HSE Systems & Drilling Rig Inspection Audit

• Site conducted

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• Rig Name and Number

• Date of Audit

  Date

• Audit By

• Location
  Address

• Instructions
  
  1. Answer the items provided below if applied or not.
  2. Go to the next section to conduct HSE RM Audit.
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  5. Complete audit by providing digital signature.
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Details

• Well Name

• Rig Manager/Pusher

• Business Unit

• Date of Last Audit

  Date

Accumulator

• Safety Warning Signs are posted in immediate area, clean and in clear view on approach to the Rig. (OSHA 1903.2 / 1910.1200(f)(9))

  Yes

  No

  N/A

• Fire Extinguisher is in place, clean, properly mounted, with a current inspection tag attached. (OSHA 1910.157 / NFPA 49)

  Yes

  No

  N/A

• Unit is properly grounded and attached to the grounding rod with a clamp. (OSHA 1910.304, NEC)

  Yes

  No

  N/A

• Electric wiring is in good condition with full insulation or properly spliced and insulation is inside the plug. (OSHA 1910.304, NEC)

  Yes

  No

  N/A

• Proper lighting available with clean lenses and Safety wire keepers in place. (OSHA 1910.304 / NEC)

  Yes

  No

  N/A

• Nitrogen Bottles are securely mounted, clearly marked, with clean and working gauges. (OSHA 1910.253/1910.1200(f)(5-6)/ RP54 7.2.2)

  Yes

  No

  N/A

• Control handles properly marked with the blind ram handle guarded against accidental closing. (API RP53 12.5.3f)

  Yes

  No

  N/A

• Accumulator gauge calibrations are in date. Calibration is required yearly or when the calibration sticker expires. (API RP 53)

  Yes

  No

  N/A

• Hydraulic fluid at the proper level with no leaks in the reservoir, piping, or valves. (API RP 53)

  Yes

  No

  N/A

Stairs, Rig floor, and Derrick

• Stairs in good condition with no bent steps, tight handrails, with proper incline and attached to rig floor. (OSHA 1910.20-27, IADC)

  Yes

  No

  N/A

• Required Safety signs posted in visible locations and kept in a clean and readable condition. (OSHA 1903.2)

  Yes

  No

  N/A

• Labor Law and current Emergency Phone Numbers visibly posted in the top doghouse. (OSHA 1903.2)

  Yes

  No

  N/A

• Satisfactory 1st Aid Kit and an Eye Wash Station or un-opened bottles of eye wash available in the top doghouse available to provide Emergency care. (OSHA 1910.151)

  Yes

  No

  N/A

• Stokes Litter or approved stretcher, both with securing straps, available in doghouse, with 4 part sling available. (OSHA 1910.151(b))

  Yes

  No

  N/A

• Light fixtures are Explosion Proof with clean lenses and Safety wire keepers in place and power cords in good condition. (OSHA 1910.307, NEC)

  Yes

  No

  N/A

• Housekeeping well maintained with clean and un-cluttered floor and all walking areas clear of obstructions. (OSHA 1910.22)

  Yes

  No

  N/A

• Handrails and toe boards in place around all required areas with chains or cables substituting where required. (OSHA 1910.23)

  Yes

  No

  N/A

• Chain or wire rope available at or, if not using V-Door, in place to aid in fall prevention. (OSHA 1910.23, IADC)

  Yes

  No

  N/A

• Tools and hand equipment in good condition, with no broken or missing handles and stored in a manner to keep them from being tripping hazards. (OSHA 1910.242)

  Yes

  No

  N/A

• Rig floor in good condition, level, with non-skid used at least in the area immediate to the Rotary table, and all boards in the racking area are not badly worn or missing and all holes covered or guarded. (OSHA 1910.23)

  Yes

  No

  N/A

• All Fire extinguishers are clean, properly mounted with current inspection tags attached. (OSHA 1910.157, NFPA 49)

  Yes

  No

  N/A

• Tongs are in good condition, with tight jaws, good dies held in place to prevent dripping with the safety snub lines in place and pull lines free of burrs and excessive broken wires and hung at a proper operating height. (IADC, OSHA 1910.242 /API RP54 9.9.6/7 )

