommended Practices for Oilfield Explosives Safety. 1st Edition – 1994.
    API RP 68, Recommended Practice for Oil & Gas Well Servicing and Workover Operations Involving Hydrogen Sulfide, 1st Edition -
    1998
    API RP 500, Recommended Practice for Classification of Locations for Electrical Installations at Petroleum Facilities, 2nd Edition –
    1997
    API RP 2003, Protection against Ignitions Arising out of Static, Lightning, and Stray Currents, 6th Edition – 1998.
    ANSI B30.*, American National Standards Institute, Various crane (*type) standards
    ANSI B56.1, American National Standards Institute, Safety Standard for Low Lift and High Lift Trucks, 1993 edition ANSI B56.6, American National Standards Institute, Safety Standard for Rough Terrain Forklift Trucks, 2002 Edition ANSI Z358.1, American National Standards Institute, Emergency Eyewash & Shower Equipment, 2004 Edition.

  • Legend:

    “Yes” – Satisfactory Condition Response “No” – Unsatisfactory Condition Response N/A – Not applicable
    Standard – Applicable OSHA, API, ANSI or other government or industry recognized standard.
    (H2S ENVIRONMENT) – Applicable only to environments containing Hydrogen Sulfide (H2S) .

1. DRILL SITE/LOCATION

  • 1. Authorized Personnel Sign Posted at entrance to site <br>1910.145(c)(2)(i) RP54 7.1.2-3

  • 1 A. Visible rig identification sign erected at entrance to site road<br>and at all directional changes on site road (for 911 services) 1910.151(a)<br>

  • 2. Hard Hat/Safety Glasses/Steel Toe Shoe Signs Posted at<br>entrance to site and other prominent locations on site. <br>1910.145(c)(3)

  • 3. No Smoking Area’s Designated & Posted RP54 7.1.2-3<br>1910.145(c)(2)(i)<br>

  • 4. No Parking within 100 ft of the rig.<br>RP54 6.1.15<br>RP49 8.1<br>RP68 8.1<br><br>

  • (H2S ENVIRONMENT)<br>5. H2S warning signs erected, if applicable, at entrance to site<br>and at other prominent locations on site. 1910.145(c)(2)(i)<br>1910.1000(e)<br>1910.1200(f)(5-6) RP54 7.1.2-3<br>RP49 5.1<br>RP68 6.9<br>

  • (H2S ENVIRONMENT)<br>6. H2S monitoring devices in use, if applicable<br>1910.1000(e) RP49 6.2-3<br>RP68 6.2-3<br>

  • (H2S ENVIRONMENT)<br>6 A. H2S monitoring equipment properly maintained & calibrated. RP49 6.5<br>RP68 6.4

  • (H2S ENVIRONMENT)<br>7. Positive pressure/pressure demand breathing apparatus with full<br>face piece used while working in areas where atmospheric concentrations exceed 10 ppm (H2S) or 2 ppm (SO2).<br> RP49 6.6.1<br>RP68 6.5<br><br>

  • (H2S ENVIRONMENT)<br>7 A. Emergency escape air packs and life lines are readily and<br>quickly available, if applicable.<br>1910.134(d)(2)(i) RP49 6.6.2<br>RP68 6.5.1, 6.7<br><br>

  • (H2S ENVIRONMENT)<br>8. Emergency escape air packs properly maintained and fully<br>charged. RP49 6.6.2<br>RP 68 6.5.1, 6.7<br><br>

  • (H2S ENVIRONMENT)<br>8 A. Emergency escape air packs stored in a convenient, clean and sanitary location RP49 6.6.2<br>RP68 6.5.1, 6.7<br><br>

  • (H2S ENVIRONMENT)<br>8 B. Standby rescue person with suitable rescue equip. & appropriate<br>breathing apparatus provided. RP68 6.6, 6.7<br><br>

  • 9. Escape wire flagged with visible material. <br>RP4G 14.5.f

  • 10. Outhouse/restroom facility provided or in close proximity to the<br>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)<br>1910.141(c)(1)(i)<br>

  • 11. Outhouse clean and sanitary, if provided.

  • 12. Hard hats & Safety glasses available for visitors.<br>1910.132(a)

  • 13. Toolpusher’s trailer grounded. RP54 6.1.16

  • 14. Toolpusher’s trailer securely positioned RP54 6.1.16

  • 15. Housekeeping 1910.22(a)(1) RP54 6.5.1

  • 16. Distance from overhead powerlines GT 10 ft.<br> RP54 10.1.1

  • 17. Toolpusher at rig location.

  • 18. Muster area designated. 1910.38(c)(4)

  • 18 A. Muster area posted.<br>1910.145(c)(3)

  • 19. Visitor tracking system.<br>1910.38(c)(4)

  • 19 A. Sign posted directing visitors to report to the tool pusher upon<br>entry.<br>1910.145(c)(3)<br>

  • 20. Warning sign clean and visible?

  • 21. All vessels labeled as to their contents.<br>1910.1200(f)(4-5)

  • 22. Supply storage house clean.<br>1910.22(a)(1) RP54 6.5.1

  • (H2S ENVIRONMENT)<br>23. Wind Sock available.<br>RP49 8.2.3<br>RP68 6.8, 8.2.4<br>

  • 24. Evacuation/All-clear alarms.<br>1910.38(d)

  • 25. Hazardous locations identified.<br>1910.1200(f)(5-6)

  • COMMENTS:

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2. TRAINING, PPE & GENERAL SAFETY

  • 1. First Aid Training provided.<br>1910.151(b) RP54 4.3.1

  • 1 A. Certification Card(s) available.<br>RP54 4.3.1

  • (H2S OR ENVIRONMENT) <br>2. H2S Training provided, if applicable

  • (H2S ENVIRONMENT) <br>2 A. Certification Card(s) available<br>RP49 5.6<br>RP68 5.7<br>

  • (H2S ENVIRONMENT)<br>2 B.H2S training documentation of rig personnel available.<br>RP49 5.6<br>RP68 5.7<br>

  • (H2S ENVIRONMENT)<br>2 C. Onsite H2S safety review conducted.<br>RP68 5.6

  • (H2S ENVIRONMENT)<br>2 D. H2S training drills conducted on a regular basis<br>RP49 7.9, 10.7<br>RP68 7.10, 11.5<br>

