Fortis Energy Services Rig-up inspection form

Fortis logo and signs

Is the distance from the overhead power line correct?

Is the hazard sign correctly placed at entrance?

Is the fall lane at the Derrick clear?

House keeping performed?

Designated muster area clearly labeled?

Does the equipment exhaust system appear visible?

Tank to pump distance - safe?

Pump to wellhead distance safe?

Are the Guy lines flagged?

Are the Guy lines conditioned?

Are the guy lines properly strung?

Are the internal guy lines adjusted?

Are the guy lines tightened properly?

Are the tubing board lines strung/crossed?

Is the crown to ground guy wires present?

Do you have the proper number and spacing of cable clamps?

Are the drawworks guards in place?

Is the drill in line?

Is the sand line in good condition

Does the sand line have lock out?

Is the deadline anchor bolted?

Is the and line brake in good condition?

Does the sand line brake latch?

Are there proper wraps on the drum?

Is the Winch line guarded?

Is there brake linkage to the draw works?

Are the drum brakes adjusted?

Is the road/shift lever secured?

Rig handrails in place with pins?

Are there Rig head, tail and signal lights?

Are the rig wheels checked?

Any leaks on rig?

Is the glass and mirror on rig?

Is the rig emergency brake set?

Is the rig emergency intake shutdown?

Are the rig batteries covered?

Are the rig hydraulic level jacks with lock nuts screwed up on front jacks and block jacks?

Is the road to drawworks shift lever secured?

Is the rig kill switch functional?

Rig low air warning functional?

Is the Rig mat condition good?

Is the rig jack stand condition good?

Is the rig jack pad good?

Is the Mast/derrick present?

Is the rig Manufacturer spec. Plate visible?

Do you have the derrick ladder?

Is the tubing board condition adequate?

Is the rod basket condition good?

Are the lower Derrick pins in place?

Are the tube/rod board finger chained?

Are the upper Derrick lock pins in place?

Is the stand pipe secure?

Are the circulating hose secured & hobbed?

Is the rig light functional and secured?

Is the crown painted contrasting color?

Is the Bottom ladder 18' from ground?

Is the derrick pivot points trapped?

Is the rig work floor condition good?

Are the rig hand guardrails, toe boards and pins present?

Are there floor chains, proper pins and hooks?

Is there work floor suspension, grade 80 chain?

Are the BOP installed & operating properly?

Is the BOP slinged/chained?

Is the BOP bolted properly?

Is the safety valve with the wrench on the floor?

Is the accumulator in front of the rig?

Are the Accumulator valves in the correct position?

Are the manual BOP closing handles?

Are the regular BOP drills complete?

Are the blow down lines hobbled & anchored?

Is the BOP closed sign in use?

Full opening TIW valve present?

Are the tubing/rig tongs in good condition?

Are the tong snub lines/stiff arm present?

Are the tongs backup in good condition?

Is the tongs safety gate present?

Are the tongs hung with safety hook?

Are the hand tools in good condition?

Are the slings in good condition?

Are the air slips in good condition?

Are the Air slips above the floor?

Are the air slips dyes pinned?

Is the rod hook in good condition?

Is the rod transfer in good condition with safety latch?

Rod transfer not left in Derrick?

Is the block assembly in good condition?

Are there 2 - 30 min air packs, checked monthly?

Do you have your personal H2S monitor?

Did the crew perform H2S drill?

Is all H2S training current?

Do you have Full body harness?

Is lanyard present with soft stop?

Have you positioned lanyard for rod/tube board?

Is the SRL in good condition?

SRL inspection complete (2 year)?

Is the SRL line retracted with extraction line?

Is the emergency Derrick escape system intact?

Does the Geronimo line have proper distance & anchored?

Is the fire extinguisher current?

Is the Static line from carrier to well head?

Is there Stored energy LOTO?

Are the pumping unit weights secured?

Are the MSDS, EAP, SPCC books on site?

Are the first aid/ blood borne kits stocked?

Is the JSA current?

Are the kill switches working?

Is the crew current on first aid/CPR?

Is the lifting equipment and annual inspection done?

Scheduled D mast inspection (2 year)?

Does the Dog house trailer have a winch?

Is the Dog house trailer equipped with brakes?

Does the Dog house trailer have good tire tread?

Is the LPG tanks secured & labeled?

Housekeeping performed?

Does the Dog house have proper registration?

Is the Eye wash station present?

Do you have a Trash can?

Is the Fire extinguisher present?

Do you have the Equipment and safety cert books?