Information

  • Site

  • Conducted on

  • Prepared by

  • Contractors On Site

Site Arrival

  • JSA filled out properly

  • Proper warning signs posted at entrance

  • All personnel in proper PPE

  • Location has designated smoking area

  • Additional Comments

Tree

  • Consultant

  • Flanges have all bolts and are the correct size and properly torqued and tested

  • All valve handles are correctly installed for proper use

  • Valves capable of venting to atmosphere are capped & a means of bleed off installed.

  • Tree pressure tested at shop to maximum anticipated pressure/ API standard

  • Verify that the # of turns to (FULLY) open/close each valve and choke are written on the wellhead and are correct

  • Additional Comments

Flow Lines

  • Flow back hand

  • No threaded connections upstream of choke manifold

  • All flow iron upstream of choke must be tested to 10k and 5k downstream of choke banded/identified every 6 months

  • Minimize the use of threaded connections

  • Break apart ALL threaded connections and visually inspect before EVERY flow line installation

  • Tested to maximum anticipated pressure + an acceptable safety margin or working pressure

  • Unions are positioned correctly for direction of flow & checked for compatibility

  • Lines are not bowed or laid in a bind

  • Block tees are supported

  • Additional Comments

Flow Line Anchors

  • Flow Back Hand

  • Set as not to cause excessive dips, arches, or bows in flow lines

  • Set first anchor as close to wellhead as feasible placing one every joint- upstream of manifold every other joint- downstream of manifold with hammer union positioned between the anchors

  • When encountering bend or turn in flow line repeat process placing first one as close as feasible after turn with one every other joint thereafter

  • Verify that anchors have been driven flush to the top of line clamp (NO USE OF SUCKER RODS)

  • Verify that the clamps used with the anchors are correct size for the outside diameter of flow line

  • Verify that clamps/anchors are sufficiently bound together and annotate be broken apart

  • Insure that anchor clamps are 1/2" thick by 3" wide by 12" length with rod holes no greater than 1" or equivalent

  • Additional Comments

Manual Chokes

  • Consultant

  • When completely closed- reading is 0/64

  • Pressure test body to same pressure as flow line

  • Housing and seat checked prior to flowing of we'll

  • Additional Comments

Sand Separator (if applicable)

  • Flow Back R/U Crew

  • Set in level position

  • Valves and related components function tested prior to flow back operations

  • All flanges contain correct nuts and bolts

  • Cleaned out prior to installation

  • Tested to maximum anticipated pressure plus and acceptable safety margin - if installed upstream of choke

  • By-pass installed and tested to system pressure

  • Additional Comments

Flow Back Separator

  • Flow Back R/U Crew

  • Set in level position

  • Adequate fall protection of tie-offs Built in or portable platforms if properly secured will suffice)

  • Valves checked prior to flow back and function tested at appropriate time.

  • Additional Comments

Flow Back Tank/ Gas Buster

  • Tank Company

  • Clean sand prior to transport

  • Set level

  • Adequate fall protection or tie-offs(built in or portable platforms if properly secured will suffice)

  • Easy access for tank gauging, walkways and stairs should not be damaged or missing pins

  • External valves not in use have barrier device installed in case of accidental opening

  • Set to provide easy truck access for hauling out produced fluids

  • Working wind sock installed near tank

  • Additional Comments

Compressed Gas

  • Company Delivering Cylinder

  • Bottle secured (preferred bottle rack)

  • Bottle labeled properly as to contents

  • SDS available on site

  • Additional Comments

Flare Line

  • Flow Back R/U Crew

  • Should be laid in straight line. Direction change must be made with appropriate connection. All attempts must be made to cut down on direction changes.

  • Flanges have all bolts installed and uniformly tightened (no 1/2 nuts)

  • Line should extend 100 ft. From combustible source

  • Flare stack minimum of 6 inch OD with proper ignition system. Any changes must be per approved by Superintendant

  • Additional Comments

H2S

  • EHS Specialist

  • H2S plan provided for well that may exceed 10 PPM

  • H2S site specific procedures developed for location (if required)

  • H2S contingency plan on location (if required)

  • H2S plan is coordinated by safety department and implemented by foreman

  • Foreman on site

  • Additional Comments

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.