  • 3. Pre-tour safety meetings conducted.<br>RP54 6.1.7

  • (H2S ENVIRONMENT)<br>4. Special safety meetings conducted when H2S/SO2 present.<br>RP49 11.10.1b<br>RP68 10.2.2.7b<br>

  • 5. Safety meetings properly documented.<br>RP54 6.1.7

  • 6. Accidents, if any, are discussed during safety meetings.<br>RP54 6.1.7

  • 7. OSHA poster posted.<br>1903.2(a)(1)

  • 8. Pre-Job safety meeting held.<br>RP54 6.1.7<br>

  • 9. Safety equipment available.<br>1910.132(a)

  • 10. Proper clothing worn by crew (No loose clothing).<br>RP54 5.2.5<br>RP54 5.2.6<br>1910.132(a)<br><br>

  • 11. Hard hats used by crew.<br>RP54 5.2.1<br>1910.135(a)(1-2)

  • 12. Safety glasses used by crew.<br>RP54 5.2.2<br>1910.133(a)(1-5)<br>

  • 13. Hard toed shoes used by crew.<br>RP54 5.2.3<br>1910.136(a)

  • 14. Jewelry not worn by crew<br>RP54 5.2.7<br>

  • 15. Fall protection used, when required<br>RP54 5.5.1<br>

  • 16. No Smoking rules observed.<br>RP54 7.1.3<br>

  • 17. OSHA Log available on location. (AMOUNT OF) accidents during<br>current year (OFFICE)<br>1904.29(a-b)<br>1904.40(a-b)<br>

  • 17 A. Injuries reported and documented immediately.<br>RP54 4.1.1-2<br>

  • 18. First Aid Kit/Bloodborne Pathogen Kit available on site.<br>1910.151(b) RP54 4.3.2<br>

  • 20. Emergency phone numbers posted.<br>RP54 4.2.1<br>RP49 7.6<br>RP68 7.7<br>

  • 20 A. Provisions made for prompt medical attention for serious<br>injuries.<br>1910.151(a) RP54 4.2.2<br>

  • 22. SDS’s available and accessible at all times.<br>RP54 6.1.12<br>1910.1200(g)(1)<br>

  • 23. (BBS) STOP program, or equivalent, in use

  • 24. Adequate communication w/other contractors on site

  • 25. Emergency response plan<br>1910.38(b)<br>1910.120(q)(1-2) RP49 7.3-8<br>RP68 7.3-9<br>

  • 26. BOP training provided<br>RP54 6.4.4<br>

  • 27. Written safety program.<br>RP54 6.1.7<br>

  • 28. Hearing protection required. <br>RP54 5.3.1-2<br>1910.95(a)<br>

  • 29. Job Safety Analysis (JSA) conducted for each task

  • 30. SHORT SERVICE EMPLOYEE PROGRAM

  • TYPE:

  • 32. Long Hair contained.<br>RP54 5.2.8<br>

  • 31. All incidents resulting in injuries to employees investigated and<br>documented to prevent recurrence<br>RP54 4.1.3<br>

  • 33. Smoking or open flames not permitted within 20 ft of<br>compressed gases are used or stored<br>RP54 8.3.2<br>

  • 34. Flammable liquids not stored within 50 ft of wellbore<br>RP54 8.4.3<br>

  • 35. Critical Equipment periodically inspected & tested<br>RP54 9.16.1-3<br>

  • COMMENTS:

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3A. MUD PUMP AREA

  • 1. Drive belts and shafts guarded<br>RP54 6.8.2-3<br>1910.219(e)(1-6)<br>1910.219(c)(2)(i)<br>

  • 2. Pony rods guarded<br>RP54 6.8.2-3<br>1910.212(a)<br>

  • 3. Rotating parts guarded<br>1910.212(a)<br>1910.219(i)(2)<br>

  • 4. Head and valve covers fully bolted

  • 5. Shear pin relief valve present and covered<br>1910.169(b)(3)(i-iv) RP54 9.13.11<br>

  • 6. Ends of relief lines, high pressure lines, etc secured<br>RP54 9.13.3<br>

  • 7. Ends of mud vibrator hose snubbed

  • 8. Pressure relief valves<br>1910.169(b)(3)(i-iv) RP54 9.13.2<br>

  • 9. General housekeeping of the area<br>RP54 6.5.1<br>1910.22(a)(1)<br>

  • 10. Adequate lighting provided<br>RP54 9.14.7<br>

  • 11. Approved lighting for the location available<br>1910.307(b)(1) RP500 5.3<br>RP500 10.1-16<br>

  • 12. High pressure fitting used in high pressure system<br>1910.169(b)(3)(i-iv) RP54 9.13.4<br>

  • 13. Discharge lines from relief valves are anchored<br>RP 54 9.13.2<br>

  • 14. Pumps, piping, hoses, valves and other fittings are maintained<br>in good operating condition<br>RP54 9.13.4<br>

  • 15. Pumps, piping, hoses, valves and other fittings not operated at<br>pressures greater than working pressures<br>RP54 9.13.4<br>

  • COMMENTS:

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3B. MUD MIXING AREA

  • 1. Bagged material properly stacked. <br>1910.176(b)<br>

  • 2. Assessment for respirator use conducted, documented and<br>available.<br>RP54 5.4.1<br>1910.134(d)(1-3)<br>

  • 2 A. Adequate personal protective equipment available: select all that apply. RP54 5.2.4 RP54 6.13.2 1910.132(a) 1910.133(a) 1910.134(a)(2) 1910.138(a)(1)

  • Yes - No - N/A

  • other

  • 2 B. Employees using all required PPE<br>1910.132(a)<br>1910.133(a)<br>1910.138(a)(1)<br>

  • 3. Personal protective equipment properly stored<br>RP54 6.13.2<br>1910.132(a)<br>1910.134(h)(2)(i)<br>

  • 3 A. “PPE Required” warning signs erected<br>(Grouped or individual signs)1910.145(c)(2)(i)<br>1910.145(c)(3)<br>

