Information
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Date:
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Prepared by
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Position/Occupation of Person Observing:
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Business Unit:
- Appalachia North
- Appalachia South
- Central TX (Barnett)
- Eastern Gulf Coast (Haynesville)
- Mid-Cont North
- Mid-Cont South
- Rockies
- South Texas
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Office:
- Arkoma, OK
- Athens, PA
- Borger, TX
- Branchland, WV
- Canonsburg, PA
- Canton, OH
- Carrizo Springs, TX
- Casper, WY
- Cheyenne, WY
- Cleburne, TX
- Crawford, WV
- DFW Airport, TX
- East Tarrant, TX
- Elkhorn City, KY
- Elk City, OK
- Garden City, KS
- Hamlin, WV
- Harrisburg, PA
- Honey Branch, KY
- Jane Lew, WV
- Kermit, WV
- Kingfisher, OK
- KSP, WV
- Langley (Lancer), KY
- Lindsay, OK
- Mansfield, LA
- Midas, KY
- San Antonio, TX
- Shreveport-Sligo Field, LA
- Shrewsbury, WV
- St. Clairsville, OH
- Thomas, OK
- Tyler, TX
- Victoria, TX
- Waynoka, OK
- Weatherford, OK
- Wilburton, OK
- Woodward, OK
- Zapata, TX
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Company Observed:
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Rig/Location:
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Rig Consultant/Supervisor:
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Activity:
- Abrasive Blasting
- Cementing
- Chemical Testing
- Coil Tubing
- Completion
- Construction
- Drilling
- Equip Repairs/Maintenance
- Flow Back
- Frac
- Hoisting Equipment
- Hoisting Personnel
- LD/PU Pipe/Tubulars
- Making Connection
- Material Handling Crane/Forklift
- Material Handling Manual
- Mud Mixing/Pumping
- MVA
- Nipple Up/Down
- Other
- Painting
- Plastic Liner Install/Remove
- Production
- Rig Mob
- Rig Skid
- Rigging Down
- Rigging Up
- Routine Drilling Ops
- Running Casing/Tubing
- Snubbing
- Spec Ops (Wireline, Perforating, etc.)
- Training
- Transferring Fluid
- Transportation
- Transporting Material
- Tripping In
- Tripping Out
- Walking
- Water Transfer
- Well Control (BOP)
- Well Testing
- Work-over
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Hazard vs Good Catch
- Hazard
- Good Catch
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Operation:
- Abrasive Blasting
- Cementing
- Chemical Testing
- Coil Tubing
- Completion
- Construction
- Drilling
- Equip Repairs/Maintenance
- Flow Back
- Frac
- Hoisting Equipment
- Hoisting Personnel
- LD/PU Pipe/Tubulars
- Making Connection
- Material Handling Crane/Forklift
- Material Handling Manual
- Mud Mixing/Pumping
- MVA
- Nipple Up/Down
- Other
- Painting
- Plastic Liner Install/Remove
- Production
- Rig Mob
- Rig Skid
- Rigging Down
- Rigging Up
- Routine Drilling Ops
- Running Casing/Tubing
- Snubbing
- Spec Ops (Wireline, Perforating, etc.)
- Training
- Transferring Fluid
- Transportation
- Transporting Material
- Tripping In
- Tripping Out
- Walking
- Water Transfer
- Well Control (BOP)
- Well Testing
- Work-over
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Basic Cause:
- At Risk Driving
- Body Placement
- Darkness/Time of Day
- Distraction
- Electrical Installation/Rig-Up
- Equipment Failure/Use of Damaged Equipment
- Equipment Lifting Hazard
- Equipment Placement
- Failure To Follow Procedure
- Fatigue
- Housekeeping
- Improper Rigging/Hoisting
- Improper Chemical Use
- Improper Equipment Maintenance
- Improper Equipment Use/Rig-Up
- Improper PPE Maintenance
- Improper Tools/Equipment Use
- Improper Training
- Noise
- Phone Use
- Poor Supervision
- PPE, Missing
- Pressure
- Property Damage
- Spill/Trip Hazard
- Spill Prevention/Containment
- Unaware of Hazard
- Unclear Direction
- Under the Influence
- Weather
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Description:
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Corrective Action:
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Signature:
