EHS Field Review

• Audit No.

• Audit Title

• Location

• Division

• Conducted on

  Date

• Lead Facilitator

• Review Team

• Prepared by

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

OIMS Implementation

• 1.1: Has the Division implemented the Operations Integrity Management Systems?

  Yes

  No

• 1.1.1: How is the Division staffed/organized to support OIMS implementation?

  Central OIMS Coordinator Only

  EHS Staff Takes The Lead

  Line Management Takes The Lead

  Other

• Other

• 1.1.2: Are the Division’s OIMS resources sufficient?

  Not at all

  Have some - need more

  Fully staffed to meet needs

• Explain:

• 1.1.3: What have you done as a leader to implement OIMS?

  Site Visits

  Contractor Safety Forums

  System Development Committee Participation

  Other

• Other

• 1.1.4: In this area, are there any Division specific OIMS procedures or tools implemented?

  Yes

  No

• List Division Tools:

• List Division Procedures:

• 1.1.5: As a leader, how do you utilize OIMS to encourage safe behaviors?

OIMS Roles & Responsibilities

• 1.2: Has the Division distributed OIMS roles & responsibilities to personnel affected by OIMS systems?

  Yes

  No

• 1.2.1: What training is provided to personnel affected by each OIMS system?

  Their Roles & Responsibilities

  Overview of Process/Procedures

  None

  Other

• Other

• 1.2.2: How are the OIMS requirements communicated to employees and key contractors?

  Safety Meetings

  Contractor Forums

  We Give Them The System To Read

  They Are Not

  Other

• Other

• 1.2.3: Have you or your work team identified & communicated opportunities to improve any OIMS systems?

  Yes

  No

• Describe what the improvement was and how it was communicated:

• 1.2.4: How does construction, drilling, completion, production, gathering, processing, EHS, Regulatory, etc. interface to ensure consistent OIMS implementation between groups?

  Meetings Between Groups

  We Don't

  Not Sure What Is Meant

  Other

• Other

Measuring OIMS Performance

• 1.3: Does the Division measure OIMS performance?

  Yes

  No

• 1.3.1: What are the Operations Integrity goals?

  Reduce Incidents By %

  Improve Contractor Safety

  Other

• Other

• 1.3.2: What are the strategies to meet the goals?

• 1.3.3: How is goal progression measured?

EHS Review Process

• 1.4: Were you involved with any portion of the scheduling of this EHS Review?

  Yes

  No

• 1.4.1: How are reviews scheduled?

• 1.4.2: When was the last EHS Review for this area?

• 1.4.3: What is your role in this Review?

• 1.5: Do you have a process for evaluating and implementing changes recommended through the EHS Review Process?

  Yes

  No

• 1.5.1: What is the processing of communicating and following up on review action items?

• 1.5.2: Have all past action items been tracked to closure?

  Yes

  No

• 1.5.3: Who is accountable for ensuring action items for an EHS Review are completed and signed off on?

  Area Supt

  First Line Supervisor

  EHS

  Other

• Other:

• 1.5.4: Who is accountable for reporting action item progress to area and Division Management?

  Area Supt

  First Line Supervisor

  EHS

  Other

• Other

Other OIMS Management & Assessment Questions

• 1.6: Does your supervisor demonstrate they are committed to working in a safe and responsible manner?

  Yes

  No

• What would they like to see their supervisor do in order to answer yes?

• 1.6.1: What does your supervisor do to demonstrate commitment?

• 1.6.2: What kind of role does your supervisor perform during safety meetings?

  Sits Back & Does Nothing

  Actively Participates

  Takes The Lead During Meeting

  Other

• Other

• 1.6.3: How often do you see your supervisor in the field?

  Never

  Once A Month

  Once A Week

  Daily

  Other

• Other

• 1.6.4: Does your supervisor provide you with the necessary tools and equipment to perform your job safely and efficiently?

  Yes

  No

• Ask what they need in order to answer this question yes.