  • 3 B. Chemical hazard warning signs erected<br>1910.145(c)(2)(i)<br>

  • 4. Personal protective equipment properly maintained and in a<br>clean & sanitary condition.<br>RP54 6.13.2<br>1910.132(a)<br>1910.134(h)(1)<br>

  • 5-1. Eye wash station available in close proximity (10 seconds<br>walking distance from hazard)1910.151(c) Z358.1 5.4.2<br>RP54 4.4.1<br>

  • 6. Eye wash station/emergency shower in working order<br>1910.151(c)<br>

  • 7. Eye wash station/emergency shower in a clean & sanitary<br>Condition<br>1910.141(a)(3)(i)<br>

  • 8. Eye wash station/emergency shower providing clean water<br>Supply<br>1910.141(b)(1)(i)<br>

  • 9. Adequate ventilation in the area

  • 10. Elevated loading door opening protected<br>1910.23(c)(1)<br>

  • 11. Approved lighting for the location available<br>1910.307(b)(1) RP500 5.3<br>RP500 10.1-16<br>

  • 12. Adequate lighting provided<br>RP54 9.14.7<br>

  • 13. General housekeeping<br>RP54 6.5.1<br>1910.22(a)(1)<br>

  • COMMENTS:

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3C. MUD TANKS & PITS

  • 1. Adequate stairs with handrails<br>1910.24(h)<br>1910.23(d)(1)<br>

  • 2. Adequate walkways and guardrails<br>1910.23(c)(1)<br>

  • 3. Guardrails installed on all raised platforms, walkways, etc<br>above 48”<br>1910.23(c)(1)<br>1910.23(d)(1)<br>

  • 4. Walkways free from obstruction and/or damage<br>1910.23(c)(1)<br>

  • 5. Guardrails provided on crossovers<br>1910.23(c)(1)<br>

  • 6. “PPE Required” warning signs erected<br>(grouped or individual signs)<br>1910.145(c)(2)(i)<br>1910.145(c)(3)<br>

  • 6 A. Chemical hazard warning signs erected<br>1910.145(c)(2)(i)<br>

  • 7. Shale shaker properly guarded<br>1910.23(c)(3)<br>

  • 8. Explosion proof equipment, fixtures and wiring used in the<br>Vicinity of the shale shaker. Class 1 Div 1/2 Location<br>1910.307(b)(1-3) &<br>subsections<br>1910.307(c) RP500 5.3<br>RP500 10.1-16<br>RP 54 9.14.8<br>

  • 9. Agitator shafts & couplings properly guarded<br>1910.219(c)(2)(i)<br>

  • 10. Mud guns properly secured<br>RP54 9.11.2<br>

  • 11. Jetting hoses properly secured<br>RP54 9.11.2<br>

  • 12. Desander Unit in good condition

  • 12 A. Explosion proof equipment, fixtures and wiring used in the<br>Vicinity of the Desander. Class 1 Div 2 Location<br>1910.307(b)(1-3) &<br>subsections<br>1910.307(c) RP500 5.3<br>RP500 10.1-16<br>

  • 13. Desilter Unit in good condition

  • 13 A. Explosion proof equipment, fixtures and wiring used in the<br>vicinity of the Desilter<br>Class 1 Div 2 Location<br>1910.307(b)(1-3) &<br>subsections<br>1910.307(c) RP500 5.3<br>RP500 10.1-16<br>

  • 14. Degasser Unit in good condition

  • 14 A. Drive belts and shafts guarded<br>1910.219(e)(1-6<br>1910.219(c)(2)(i)<br>

  • 15. Approved lighting for the location installed<br>1910.307(b)(1)<br>

  • 16. Adequate lighting provided. <br>RP54 9.14.7<br>

  • 17. Assessment for respirator use conducted, documented and<br>Available.<br>RP54 5.4.1<br>1910.134(d)(1-3)<br>

  • 17 A. Adequate personal protective equipment available: RP54 5.2.4 RP54 6.13.2 1910.132(a) 1910.133(a) 1910.134(a)(2) 1910.138(a)(1)

  • Yes - No - N/A

  • OTHER:

  • 17 B. Employees using all required PPE<br>1910.132(a)<br>1910.133(a)<br>1910.138(a)(1)<br>

  • 18. Personal protective equipment properly stored<br>RP54 6.13.2<br>1910.132(a)<br>1910.134(h)(2)(i)<br>

  • 19. Personal protective equipment properly maintained and in a<br>Clean & sanitary condition.<br>RP54 6.13.2<br>1910.132(a)<br>1910.134(h)(1)<br>

  • 20. Stairways and ladders secured<br>RP54 9.3.8<br>

  • 21-1. Eye wash station in close proximity (10 seconds walking<br>distance from hazard)<br>1910.151(c) Z358.1 5.4.2<br>RP54 4.4.1<br>

  • 21-2. Emergency Shower* available in close proximity (10<br>Seconds walking distance from hazard).<br>(* especially when caustic is used, but not limited to)<br>1910.151(c) Z358.1 5.4.2<br>RP54 4.4.1<br>

  • 21 A-1. Eye wash provides a minimum continuous flow of 0.4<br>gallons of water/solution per minute for 15 minutes<br>Z358.1 5.1.6<br>RP54 4.4.1<br>

  • 21 A-2. Emergency Shower provides a minimum continuous flow of<br>20 gallons of water per minute for 15 minutes.<br>Z358.1 4.1.4<br>RP54 4.4.1<br>

  • 21 B. Eye wash/emergency shower location identified with visible<br>sign<br>Z358.1 5.4.3<br>1910.145(c)(2)(i)<br>

  • 21 C. Eye wash/emergency shower access free from obstructions<br>Z358.1 5.4.2<br>RP54 4.4.1<br>

  • 22. Eye wash station/emergency shower in working order<br>1910.151(c)<br>

  • 23. Eye wash station/emergency shower in a clean & sanitary<br>condition<br>1910.141(a)(3)(i)

  • 24. Eye wash station/emergency shower providing a clean water<br>supply<br>1910.141(b)(1)(i)<br>