  Yes

  No

  N/A

• Standpipe and rotary hose with the pipe firmly secured to the derrick and the hose has Safety snub lines at both ends and the hose surfaces intact with no leaks. (IADC 5 (a)(1))

  Yes

  No

  N/A

• Hydraulic Hoist(s) are firmly attached to the mounts, has no kinks in the line, tightly spooled, has exhaust diverted below the floor and has the line guide in place. (OSHA 1910.158, IADC, API)

  Yes

  No

  N/A

• All light fixtures should be vapor proof, securely mounted with clean lenses and Safety snub line in place, the fixture’s wiring and plugs should be in good condition with explosion proof components. (OSHA 1910.303)

  Yes

  No

  N/A

• All wire rope is in good condition with proper clamping and clamps are correctly spaced and torqued as required. (OSHA 1920(crane), API54, WRMA)

  Yes

  No

  N/A

• Drill string safety equipment readily available, safety valve wrench, inside BOP valve, drill pipe safety valve, and crossover valves when needed. (IADC, API54)

  Yes

  No

  N/A

• Remote BOP and Choke closing controls, tested, clean, and readily available with a safety stop on the Blind Ram control. (IADC, API-54)

  Yes

  No

  N/A

• Drawworks and brakes clean and in good condition, auxiliary brake tested, with Crown-O-Matic in place. (IADC 5 (a) (1))

  Yes

  No

  N/A

• The Drillers console is clean with control handles marked, the gauges functional, and all incoming line and wire connections to the panel are properly attached. (OSHA 1920, IADC)

  Yes

  No

  N/A

• Derrick ladder is securely attached, rungs straight, offsets properly positioned and stable with the access un-obstructed. (OSHA 1910.26-27)

  Yes

  No

  N/A

• The Safety climbing device is properly installed with hook-up and belt, and the counterweight attached to guide wire with no twists. (OSHA 1910.26 /1910.27(d)(5))

  Yes

  No

  N/A

• Wireline Unit is tested, has no kinks in the line, tightly spooled, and has a line guide in position. (IADC, API54)

  Yes

  No

  N/A

• The Derrick boards are in good condition, free of tripping hazards, no bent fingers and safety belt tag line readily accessed, and safety keepers on each finger. (OSHA 1910.23, IADC)

  Yes

  No

  N/A

• The Derrickman escape line is properly secured at the derrick board with decent device in place and the escape line is properly anchored off at the proper distance. (OSHA 1910.181 / API RP54 6.10.1, IADC)

  Yes

  No

  N/A

• The Crown section is clean with toe boards and railing in position, an aircraft obstruction red light mounted and the crown blocks in good condition. (OSHA 1910.181, IADC)

  Yes

  No

  N/A

• The traveling block is in good condition with a properly operating hook latch, good bails and smooth operating elevators, and the block sling in good condition. (OSHA 1920(crane), IADC)

  Yes

  No

  N/A

Shale shaker

• The shale shaker area is clean, with walking surfaces in good condition, all openings guarded and handrails in place, the proper Safety Warning signs displayed and kept clean and readable. (OSHA 1910.23(c)(1))

  Yes

  No

  N/A

• The fire extinguisher is properly mounted, clean with good gauge and a current inspection tag attached. (OSHA 1910.157)

  Yes

  No

  N/A

• Return and flow lines are properly anchored. (OSHA 1810.158, IADC)

  Yes

  No

  N/A

• All electrical components and wiring are explosion proof, properly mounted and good condition. (OSHA 1910.307(b)(1-3) & subsections)

  Yes

  No

  N/A

• Electrical motors are properly grounded with the correct sized wire and properly attached. (OSHA 1910.303-304, NEC)

  Yes

  No

  N/A

• Lighting is explosion proof and properly spaced from the highest fluid level in the shaker. (OSHA 1910.307(b)(1))

  Yes

  No

  N/A

Mud Tanks

• Walking surfaces should be clean and free of tripping hazards providing clear access to all operating components and control handles with proper handrails to prevent falling off of or into the tanks. (OSHA 1910.22, API-54 / 1910.23(c)(1))

  Yes

  No

  N/A

• All control handles and valve wheels will be Labeled and in place, clean and in operating condition and kept clear of obstructions. (IADC, API-54)