• 1.6.5: Are incidents that occur within the company, division and area discussed during meetings?

  Yes

  No

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

• 2.1: When designing and/or drilling wells, are approved design practices and standards (SOPs) utilized?

  Yes

  No

• 2.1.1: Do the SOPs meet or exceed regulatory requirements?

  Yes

  No

• 2.1.2: Where SOPs are not required by regulation, are there responsible requirements in place to protect personnel and the environment?

  Yes

  No

• 2.1.3: Do SOPs comply with the overarching Drilling SOP in OIMS?

  Yes

  No

• 2.2: If deviating from approved design practices or SOPs, how do you go about receiving approval?

  Answer

  N/A

• 2.2.1: How is this process documented?

• 2.3: Are operating, maintenance and inspection procedures developed, implemented and consistently used throughout the drilling operations?

  Yes

  No

• 2.3.1: Do you assist in developing any of the following procedures? (Check all that apply)

  Yes

  No

• A: Mitigation for high risk tasks (examples: High Pressure, Pipe Conveyed Logging, Rig Moves, etc.)

• B: Operating envelop practices (examples: BOPs, wellheads, well control practices, tripping practices, wellbore collision avoidance, etc.)

• C: Regulatory and environmental considerations (examples: BOP testing, Casing testing, Casing shoe testing, etc.)

• D: Human factors (examples: Minimum personnel needed for task, personnel competency, Fit for Duty, etc.)

• 2.4: Are there any “blanket” deviations approved for your work area?

  Yes

  No

• 2.4.1: Who approved them?

• 2.4.2: How are these documented?

• 2.5: Is there a process for evaluating deviations to determine if changes are needed in SOPs?

  Yes

  No

• 2.5.1: Who is responsible evaluating deviations?

• 2.5.2: How many deviations are granted per month?

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

• 3.1: Have you received training on the completion and well work SOPs?

  Yes

  No

• 3.1.1: How was this training provided?

• 3.1.2: Where do you keep your copy of the SOPs?

• 3.2: Do you use the checklists developed for the SOPs?

  Yes

  No

• 3.2.1: How are they used?

• 3.3: Has your work group developed any division specific SOPs or checklist to operate safer and more efficiently?

  Yes

  No

• 3.3.1: What are the SOPs/checklists and where are they maintained?

• 3.4: Who owns the Completion & Well Work SOPs?

• 3.4.1: What is the process for updating the SOPs?

• 3.5: What is the difference between “required” and “recommended” guidance in the SOPs?

• 3.6: How is a deviation from “required” guidance in the SOPs obtained?

• 3.6.1: How are these documented?

• 3.6.2: Who approves the deviation?

• 3.7: What is the process from deviating from a “recommended” guidance in the SOPs?

• 3.7.1: How are these documented?

• 3.8: Are there any “blanket” deviations / variations approved for your work area?

  Yes

  No

• 3.8.1: Who approved them?

• 3.8.2: How are they documented?

• 3.9: Is there a process for evaluating deviations to determine if changes are needed in SOPs?

  Yes

  No

• 3.9.1: Who is responsible for evaluating deviations?

• 3.9.2: How many deviations are granted per month?

• 3.10: How many completion/well work incidents in your area have there been in the past year?

• 3.10.1: Would full implementation of the existing SOPs have prevented any of these?

  Yes

  No

• 3.10.2: To prevent incidents, what changes to existing SOPs or additional SOPs would you recommend?

• 3.11: Do you hear about well work incidents in other Work Areas / Divisions?

  Yes

  No

• 3.11.1: How are these incidents communicated to you?

• 3.12: What behaviors are you seeing or hearing that would indicate our workforce is adopting a safer work culture?

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

• 4.1: Is there an up-to-date list of the Division’s Higher Risk contract services and associated contract companies that provide those services?

  Yes

  No

• 4.1.1: Who has access to it?

• 4.2: Describe the local training program for the Contractor Interface Program.