  • 25. General Housekeeping<br>1910.22(a)(1) RP54 6.5.1<br>

  • 26. All unused floor holes covered<br>1910.23(a)(8)<br>1910.23(a)(9)<br>

  • 27. Electric wiring in good condition 1910.303(b)(1-2)<br>1910.303(c)<br>

  • 28. Data plates on equipment legible<br>

4. MATERIAL HANDELING AND EQUIPMENT

  • 1. Material Handling Equipment (fork lift) operators trained and<br>Certified.<br>1910.178(l)(1-8) B56.6 5.16<br>B56.6 5.17.1-4<br>

  • 1 A. Training & Certification documents available on site<br>1910.178(l)(6)<br>

  • 2. Correct type of Fork Lift, etc in use for the location<br>B56.1 5.2.19<br>B56.6 5.6.2<br>B56.6 6.2.16<br>

  • 3. Fork lift stability during movement or lifting<br>B56.6 5.3.3<br>

  • 4. Fork Lift inspected prior to use per shift and daily <br>1910.178(p)(7) B56.6 6.5.1-2<br>

  • 5. Backup alarm operational<br>B56.1 4.15.1<br>B56.6 5.13.1-2<br>

  • 6. Fork Lift equipped with seat belts<br>B56.1 5.3.19<br>

  • 7. Seat belts in use by operators<br>B56.1 5.3.19<br>

  • COMMENTS:

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5. GENERATOR AREA & ELECTRICAL SYSTEMS

  • 1. Generators properly located 100ft + from wellhead<br>RP54 9.14.2<br>

  • 2. Moving parts guarded<br>1910.212(a)(1)

  • 3. Generators properly grounded<br>RP54 9.14.11<br>

  • 4. Cover panels on electrical control boxes installed and closed.<br>1910.305(b)(2)<br>1910.335(a)(2)(ii)

  • Yes - No - N/A

  • OTHER:

  • 5. All electrical controls marked as to their function and legible.<br>1910.303(f)<br>

  • 6. “HIGH VOLTAGE” warning signs erected<br>1910.145(c)(2)(i)<br>1910.305(b)(2)(ii)<br>

  • 7. Insulating mats available at electrical panels<br>1910.335(a)(2)(ii)<br>

  • 8. All electrical tools grounded<br>1910.304(f)(5)(v)<br>

  • 9. Condition of electrical wiring 1910.303(b)(1-2)

  • Safe - At Risk - N/A

  • OTHER:

  • 10. Electrical wires properly strung 1910.305(a)(2)(iii) RP54 10.2.3

  • Safe - At Risk - N/A

  • 10 A. Electrical wiring properly secured RP54 9.13.3

  • Safe - At Risk - N/A

  • OTHER:

  • 10 B. Overload protection installed on all generators<br>RP54 9.14.3<br>

  • 11. Unused electrical outlets covered 1910.305(b)(1-3)

  • Safe - At Risk - N/A

  • OTHER:

  • 12. Air compressors properly guarded<br>1910.212(a)(1)<br>

  • 13. Air storage tanks equipped with relief valve<br>1910.169(b)(3)(i-iv)<br><br>

  • 14. Lockout/Tag out devices available<br>RP54 6.9.1<br>RP54 9.14.9<br>

  • 15. “Hearing Protection Required” warning signs erected.<br>1910.145(c)(2)(i)<br>

  • 16. Hearing protection available<br>1910.95(a)<br>

  • 17. Adequate lighting installed<br>RP54 9.14.7<br>RP54 9.14.4<br>1910.303(h)(3)(ii)<br>1910.303(g)(1)(v)<br>

  • 18. Approved lighting for the location provided.<br>(Class 1 Div 2 Location under worst case condition)<br>1910.307(b)(1)<br>RP54 9.14.10<br>RP500 5.3<br>

  • 19. General Housekeeping<br>RP54 6.5.1<br>

  • 20. (V.F.D) House, if available, in good condition<br>

  • 21. Equipment properly classified for the location<br>1910.307(b)(1-2)<br>RP54 9.14.6<br>RP54 10.2.1<br>RP500 5.3<br>RP500 6.1-2<br>

  • 22. Electrical wiring/fixtures/etc approved for the location (Cl 1<br>Div 1 or 2 location) (Based on worst condition scenario)<br>RP54 10.2.1<br>1910.307(b)(1-2) RP500 5.3<br>RP500 6.1-2<br>

  • 23. Wires not running along the ground<br>RP54 10.2.3<br>1910.305(a)(1)(iii)(G)<br>

  • 24. Wires not spliced RP54 10.2.4 1910.305(g)(2)(ii)

  • Safe - At Risk - N/A

  • Other:

  • 25. All light fixtures properly protected from damage<br>1910.307(b)(1-2)<br>

  • 26. Receptacles and plugs in good condition 1910.303(b)(1)

  • Safe - At Risk - N/A

  • Other:

  • 27. Water hose used for washing area kept away from generator<br>skid<br>

  • 28. Generator skid door props properly pinned<br>

  • 29. Fire extinguishers rated for electrical fires (B-C)<br>1910.157(d)(1)<br>

  • 30. Fire extinguishers located properly<br>1910.157(c)(1)<br>

  • 31 A. Electrical extension cords properly insulated 1910.303(b)(1)(iii) RP54 9.14.5

  • Safe - At Risk - N/A

  • Other:

  • 31 B. Plugs of electrical extension cords in good condition 1910.303(b)(1) RP54 9.14.5

  • Safe - At Risk - N/A

  • Other:

  • 32. Electrical cords, fixed or extension, not run through doorways<br>1910.305(a)(2)(iii)(G)<br>1910.305(g)(1)(iii)(C)<br>

  • Other:

  • 33. Electric cord and cable strain relief 1910.305(g)(2) (iii)

  • Safe - At Risk - N/A

  • Other:

  • COMMENTS:

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6. FIRE PROTECTION

  • 1. B/C class fire extinguishers available<br>RP54 7.2.4<br>RP54 7.2.5<br>

  • 2. Adequate number of fire extinguishers available<br>1910.157(d)(2-6) RP54 7.2.4<br>RP54 7.2.5<br>

