Information

  • Lead operator

  • Superintendent

  • Conducted on

  • Location
  • The evaluator believes the information contained within this report to be correct at the time of printing. The evaluator does not accept responsibility for any consequences arising from the use of the information herein. The report is based on matters which were observed or came to the attention of the evaluator during the day of the assessment and should not be relied upon as an exhaustive record of all possible or potential improvements that can be made.

Observation Cards (BBS)

  • Has each person working on location tuned in at least on BBS card in the last seven days?

Daily Paperwork

  • Have all preventative maintenance reports been completed?

  • Day

  • Swing

  • Night

  • Has each person on site reviewed and signed a task specific JSA for the current shift?

  • Has the daily operations report (DOR) been properly filled out with all information?

  • Has a fluid transfer form been completed for each transfer?

Incidents

  • Where there any spills?

  • Where there any injuries?

  • Where there any property damages?

  • Where there any near misses?

Housekeeping

  • Is the bunk/staff house clean and orderly?

  • Is the crew truck clean and orderly?

  • Is each piece of field equipment clean and orderly? MCU, MDU, SMD, DWT, etc.

  • Is the overall condition of the backyard clean and orderly?

Customer Satisfaction

  • Did the customer have any complaints or issues that we're not resolved to their satisfaction?

Invoicing

  • Have all invoices been signed/stamped within 48 hours of receiving?

  • Lead operator

  • Superintendent

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.