• 4.2.1: Who has received this training?

• 4.3: Describe how the Contractor EH&S Program Information is utilized during the contracting process?

• 4.4: Who is typically involved in the contractor performance assessment?

  Local Operations

  Division Operations

  EH&S

  Other

• Other

• 4.4.1: Is there an assessment schedule for contractors providing the higher risk services?

  Yes

  No

• 4.4.2: Are the assessments being conducted as planned?

  Yes

  No

• 4.5: Describe the process for following up on results of the Contractor Performance Assessments?

• 4.5.1: How are contractor performance assessment corrective actions tracked?

• 4.6: How are contractors made aware of XTO expectations such as XTO Safety Handbook requirements, Drug & Alcohol Program, Case Management, Short Service Employee program, responsibilities for subcontractors, etc.?

  Info

  Forums

  Contractors

  Pre-Job Meetings

  Other

• Other

• 4.6.1: Do contractors have copies of the latest version of the XTO Safety Handbook?

  Yes

  No

• 4.6.2: Are contractors complying with the XTO Safety Handbook?

  Yes

  No

• 4.7: Are pre-job/tailgate safety meetings held daily?

  Yes

  No

• 4.7.1: When are they conducted?

• 4.7.2: Who participates?

• 4.7.3: How are these meetings documented?

• 4.8: Do your higher risk contractors utilize subcontractors?

  Yes

  No

• 4.8.1: How are subcontractors are made aware of XTO EH&S Expectations and applicable Contractor Management Process requirements?

• 4.8.2: Who follows up on and ensures this process is working?

• 4.9: Have any contractor incidents in the past year been associated with higher risk activities?

  Yes

  No

• 4.9.1: What changes could we make to the Contractor Interface Program to prevent similar incidents?

• 4.10: Does your Division have any additional requirements / processes for contractors performing higher risk contract services?

  Yes

  No

• 4.10.1: What are the additional requirements/processes?

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

• 5.1: Are processes established to ensure timely reporting of environmental, health & safety related incidents?

  Yes

  No

• 5.1.1: How soon are you required to report an incident?

  Immediately

  24 Hours

  48 Hours

  Not Shure

  Other

• Other

• 5.1.2: Are near misses reported at this location?

  Yes

  No

• 5.1.3: Describe the expectations of case management when an employee or contractor is injured.

• 5.1.4: Who enters incident information into the incident database?

  Employee

  Supervisor

  EHS

  Superintendant

  Other

• Other

• 5.1.5: Who is responsible for reviewing incident database data for accuracy and updates?

  Employee

  Supervisor

  EHS

  Superintendant

  Other

• Other

• 5.1.6: Who is responsible for classifying actual & potential incident severity?

  Employee

  Supervisor

  EHS

  Superintendant

  Other

• Other

• 5.2: Is there a process in place to investigate and analyze actual significant incidents and minor incidents/near misses with high potential severity to identify root causes?

  Yes

  No

• 5.2.1: What is your role in the investigations?

• 5.2.2: When incidents with high potential severity occur, are they investigated?

  Yes

  No

• 5.2.3: What investigation tool do you utilize to determine root cause(s)?

• 5.2.4: Who coordinates & leads the investigations?

• 5.2.5: Who selects the team members for the investigation?

  Area Supt

  First Line Supervisor

  EHS

  Other

• Other

• 5.2.6: Who is typically on the investigation team?

• 5.2.7: Who is responsible for ensuring a quality investigation report is generated?

  Area Supt

  First Line Supervisor

  EHS

  Other

• Other

• 5.3: How are corrective actions identified and implemented to prevent reoccurrence of actual and potential significant incidents?

• 5.4: Is there a process in place within your Division to communicate lessons learned from significant incidents within the work group and with other Divisions?

  Yes

  No

• 5.4.1: How do you determine when to share learning’s with other work groups/division?

• 5.4.2: What are the most common methods of sharing learning’s?

