Field Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• ASSIGNED DISTRICT

  Yes

  No

  N/A

• JOB TYPE

  Yes

  No

  N/A

SAFETY INSPECTION

• WARNING SIGN IN PLACE (I.E. Eye, Foot, Noise, Etc...)

  Passed

  N.I.

• JOB SAFETY ANALYSIS BEING COMPLETED OR REVIEWED

  Passed

  N.I.

• LOCATION/EMERGENCY NUMBERS POSTED

  Passed

  N.I.

• MSDS FOLDER (AS NEEDED)

  Passed

  N.I.

• FIRE EXTINGUISHER

  Passed

  N.I.

• HOW MANY?

  Yes

  No

  N/A

• TAGGED?

  Yes

  No

  N/A

• OFF THE GROUND?

  Yes

  No

  N/A

• COPY OF EMPLOYEE HANDBOOK & SAFETY RULES

  Passed

  N.I.

• FIRST AID KIT WELL STOCKED

  Passed

  N.I.

PERSONAL PROTECTIVE EQUIPMENT

• HARD HATS

  Yes

  No

  N/A

• SAFETY GLASSES/GOGGLES

  Yes

  No

  N/A

• FIRE RETARDANT CLOTHING (WHEN APPLICABLE)

  Yes

  No

  N/A

• HEARING PROTECTION

  Yes

  No

  N/A

• SAFETY BOOTS

  Yes

  No

  N/A

• GLOVES

  Yes

  No

  N/A

• H2S MONITOR

  Yes

  No

  N/A

GENERAL INSPECTION

• DOG HOUSE HOUSEKEEPING

  Yes

  No

  N/A

• CLEANLINESS OF AREA AROUND UNITS

  Yes

  No

  N/A

• CLEANLINESS OF EQUIPMENT

  Yes

  No

  N/A

• WALKING SURFACE CLEAN AND FREE OF TRIP HAZARDS

  Yes

  No

  N/A

• EXHAUST GUARDS IN PLACE (PLATES OR PADS)

  Yes

  No

  N/A

• BELT GUARDS IN PLACE

  Yes

  No

  N/A

• ELECTRICAL CORDS SUSPENDED OFF THE GROUND

  Yes

  No

  N/A

• ELECTRICAL EXTENSION CORDS IN GOOD CONDITION

  Yes

  No

  N/A

• EMERGENCY KILL SHUT DOWN OPERATIONAL

  Yes

  No

  N/A

• FUEL HOSE IN GOOD CONDITION (RATED FOR FUEL)

  Yes

  No

  N/A

• GAUGES READABLE & OPERATIONAL

  Yes

  No

  N/A

• CHECK VALVES OPERATIONAL

  Yes

  No

  N/A

• LOG BOOKS ARE UP TO DATE

  Yes

  No

  N/A

• PRE-TRIP FILLED OUT

  Yes

  No

  N/A

• BATTERIES ENCLOSED IN BATTERY BOX

  Yes

  No

  N/A

• EQUIPMENT LABELED (BATTERY BOX, FUEL TANK, HOT SURFACE)