  • 3 A. Fire extinguishers properly charged<br>1910.157(c)(4)<br>

  • 3 B. Fire extinguishers with equipped with gauges<br>1910.157(c)(4)<br>

  • 4. Fire extinguishers properly located and in/at their assigned<br>Locations.<br>1910.157(c)(1)<br>1910.157(c)(4) RP54 6.5.5<br>RP54 7.2.2<br>RP54 12.1.3<br>

  • 4 A. Employees properly trained to operate fire extinguishers<br>1910.157(g)(1)<br>1910.157(g)(2)<br>

  • 5. Ignition source contained

  • 6. Flammables stored in UL listed safety cans<br>1910.106(d)(2) RP54 8.1.1<br>

  • 7. No Smoking rules enforced<br>RP54 7.1.2-6<br>

  • 8. Flare area, if present, is clear of combustibles<br>RP53 15.11<br>RP49 8.2.6<br>RP68 8.2.8<br>

  • 8 A. Flare Lines & Flare Stack location based on prevailing wind<br>Direction.<br>RP49 8.2.6<br>RP68 8.2.8<br>

  • 9. Fire extinguishers tagged and/or inspection data logged into<br>database<br>1910.157(e)(1-5) RP54 7.2.3<br>RP54 7.2.7<br>

  • 10. Fire extinguisher location easily identified<br>1910.157(c)(1) RP54 6.5.5<br>RP54 7.2.2<br>

  • 11. Welding work performed safely<br>RP54 7.2.6<br>

  • 12. Spark and heat arrester, or water, on all engine exhausts<br>RP54 9.15.3<br>

  • 13 A. All engines located approx 100 ft from the well or gas source, if possible<br>RP54 9.14.2<br>RP54 9.15.3<br>

  • 13 B. All engines located approx 50 ft from the well or gas source, if<br>possible<br>RP54 9.15.3<br>

  • COMMENTS:

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7. FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS, Including FRAC TANKS, & NON-FLAMMABLE STORAGE TANKS Section

  • 1. Fuel storage tanks properly located<br>RP54 8.3.5<br>1910.106(b)<br>

  • (H2S OR SO2 ENVIRONMENT)<br>1 A. H2S precautions enacted<br>RP49 10.4<br>RP68 10.2.4<br>

  • 2. All storage valve connections identified as to their function<br>1910.106(b)<br>

  • 3. Discharge nozzles in good condition<br>1910.106(b)<br>

  • 4. Discharge hoses in good condition<br>1910.106(b)<br>

  • 5. Discharge valves in good condition<br>1910.106(b)<br>

  • 6. ABC Class fire extinguisher available and identified<br>RP54 8.4.1e<br>1910.157(c)(1)<br>1910.157(d)(1)<br>

  • 7. Piping and fuel lines in good condition<br>1910.106(b)<br>

  • 8. Stationary ladders on storage tanks in good condition<br>1910.27(f)<br>

  • 9. Adequate lighting provided<br>RP54 9.14.7<br>

  • 10. Approved lighting for the location installed<br>1910.307(b)(1) RP500 5.3<br>RP500 10.1-16<br>

  • 11. Fuel tanks properly labeled on all sides<br>RP54 8.4.1d<br>1910.1200(f)(4-5)<br>

  • 12. “Flammable” warning signs erected on all sides<br>1910.145(c)(2)(i)<br>1910.1200(f)(5-6) RP54 7.1.2-6<br>RP54 8.4.1d<br>

  • 13. “No Smoking” signs erected on all sides<br>RP54 7.1.2-6<br>1910.145(c)(2)(i) RP54 8.4.1d<br>

  • 14. “No Open Flame” signs erected on all sides<br>RP54 7.1.2-6<br>1910.145(c)(2)(i) RP54 8.4.1d<br>

  • 15. Vapor release vents elevated & away from ignition sources<br>1910.106(b)(2)(iv)(c)<br>1910.106(b)(2)(v)(g)<br>

  • 16. General housekeeping<br>RP54 6.5.1<br>1910.22(a)(1)<br>

  • 17. Grass & debris kept away from area<br>RP54 6.5.1<br>

  • 18. Protective caps on all fuel cylinders<br>RP54 8.3.3<br>

  • 19. Fuel & Flammable Storage tanks ESD protected: RP2003 4.5.2

  • Safe - At Risk - N/A

  • 20. Contents of NON-FLAMMABLE storage tanks identified on<br>all sides of tank(s)<br>1910.145(c)(2)(i)<br>1910.145(c)(3)<br>

  • COMMENTS:

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8. PIPE RACK AREA

  • 1. Ends of pipe racks properly chocked<br>1910.176(b) RP54 9.12.3<br>

  • 2. Spacers used to separate layers of pipe<br>1910.176(b) RP54 9.12.5<br>

  • 3. Layers of pipe properly chocked<br>1910.176(b) RP54 9.12.3<br>

  • 4. Pipe racks are level and stable<br>

  • 5. Pipe rack catwalk in good condition<br>

  • 6. Pipe rack and catwalk at same height<br>

  • 7. Stairs with handrails provided<br>1910.24(h)<br>

  • 8. V-door slide in good condition<br>

  • 9. Pipe stops used on V-door slide in good condition<br>

  • 10. Pipe tubs and bridles in good condition<br>

  • 11. Derrick stand and ladder in good condition<br>1910.27<br>

  • 12. Dead end of drilling line anchored to pedestal <br>RP9B 3.3.9<br>

  • 13. Employees not permitted on top of pipe<br>

  • 14. Adequate lighting provided<br>RP54 9.14.7<br>

  • 15. Approved lighting installed<br>1910.307(b)(1) RP500 5.3<br>RP500 10.1-16<br>

  • 16. General housekeeping<br>1910.176(c) RP54 6.5.1<br>

  • COMMENTS:

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9. BLOW-OUT PREVENTERS

  • 1. BOP properly installed<br>RP54 <br>

  • 2. BOP properly tested<br>Input date and results on cover page<br>RP54 6.4.1<br>RP54 6.4.13<br>

  • 3. BOP functional

  • 4. All lines, valves, check valves, flow fittings, etc have a<br>working pressure ET/GT the rated working pressure of the rams in use<br>RP53 10.2.1<br>