  EHS Alert

  Work Group

  Verbally At Safety Meetings

  Other

• Other

• 5.4.3: Who develops EHS Alerts for your area/division?

• 5.4.4: Who collects, analyzes and measures key metrics of lessons learned from incidents?

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

Wast Management

• 6.1: Do operations supervisors review and update the Waste Management Plan?

  Yes

  No

• 6.1.1: Was the last review/update within the past 12 months?

  Yes

  No

• 6.1.2: Is the plan available at the primary field office for each of the local operating areas?

  Yes

  No

• 6.2: Are Waste Management Plans audited by EHS at least every 3 years?

  Yes

  No

• 6.3: Are waste disposal facilities periodically audited for state/federal compliance and possible risk exposure?

  Yes

  No

• 6.3.1: Who conducts these audits?

• 6.4: Are you aware of any NORM contaminated equipment or materials in this area?

  Yes

  No

• 6.4.1: Have you or others been adequately trained to handle the NORM contaminated equipment or material?

  Yes

  No

• 6.4.2: What is the contaminated equipment or material?

• 6.4.3: Where is the contaminated equipment of material stored?

• 6.5: Do you dispose of specific generated waste streams such as filters, used oil, contaminated soil, batteries, tires, etc.?

  Yes

  No

• 6.5.1: What companies do you utilize to dispose of your generated waste streams?

• 6.6: Are there any containers or drums of waste stored on site?

  Yes

  No

• 6.6.1: Where are they stored?

• 6.6.2: Are any leaking?

  Yes

  No

• 6.7: Have the hazardous materials handling requirements of your Waste Management Plan been communicated to you?

  Yes

  No

• 6.7.1: How were they communicated?

Environmental - Water

• 6.8: Does this area have SPCC Plans?

  Yes

  No

• 6.8.1: Have annual SPCC site inspections been documented within the plan?

  Yes

  No

• 6.8.2: If deficiencies were found, were they corrected?

  Yes

  No

• 6.9: Are you allowed to drain rain water from secondary containment?

  Yes

  No

• 6.9.1: Who ensures the discharge log is properly maintained?

• 6.10: Are storm water runoff best management practices such as silt fence, rip rap, hay waddles, etc., utilized during construction activities?

  Yes

  No

• 6.10.1: Who inspects, maintains and removes the erosion controls?

Environmental - Tanks/Pits

• 6.11: What is the maintenance program for thief hatches, vents and flares?

• 6.12: FIELD VERIFY - General condition of facilities

• 6.12.1: Are all thief hatches and gauge ports in good condition and closed?

  Yes

  No

• 6.12.2: Are all open top tanks or open pits with hydrocarbons netted?

  Yes

  No

• 6.12.3: Is secondary containment impervious to liquids and sufficient to contain failure of largest tank?

  Yes

  No

• 6.12.4: Where required, are lightning arrest systems in place?

  Yes

  No

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

• 7.1: Have you been through Fundamentals of Safety Leadership training?

  Yes

  No

• 7.1.1: Did you develop a FOSL Action Plan?

  Yes

  No

• 7.1.2: How often has your supervisor worked with you on your FOSL Action Plan?

  On Several Occansions

  Once or Twice

  Not At All

  Other

• Other

• 7.1.3: What have you done to improve the safe work culture in your area?

• 7.1.4: Identify one or two behaviors you have changed since attending FOSL?

• 7.2: Is there a program in place to manage risks associated with field activities?

  Yes

  No

• 7.2.1: How are “at risk” behaviors addressed?

  Peer Intervention

  Supervisor Intervention

  Formal Action Plan

  They Are Not

  Other

• Other

• 7.2.2: How are positive or desired behaviors addressed?

  Praise In Front of Others

  Praise One on One

  No Positive Feedback

  Other

• Other

• 7.3: Have risk inventories been developed for the Division?

  Yes

  No

• 7.3.1: Where is this information kept?

• 7.3.2: Who updates/maintains this information?

