Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PRE-RIG UP CHECKLIST
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Is JSA/POWRA filled out and signed by company man and SPM employees?
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Was a Safety meeting held stating all Safety Precautions, Muster Area, and Job Tasks?<br>(Use mapping to identify routes of exits and entrances,wind direction, and Respirators if needed.)
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Is pressure OFF ALL LINES?
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Has the Fall Protection been inspected and in good working order?
POST RIG UP CHECKLIST
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Do all swivels/wing nuts/hammer unions/middle ball races/swivels and middle of 10' joints have ribs? <br>(ONE RIB PER UNION)
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Are all spines pulled tight with no slake and run through both ears of the ribs?
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Does every main line have at least 2 anchor point ?
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Do all shackles have nuts and pins installed and secured?
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Is mainlines wrapped around any pipe? <br>( IF YES FIX, WRAPPING IS NOT ALLOWED)
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Is all products picked up and loaded in truck/trailer?
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Has the proper calculation for footage been done?
PPE
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Is employee wearing Level 5 PPE.
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Is the H2S monitor being worn?<br>Needs to be 9" from nose. ( i.e. - Outside of clothing on chest area.)
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Has monitor been bump tested/ and or calibrated?
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Does employee have Fall Protection on when above 4 feet?<br>Ensure employee is tied off when in man basket-Check to see if monthly inspection has been done.
Human Factor
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Has the employee been given WX conditions prior to work?<br>Should be noted in POWRA.
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Does employee have sufficient hydration and nutrition?<br>(When was the last time employee had water and meal)
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Has the employee had rest?<br>Look for fatigue-Is employee checking in with supervisor every 2 hours.
DOT
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Ensure trucks and trailer have current DOT regulatory documentation and signage.
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Has the DVIR been properly filled out?<br>Pre & Post Trips.