  • 5. BOP stack properly stabilized<br>RP54 <br>

  • 6. All hydraulic lines connected<br>RP54 6.4.18<br>

  • 7. All unused hydraulic lines capped and secured<br>RP54 6.4.18<br>RP53 10.2.1i<br>

  • 8. Accumulator unit properly located<br>RP54 7.2.2<br>

  • 8 A. Accumulator bottles labeled with contents<br>1910.1200(f)(5-6)<br>

  • 8 B. Accumulator operational warning signs erected<br>1910.145(c)(2)(i)<br>

  • 9. Accumulator valves in appropriate position, open or closed<br>RP54 7.2.2<br>

  • 9 A. Accumulator valves identified as to purpose and position<br>RP54 7.2.2<br>RP53 12.5.3f<br>

  • 10. Gauges properly installed & located<br>RP53 8.2i<br>

  • 11. Choke manifold and line secured<br>RP54 6.4.18<br>

  • 11 A. Choke manifold accessible<br>RP53 8.2c<br>

  • 13. Pilot light used<br>

  • 14. Adequate lighting provided<br>RP54 9.14.7<br>

  • 15. Approved lighting for the location installed<br>1910.307(b)(1) RP500 5.3<br>RP500 10.1-16<br>

  • 16. Warning signs erected 1910.145(c)(2)(i) RP54 7.1.2-3

  • Yes - No - N/A

  • 17. Proper drainage provided<br>RP54 6.5.2<br>

  • 18. General housekeeping<br>RP54 6.5.1<br>1910.22(a)(1)<br>

  • 19. Hydraulic controls accessible<br>RP53 8.2j<br>

  • 20. Gauges in working order<br>RP53 8.2i<br>RP53 12.5.3g<br>

  • 21. Hydraulic lines protected<br>RP53 12.5.2<br>

  • 22. BOP Control Lines & Valves identified<br>RP54 6.4.11<br>RP53 12.5.3f<br>

  • 23. Preventer work boards secure<br>1910.28(a)(11)<br>

  • 24. Daily inspections of the BOP’s conducted<br>RP54 6.4.7<br>

  • 25. Complete set of spare parts maintained & readily available<br>RP53 6.4<br>

  • COMMENTS:

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10. DERRICK & SUBSTRUCTURE

  • 1. Derrick/A-Frame assembly pins in place<br>RP54 9.2.8<br>

  • 2. Assembly pins secured with keepers<br>RP54 9.2.8<br>

  • 3. Substructure assembly pins in place<br>RP54 9.2.8<br>

  • 4. Substructure assembly pins secured with keepers<br>RP54 9.2.8<br>

INTERNAL LOAD GUYS

  • 6. Drilling line installed properly on anchor and keyed<br>

  • 7. Rotary beams and all braces are in good condition<br>

  • 8. Manufacturer’s specification/operation plate attached to<br>derrick<br>RP54 9.2.2<br>

  • 9. Damage and/or corrosion to derrick (waste metal)<br>RP54 9.16.1<br>

  • 10. Damage and/or corrosion to substructure (waste metal)<br>RP54 9.16.1<br>

  • 11. Condition of derrick ladder<br>RP54 9.3.1-2<br>

  • 12. Climb assist device available<br>1910.27(d)(5)<br>

  • 13. Climb assist device used by derrick man.<br>1910.27(d)(5)<br>

  • 14. Climb assist device in good condition<br>1910.27(d)(5)<br>

  • 15. Full body harness with lanyard available<br>1910.132(c) RP54 5.5.1<br>

  • 16. Full body harness w/ lanyard in good condition<br>1910.132(c) RP54 5.5.1<br>

  • 17. Fall protection devices in use<br>1910.132(c) RP54 5.5.1<br>

  • 17 A. “Fall Protection Required” warning signs erected<br>1910.145(c)(2)(i)<br>

  • 18. Derrick boards in good condition<br>RP54 9.2.17<br>

  • 19. Guardrails installed on derrick board<br>RP54 9.3.17<br>RP54 5.5.1<br>

  • 20. Pipe fingers in good condition<br>RP54 9.2.17<br>

  • 21. Derrick board walk around platform in good condition, if<br>available<br>

  • 22. Finger board in good condition<br>RP54 9.2.17<br>RP54 9.3.16<br>

  • 23. Finger board safety cable attached<br>

  • 24. Crown guardrails installed<br>RP54 9.3.17<br>1910.23(c)(1)<br>

  • 25. Rod basket<br>

  • 26. Manual latch dog extension/retraction device in operating<br>condition<br>

  • 27. Latch dog visually inspected prior to loading derrick<br>

  • 28. Scoping ram stabilizers in good condition<br>RP54 9.2.4<br>

  • 29. Crown sheave guards in place<br>RP54 9.7.5<br>

  • 30. Cracks, metal fatigue or wear evident at hinge points<br>RP54 <br>

  • 31. Safety retainers in use on hinge pins<br>RP54 9.2.8<br>

  • 32. Derrick locking pins in place with safety pins<br>RP54 9.2.8<br>

  • 33. Derrick hydraulic system free of leaks<br>

  • 34. Dead line properly anchored<br>RP54 9.6.5<br>RP9B 3.3.9<br>

  • 35. Booms and boom lines in good condition<br>

  • 36. Adequate lighting provided<br>RP54 9.14.7<br>

  • 37. Approved lighting for the location installed<br>1910.307(b)(1) RP500 5.3<br>RP500 10.1-16<br>

  • 38. Derrick emergency escape line installed<br>RP54 6.10.1<br>

  • 39. Geronimo on-line and ready for immediate access and use.<br>RP54 6.10.1<br>

  • 40. Emergency escape line adequately anchored, per<br>Manufacturer’s specifications, in a clear area away from the rig.<br>RP54 6.10.1<br>

  • 41. Tools secured at elevated levels<br>RP54 9.2.13<br>

  • 42. Mud standpipe secured<br>

  • 43. Mud hose snubbed at both ends<br>

  • 44. All air purged from hydraulic raising cylinder<br>

  • 45. Lower and upper substructures properly bolted together<br>

  • COMMENTS:

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11. DRILL FLOOR AREA

  • 1. Drill floor in good condition<br>

  • 2. Guardrails installed along open edges of drill floor<br>RP54 9.3.17<br>1910.23(c)(1)<br>