• 7.3.3: Have risk inventories and mitigation practices been communicated to all pertinent personnel?

  Yes

  No

• 7.4: What hazard recognition and risk tolerance training has been provided to personnel?

  Safety Handbook

  HAZCOM

  EHS Orientation

  Last Minute Risk Assessment

  Other

• Other

• 7.4.1: What is the process for reporting and correcting hazards in the work place?

• 7.4.2: What pre-job safety processes are in place?

  JSA

  Last Minute Risk Assessment

  Tail-gate Safety Meetings

  Other

• Other

• 7.4.3: Auditor Question: Are all contractors and employees wearing appropriate PPE?

  Yes

  No

• 7.5: Have processes or programs been established to protect the health of employees, contractors and the public who work or live within proximity of XTO’s operations?

  Yes

  No

• 7.5.1: Where are the chemical Safety Data Sheets (SDS) located?

• 7.5.2: What is the process of updating and communicating chemical SDSs in the event a chemical is added or changed?

• 7.5.3: Who is responsible for updating the SDSs and when was the last time it was done?

• 7.5.4: What programs are in place to monitor employee exposure to NORM, Benzene, Noise, H2S, etc.?

• 7.5.5: How often is exposure monitoring conducted for to NORM, Benzene, Noise, H2S, etc.?

• 7.5.6: Who performs NORM, Benzene, Noise, H2S, etc. and have their qualifications been verified?

• 7.5.7: Does this area have a respiratory protection program?

  Yes

  No

• 7.5.7.a: Who is included in this program?

• 7.5.7.b: What is the process for obtaining medical evaluations and fit testing?

• 7.5.8: What is the process for calibrating personal and/or fixed atmospheric monitors?

• 7.5.9: Have personnel been evaluated by an ergonomics representative in the past three years?

  Yes

  No

Other Safety & Health Questions

• 7.6: Are there any farm or domestic use gas taps in the field?

  Yes

  No

• 7.6.1: How are risks associated with gas taps communicated to the user?

• 7.6.2: When was the last time risks were communicated?

• 7.7: Field Verify - What percentage of tanks and containers are properly labeled?

• 7.8: Field Verify - On sites with H2S, are appropriate warning signs posted and visible to public, wind socks in place and maintained, locations with easy public access protected, personal H2S monitors worn?

  Answer

  N/A

• 7.9: Field Verify - What percentage of equipment above 85db is properly labeled?

• 7.10: Field Verify - When performing tasks requiring fall protection, what percentage of workers were wearing fall protection appropriately?

• 7.11: Field Verify - Inspect available fall protection for proper use, damage, wear and general condition.

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

Lock Out / Tag Out (LO/TO)

• 8.1: Is Lock Out / Tag Out (LO/TO) performed in this area?

  Yes

  No

• 8.1.1: Explain the how to apply LO/TO on equipment common to this area.

• 8.1.1.a: Do you have sufficient locks, tags, hasps, chains, etc. to safely perform LO/TO?

  Yes

  No

• 8.1.1.b: Who has access to your personal lock keys or combinations?

  Only The Worker

  Worker & Their Supervisor

  Worker & Their Co-Workers

  All Workers Share A Key/Combo

  Other

• Other

• 8.1.1.c: In the event of a shift change, how do you maintain continuity of LO/TO?

• 8.1.1.d: Do contractors follow LO/TO procedures that equal to or more stringent than XTOs requirements?

  Yes

  No

• 8.1.2: Do you have any written LO/TO procedures?

  Yes

  No

• 8.1.3: Auditor Review – Review area LO/TO procedures for completeness.

  Comment

  N/A

• 8.1.4: Auditor Review – Review annual LO/TO audit and ensure audits are documented and retained.

  Comment

  N/A

Confined Space Entry (CSE)

• 8.2: Are Confined Spaces entered by employees or contractors at this location?

  Yes

  No

• 8.2.1: Do you perform or supervisor confined space entries?