  Yes

  No

  N/A

• ALL LIGHTS OPERATIONAL & ATTACHED CORRECTLY

  Yes

  No

  N/A

• WHIP CHECK PLACED PROPERLY

  Yes

  No

  N/A

• SAFETY RAILING INSTALLED AND SERVICEABLE

  Yes

  No

  N/A

ENVIRONMENTAL SECTION

• COOLANT, FUEL, LUBRICANT LEAKS

  Yes

  No

  N/A

• ABSORBENT PADS OR PLASTIC UNDER UNITS

  Yes

  No

  N/A

• CHEMICAL LABELS ON WASTE CONTAINERS

  Yes

  No

  N/A

• NEW CHEMICAL CONTAINERS PROPERLY LABELED

  Yes

  No

  N/A

• SPILL KITS ON SITE

  Yes

  No

  N/A

REGULATORY

• PROPER PERMITS IN PLACE AND BEING FOLLOWED

  Yes

  No

  N/A

• 100% FALL PROTECTION UTILIZED FOR ANY UNPROTECTED HEIGHT WORK

  Yes

  No

  N/A

• EMERGENCY EQUIPMENT ON LOCATION & READILY AVAILABLE

  Yes

  No

  N/A

• ALL MOBILE EQUIPMENT FURNISHED WITH AN ADEQUATE FIRE EXTINGUISHER

  Yes

  No

  N/A

• LADDERS, STAIRWAYS & WORK PLATFORMS IN GOOD CONDITION & FREE OF HAZARDS

  Yes

  No

  N/A

• ADEQUATE LIGHTING MAINTAINED IN THE WORK AREA

  Yes

  No

  N/A

• HAS AN EMERGENCY EVACUATION

  Yes

  No

  N/A

• NEAREST MEDICAL FACILITY IDENTIFIED & DISCUSSED WITH ALL TEAM MEMBERS

  Yes

  No

  N/A

• ARE PRECAUTIONS TAKEN AGAINST WEATHER RELATED HAZARDS

  Yes

  No

  N/A

SAFE BEHAVIOR OBSERVATIONS

• ARE ALL TEAM MEMBERS USING PROPER LIFTING TECHNIQUES

  Yes

  No

  N/A

• HOSES, CABLES, CORDS, CHAINS, SLINGS....IN GOOD CONDITION & STORED PROPERLY

  Yes

  No

  N/A

• ARE ALL TEAM MEMBERS AWARE OF THE POTENTIAL HAZARDS IN THEIR WORK AREA

  Yes

  No

  N/A

• ARE TEAM MEMBERS MAINTAINING A SAFE ENVIRONMENT WHILE ON THE JOBSITE

  Yes

  No

  N/A

• TEAM MEMBERS MAINTAINING GOOD COMMUNICATION WITH OTHER WORKERS AT JOBSITE?

  Yes

  No

  N/A

ARCHER HSE POLICY

• PRE-JOB SAFETY MEETING BEEN CONDUCTED PRIOR TO START OF THE WORK EACH DAY

  Yes

  No

  N/A

• ALL EMPLOYEES PARTICIPATED IN THE PRE-JOB SAFETY MEETING LISTED ABOVE

  Yes

  No

  N/A

• EMPLOYEES ON SITE MET THE HSE TRAINING REQUIREMENTS & HAVE DOCUMENTATION

  Yes

  No

  N/A

• ON A KNOWN/SUSPECTED H2S SITE, ALL EMPLOYEES HAVE H2S TRAINING AND DOCUMENTATION

  Yes

  No

  N/A

• ON A KNOWN/SUSPECTED H2S SITE IS ADEQUATE AIR MONITORING PERFORMED

  Yes

  No

  N/A

• ON A KNOWN/SUSPECTED H2S SITE EMPLOYEES WEARING PERSONAL H2S MONITORS

  Yes

  No

  N/A

• ON A KNOWN/SUSPECTED H2S SITE IS RESPIRATORY PROTECTION AVAILABLE & WORKING PROPERLY

  Yes

  No

  N/A

• IF WORKING IN A KNOWN/POTENTIAL HAZARDOUS LOCATION ARE EMPLOYEES USING PROPER PPE

  Yes

  No

  N/A

• ARE SHORT SERVICE EMPLOYEES IDENTIFIED (ARCHER STICKER ON HARD HAT)

  Yes

  No

  N/A

• HAS A MENTOR BEEN ASSIGNED TO SHORT SERVICE EMPLOYEES

  Yes

  No

  N/A

• ARE FACE SHIELDS & GLOVES AVAILABLE AND BEING USED DURING N2 OPERATIONS

  Yes

  No

  N/A

• IS HEARING PROTECTION AVAILABLE & BEING USED IN HIGH NOISE AREAS

  Yes

  No

  N/A

• IS RIGGING & LIFTING EQUIPMENT IN GOOD ORDER & CORRECTLY USED DURING RIG UP/DOWN

  Yes

  No

  N/A

• ARE ALL HOSES & CABLES IN GOOD CONDITION, FREE OF LEAKS, CRACKS, ETC

  Yes

  No

  N/A

• IS PROPER COMMUNICATION MAINTAINED BETWEEN MULTIPLE WORK CREWS

  Yes

  No

  N/A

• AUDITORS COMMENTS

  Yes

  No

  N/A

• CORRECTIVE ACTIONS IDENTIFIED & TERMINATED BY (ACTION PLAN)

  Yes

  No

  N/A

• SUPERVISORS SIGNATURE

  Sign

• Select date

  Date

• EMPLOYEES SIGNATURE

  Sign

• Select date

  Date

• AUDITORS SIGNATURE

  Sign

• Select date

  Date

• REVIEWED AND SIGNED BY MANAGEMENT

  Sign

• Select date

  Date