  • 3. Controls adequate if guard not used<br>RP54 9.8.3<br>

  • 4. Non skid material used around rotary<br>RP54 9.3.11<br>

  • 5. All unused floor holes covered<br>1910.23(a)(8-9) RP54 9.1.1<br>RP54 9.3.20<br>RP54 9.3.21<br>

  • 6. Driller at or near controls<br>RP54 9.4.4<br>

  • 6 A. Weight indicator installed<br>RP54 9.10.1<br>

  • 6 B. Weight indicator visible to brake operator<br>RP54 9.10.3<br>

  • 7. Drillers controls properly labeled/identified<br>

  • 8. Pipe slips & Dies in good condition<br>RP54 9.9.2<br>

  • 9. Racking floor area in good condition<br>

  • 10. V-door gate or chain provided and in place<br>1910.23(c)(1)<br>

  • 11. Air hoist line in good condition<br>RP9B 3.2.7<br>

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  • 12. Air hoist line guide in operating condition<br>

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  • 13. Air hoist line properly layer/wound on drum<br>RP9B 3.3.3<br>

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  • 14. Air hoist line properly guarded<br>1910.212(a)(1)<br>

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  • 15. First aid kit available in drill floor doghouse<br>1910.151(b)<br>

  • 16. Drill floor doghouse doors installed properly<br>1910.36(e)(2)<br>

  • 17. Minimum 2 exits from drill floor doghouse<br>1910.36(b)(1)<br>

  • 18. Kelly cock wrench and safety valve accessible<br>

  • 19. Sliding section equipped with stops or pins<br>RP54 9.3.13<br>

  • 20. Headache post in good condition<br>RP54 9.5.8<br>

  • 21. Anti-two blocking device installed and operational<br>RP54 9.2.16<br>RP54 9.4.8<br>

  • 22. Drilling line in good condition<br>RP9B 3.3.3<br>RP9B 3.3.10<br>

  • 23. Kill switch/Kill line system functional<br>RP53 10.1-4<br>

  • 24. Draw works properly guarded<br>RP54 9.4.2<br>RP54 9.6.4<br>

  • 25. Sufficient wraps left on drum with blocks in down position<br>RP9B 3.3.10(b)<br>

  • 26. Proper lay of drill line on reel<br>RP9B 3.3.10(b)<br>

  • 27. Draw works Hydraulic or Hydromantic brakes<br>

  • 28. Draw works brake linkage<br>

  • 29. Work floor secured in up position with positive engagement<br>RP54 9.3.15<br>

  • 30. Support/suspension pins installed with keepers<br>RP54 9.3.13<br>

  • 31. Drill floor level<br>

  • 32. Adequate lighting provided<br>RP54 9.14.7<br>

  • 33. Appropriate lighting installed<br>1910.307(b)(1) RP500 5.3<br>RP500 10.1-16<br>

  • 34. General housekeeping<br>RP54 6.5.1<br>1910.22(a)(1)<br>

  • COMMENTS:

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12. POWER AND HAND TOOLS

  • 1. Makeup and breakout tongs in good condition<br>

  • 2. Tong snubbing lines in good condition<br>RP54 9.9.6<br>

  • 3. Tong snubbing line clamps in good condition and installed<br>properly<br>

  • 3 A. Tong vertical support line clamps in good condition and<br>installed properly<br>RP9B 3.7.4<br>

  • 4. Tong counterweights installed<br>

  • 5. Tong counterweights operational<br>

  • 6. Tong body & jaws in good condition<br>RP54 9.9.7<br>

  • 7. Tong safety handle pins secured<br>

  • 8. Tong dies sharp<br>RP54 9.9.7<br>

  • 9. Tong die keeper used<br>RP54 9.9.7<br>

  • 10. Tong stiff arm available and operational<br>RP54 9.9.4<br>

  • 11. Tong positioned in good condition<br>

  • 11 A. Tong motion controlled<br>

  • 12. Tong doors/safety gate<br>RP54 9.9.7<br>

  • 13. Condition of tong jerk line(s)<br>RP54 9.9.6<br>

  • 14. Condition of hand tools<br>RP54 6.8.6<br>

  • 15. Cleanliness of hand tools<br>

  • 16. Hand tools stored properly<br>

  • 17. Bench grinder in good condition<br>1910.215(a)<br>

  • 18. Bench grinder wheels properly guarded<br>1910.215(b)<br>

  • 19. Bench grinder rest spacing – 1/8” from wheel<br>1910.215(b)(4)<br>

  • 20. Face shield available when using bench grinder<br>1910.212(a)(1)<br>

  • 21. “Iron Roughneck” used<br>

  • 22. IR dies sharp<br>RP54 9.9.7<br>

  • 23. IR die keeper used<br>RP54 9.9.7<br>

  • 24. IR body & jaws in good condition<br>RP54 9.9.7<br>

  • 25. IR hydraulic system leaks<br>RP54 9.9.9<br>

  • 26. PT body & jaws in good condition<br>RP54 9.9.8<br>

  • 27. PT hydraulic system has no leaks<br>RP54 9.9.9<br>

  • 28. Electric hand tools double insulated or grounded<br>RP54 6.8.7<br>1910.304(f)(4)<br>1910.304(f)(5)(v)(C)(3)<br>

  • 28A. Electrical extension cords properly insulated<br>RP54 9.14.5<br>1910.305(g)(2)(ii)<br>

  • 28C. Plugs of electrical extension cords in good condition<br>RP54 9.14.5<br>1910.304(f)(4)<br>1910.305(g)(2)(iii)<br>

  • 29. Guards installed on/over all belts, drive chains, gears and drives<br>RP54 6.8.2<br>

  • 30. Machinery not operated without guards installed<br>RP54 6.8.3<br>

  • 31. “Dead man” switch installed on all Electric and Pneumatic tools<br>RP54 6.8.8<br>

  • COMMENTS:

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13. HOISTING TOOLS, HOOKS, BAILS, ELEVATORS AND OTHER RELATED EQUIPMENT