  Yes

  No

• 8.2.1.a: Describe the local process for handling Confined Space Entry.

• 8.2.1.b: How much oversight is given to contractors performing confined space entries by XTO supervision?

• 8.2.1.c: Describe the process for calibration of gas monitors used in confined space entry.

• 8.2.1.d: Auditor Review - Are gas monitor calibrations done in accordance with manufacturer’s instructions?

  Yes

  No

• 8.2.1.e: Auditor Review – Are gas monitor calibration results retained for records purposes?

  Yes

  No

• 8.2.1.f: Auditor Review – Are completed confined space permits filled out correctly, appropriate signatures in place and permits are retained for two years?

  Yes

  No

• 8.2.1.g: Auditor Review – Has EHS or local supervisor evaluated and documented the effectiveness of the Confined Space Entry program within the past year?

  Yes

  No

• 8.2.1.h: Auditor Review – Are permit required confined spaces labeled?

  Yes

  No

• Scale Percent Labeled

• 8.2.1.i: Auditor Review – Visit sites and evaluated effectiveness of confined space entry if entries are taking place at time of review.

  Comment

  N/A

Hot Work

• 8.3: Does this area perform welding, grinding, cutting, etc. that would require a Hot Work permit to perform work?

  Yes

  No

• 8.3.1: Do you perform or supervisor hot work or hot work permitting?

  Yes

  No

• 8.3.1.a: Explain how hot work permits are issued, welder qualifications are verified and common hot work tasks are performed in this area.

• 8.3.1.b: Auditor Review – Have all permits been filled out correctly, with appropriate signatures in place, and permits retained for two years?

  Yes

  No

• Scale Percentage Correct

• 8.3.1.c: Auditor Review – When was the last time the Hot Work program was evaluated, and the evaluation documented, by EHS or local management to determine effectiveness?

• 8.3.1.d: Auditor Review – Compare welder certifications on file to welders identified on Hot Work permits to ensure welders are qualified per XTO standards.

  Comment

  N/A

• 8.3.1.e: Auditor Review – Visit sites and evaluated effectiveness of hot work permitting process.

  Comment

  N/A

Excavation & Trenching (E&T)

• 8.4: Does this area dig perform any Excavation and Trenching activities where personnel enter the excavation?

  Yes

  No

• 8.4.1: Do you perform or supervisor any excavation or trenching activities?

  Yes

  No

• 8.4.1.a: What practices do you employ to address the hazards of excavation and trenching?

• 8.4.1.b: When was the last time you received competent person excavation and trenching training?

• 8.4.1.c: Have appropriate employees/contractors been trained as “competent persons”?

  Yes

  No

• 8.4.1.d: Auditor Review – When was the last time the Excavation & Trenching program was evaluated, and the evaluation documented, by EHS or local management to determine effectiveness?

• 8.4.1.e: Auditor Review – Visit excavation & trenching sites to determine whether or not one-call tickets are in place and have not expired.

  Comment

  N/A

• 8.4.1.f: Auditor Review – Visit any job sites where excavations are performed and evaluate against what interviewee stated should be happening.

  Comment

  N/A

Management of Change (MOC) UNDER DEVELOPMENT!

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

• 9.1: Does this area have an emergency response plan specific to the potential emergencies that could be encountered in this area?

  Yes

  No

• 9.2: Have you been involved in a drill or actual emergency response in the past three years?

  Yes

  No

• Explain

• 9.3: When emergency response drills or actual responses are conducted, how are lessons learned communicated?

  Post Drill/Response Meeting With Work Group Involved

  Email To Other Work Groups

  Safety Alert Developed

  Not Sure

  Other

• Other

• 9.4: What is the process for ensuring emergency response plans are in place and up to date?

• 9.5: How are personnel trained to respond to emergency situations in an effective, efficient and responsible manner?

• 9.6: Auditor Review – Call emergency numbers in field to verify the numbers are answered by appropriate personnel. Ensure system automatically rollovers to answering service after hours.

  Comment

  N/A

UNDER DEVELOPMENT!

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

• 11.1: Does the division have a current risk inventory?

  Yes

  No

• 11.2: Are you involved with periodically updating the risk inventory to address risks in your area of operations?

  Yes

  No

• 11.3: Have you been trained in analyzing, assessing and mitigating risk using the Risk Assessment Process?

  Yes

  No

• 11.4: Have all risks in your area which have been identified in the risk inventory been analyzed and mitigated appropriately?

  Yes

  No

• 11.5: How were the mitigation results of each risk assessment communicated to field employees?

UNDER DEVELOPMENT!

UNDER DEVELOPMENT!

UNDER DEVELOPMENT!

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

• 16.1: Are you required to attend EHS training on a monthly basis?

  Yes

  No

• 16.2: If you miss EHS training, what are you required to do to make up the missed training?

• 16.3: How involved in the EHS training is your supervisor?

  They Run The Meeting & Lead The Training

  They Open The Meeting & EHS Conducts The Training

  EHS Opens The Meeting & Provides All The Training With Little/No Supervisor Involvement

  Other

• Other

• 16.4: Do you have sufficient operational and safety training to perform your job safely and effectively?

  I Have Everything I Need

  We Have Good Training But Wish We Had Better Operations & EHS Training

  Our Training Doesn't Meet Out Needs

  Other

• 16.5: What would you recommend to improve EHS and operational training?

• 16.6: Review the EHS Training Commonality Matrix for each operating group.

  Comment

  N/A

• 16.6.1: Does the area’s EHS Training Matrix meet or exceed the Central EHS Training Matrix?

  Yes

  No

• 16.6.2: When was the last time the area’s EHS training matrix reviewed and/or updated?

• 16.7: Is training scheduled, conducted and documented in the Learning Management System (LMS) in accordance with the 36 month training schedule?

  Yes

  No

• 16.8: Has this area hired any field personnel within the past five years?

  Yes

  No

• 16.8.1: Review the new employee verification checklists to ensure new employees are trained and the training is documented and saved in the Learning Management System.

  Comment

  N/A

• 16.8.2: Have all new employees received EHS Orientation in a timely manner?

  Yes

  No

UNDER DEVELOPMENT!

• Select the Interviewee / Audience

  Select Contractor Documentation Review Drilling Manager Drilling Superintendent Drilling First Line Supervisor EHS Representative Field Employee Production Engineering Manager Production Superintendent Production First Line Supervisor NGO Engineering Manager NGO Superintendent NGO First Line Supervisor Not Applicable

  • Contractor
  • Documentation Review
  • Drilling Manager
  • Drilling Superintendent
  • Drilling First Line Supervisor
  • EHS Representative
  • Field Employee
  • Production Engineering Manager
  • Production Superintendent
  • Production First Line Supervisor
  • NGO Engineering Manager
  • NGO Superintendent
  • NGO First Line Supervisor
  • Not Applicable

Vehicles & Equipment

• 18.1: Do you operate any vehicle mounted or shop cranes?

  Yes

  No

• 18.1.1: When was the last time you were trained on the proper use and operation of the crane or cranes you operate?

• 18.1.2: Auditor Review – Have all cranes been inspected by a certified third party inspection company within the past year?

  Yes

  No

• 18.1.3: Prior to operating your crane, do you perform and document daily inspections?

  Yes

  No

• 18.1.4: Do you have the appropriate rigging to lift the loads you encounter?

  Yes

  No

• 18.1.5: Auditor Review: Inspect rigging for proper load rating tags, wear, contamination, etc…

  Comment

  N/A

• 18.2: Have you been trained in Defensive Driving?

  Yes

  No

• 18.2.1: Auditor Review: Does this driver exhibit good defensive driving techniques?

  Comment

  N/A

• Scale The Driver's Defensive Driving Technique (1- Poorly & 10 - Great)