  • 1. Traveling blocks in good condition<br>RP54 9.7.1<br>

  • 2. Traveling blocks properly guarded<br>RP54 9.7.4<br>

  • 3. Sheave guards in good condition<br>

  • 4. Bales and/or links in good condition<br>RP54 9.7.1<br>

  • 5. Elevators in good condition<br>RP54 9.7.1<br>RP54 9.7.8<br>

  • 6. Crown block assembly secured<br>RP54 9.7.5<br>

  • 7. Transfer elevators in good condition<br>RP54 9.7.1<br>

  • 8. Crew members not permitted to ride traveling block<br>RP54 6.11.1<br>

  • 9. Circulating hose secured to gooseneck and swivel<br>RP54 9.7.7<br>

  • 10. Power swivel secured<br>RP54 9.7.7<br>

  • 11. Hoisting line inspected daily<br>RP54 9.6.1<br>

  • COMMENTS:

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14. STAIRS, LADDERS, HANDRAILS & GUARDRAILS

  • 1. Adequate stairs provided off rig<br>RP54 9.3.10<br>1910.24(b)<br>

  • 2. Stairs level<br>RP54 9.3.9<br>

  • 3. Ladders extend 3.5 ft above platform<br>1910.27(d)(3)<br>

  • 4. Stairs secure<br>RP54 9.3.8<br>

  • 5. No obstructions<br>RP54 9.3.11<br>

  • 6. Adequate handrails provided on stairs with 4 or more risers.<br>RP54 9.3.8<br>1910.24(h)<br>

  • 7. Stair treads of uniform size<br>RP54 9.3.9<br>1910.24(d)<br>

  • 8. Non-skid type stair treads<br>1910.24(f)<br>

  • 9. Stair treads not damaged<br>RP54 9.3.11<br>

  • 10. Guardrails, Midrails, & Toe boards installed along all open side<br>edges of floors, platforms, etc, 4ft above ground level<br>1910.23(c)(1) RP54 9.3.17<br>

  • COMMENTS:

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16. HOTWORK, WELDING & FLAME CUTTING OPERATIONS

  • 1. Written safety work permit system covering welding and<br>flame cutting operations observed<br>RP54 20.1.1<br>1910.252(a)(2)(iv)<br>

  • 2. Certified welders<br>RP54 20.1.4<br>

  • 3. Welding and flame cutting not permitted near explosives,<br>flammables, accumulation of oil, escaping gas or near sources of ignition<br>RP54 20.1.3<br>RP67 2.6.2.2<br>1910.252(a)(2)(vi)<br>

  • 4. Helmets with face shields used during operations<br>RP54 20.2.1<br>1910.252(b)(2)(i)(A-D)<br>

  • 5. Goggles with proper shade selection used<br>RP54 20.2.2<br>RP54 20.2.3<br>1910.252(b)(2)(i)(A-D)<br>

  • 6. Helpers/attendants supplied with and using proper eye<br>Protection.<br>RP54 20.2.4<br>1910.252(b)(2)(i)(A-D)<br>

  • 7. Appropriate protective attire worn for welding and cutting ops.<br>RP54 20.2.6<br>1910.132(a)<br>1910.132(d)<br>1910.132(f)<br>

  • 8. Moveable fire hazards in vicinity of welding ops moved<br>RP54 20.3.1<br>1910.252(a)(2)(vii)<br>

  • 9. Guards used to confine heat, sparks & slag<br>RP54 20.3.3<br>1910.252(a)(1)(ii)<br>

  • 10. Fire extinguishing equipment available<br>RP54 20.3.4<br>1910.252(a)(2)(ii)<br>

  • 11. Fire watch required and trained <br>RP54 20.3.5<br>RP54 20.3.6<br>1910.252(a)(2)(iii)(A)<br>

  • 12. Area inspected by individual responsible for authorizing<br>cutting or welding<br>RP54 20.3.7<br>1910.252(a)(2)(iv)<br>

  • 13. Welding equipment in good condition<br>RP54 20.4.1<br>

  • 14. Approve Oxygen & Acetylene bottle used<br>RP54 20.4.1<br>

  • 15. Oxygen & Acetylene torches equipped with flash back<br>arrestors<br>RP54 20.4.2<br>

  • 16. Cylinders stored in assigned places and secured in place<br>RP54 20.4.3<br>1910.253(b)(2)(ii)<br>

  • 17. Oxygen & Acetylene bottles labeled<br>1910.1200(f)(5-6)<br>

  • COMMENTS:

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17. CONFINED SPACES, EXCAVATIONS & HAZARDOUS ENVIRONMENTS

  • 1. All site personnel notified of the presence H2S, SO2, or other<br>hazardous gases<br>RP54 6.7.1<br>RP49 11.1<br>RP68 12.1<br>

  • (H2S OR SO2 ENVIRONMENT)<br>1 A. Employees trained for H2S, SO2 in confined spaces<br>RP49 5.2<br>RP68 5.2<br>

  • 2. Site evaluated to determine the presence of confined<br>spaces/permit required confined spaces<br>1910.146(c)(1)<br>

  • 3. Confined Space location warning signs erected<br>1910.146(c)(2)<br>1910.145(c)(2)(i)<br>

  • 4. Atmospheric testing of confined space prior to entry<br>RP54 6.7.4(a)<br>1910.146(c)(1)<br>

  • 5. Confined Space Permit Entry System & Procedures<br>1910.146(d)(1-14)<br>1910.146(e)-(l) RP54 6.7.4(b)<br>RP54 6.7.5(b)<br>

  • 6. Excavations, including trenches, deeper than 4 ft or containing<br>hazardous gases tested prior to entry<br>RP54 6.7.5(a)<br>1926.651(g)(1)<br>

  • 7. Emergency Rescue equipment readily available<br>1926.651(g)(2)(i-ii) RP68 6.7<br>

  • 8. Employees protected from cave-ins while in excavations<br>1926.652(a)(1-2)<br>

  • 9. Water in excavation<br>1926.652(h)(1-3)<br>

  • 10. A means of egress from excavation provided<br>1926.651(c)(2)

  • 10. A means of egress from excavation provided 1926.651(c)(2)

  • OTHER:

  • Proper PPE

  • COMMENTS:

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Sign Off

  • Inspected By:

  • On Site Representative:

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