  Yes

  No

  N/A

• The electric mixer motors and motors for the Degasser and other auxiliary equipment will be explosion proof, properly grounded and all starter boxes vapor proofed and should be labeled for purpose. (OSHA 1910.307(b)(1-3) & subsections)

  Yes

  No

  N/A

• All lighting will be maintained in operating condition, explosion proof, with clean lenses and properly elevated above the highest fluid level of tank. (OSHA 1910.307(b)(1-3) & subsections, NEC / NFPA)

  Yes

  No

  N/A

• Wiring for all fixtures will be fully insulated into the plug and the receptacle will be an explosion proof type properly covered when not in use. (OSHA 1910.303 / 1910.307(c) / RP500 5.3 / RP500 10.1-16 / NEC)

  Yes

  No

  N/A

• The Caustic Mixing barrel will be clearly marked with a warning sign that is kept clean and readable with interior baffles to prevent ‘blow back.’ (OSHA 1910.145)

  Yes

  No

  N/A

• A clean, dry storage area will be maintained in the immediate vicinity of the Caustic Mixing barrel containing the proper eye protection, dust mask, gloves, and an acid apron or acid proof slicker. (OSHA 1910.132 /1910.22)

  Yes

  No

  N/A

• An Emergency Eye Wash Station/shower facility will be maintained in the immediate area of the mixer with the required proper temperature freshwater hook-up or un-opened bottles of eye wash available. (OSHA 1910.151(c) / Z358.1 5.4.2 / RP54 4.4.1)

  Yes

  No

  N/A

• Each tank is independently grounded with proper grounding on each centrifugal pump motor and all wiring and associated receptacles explosion proof and well maintained. (OSHA 1910.303-307, NEC)

  Yes

  No

  N/A

Bulk Tanks and Chemical Mixing Area

• Good housekeeping is maintained in the tank hopper area. (OSHA 1910.22)

  Yes

  No

  N/A

• Chemical sacks are stacked properly and covered if reactive with water, all should be labeled and have MSDS information readily available. (OSHA 1910,1920, IADC)

  Yes

  No

  N/A

• Each bulk tank will be labeled as to content and properly grounded when associated with electric motors. (OSHA 1910.303-307)

  Yes

  No

  N/A

• The proper PPE is available in the immediate vicinity of the hopper. (OSHA 1910.153)

  Yes

  No

  N/A

• Warning signs are posted for the associated hazards. (OSHA 1910.145)

  Yes

  No

  N/A

Lubster and Diesel Tanks

• The lubster should be labeled for the proper content of each section, have a proper drip pan and the correct MSDS available on location and a “NO SMOKING” sign posted. (OSHA 1910.145(c)(2)(i) / IADC)

  Yes

  No

  N/A

• Diesel tank is properly grounded with associated transfer pumps individually grounded. (OSHA 1910.303, NFPA)

  Yes

  No

  N/A

• The Diesel tank should be properly labeled and “NO SMOKING” placards posted on each approach to the tank and have a properly mounted and tagged fire extinguisher in the immediate area. (OSHA 1910.1200(f)(4-5) / 1910.145(c)(2)(i) / RP54 8.4.1d)

  Yes

  No

  N/A

• All piping and/or fuel lines will be leak free and associated plumbing provided with a drip pan. (OSHA 1910.106(b), NFPA)

  Yes

  No

  N/A

SCR or Generator house with engines

• Housekeeping is maintained with no walkway blockage, clean decks and the appropriate warning signs are posted, with hearing protection available. (OSHA 1910.22, 145 / RP54 6.5.1)

  Yes

  No

  N/A

• A Fire Extinguisher suitable for electrical fires, with a current tag will be properly mounted and easily accessed. (OSHA 1910.157(d)(1) / 1910.157(c)(1))

  Yes

  No

  N/A

• All electrical panels will be kept closed and “High Voltage” signs will be displayed on each switch and breaker box with clear labeling for each switch. Lockout/Tagout will be available and properly used throughout. (OSHA 1910.305(b)(2) / 1910.335(a)(2)(ii) / 1910.145(c)(2)(i) / 1910.305(b)(2)(ii))

  Yes

  No

  N/A

• The SCR or Generator houses and associated power modules will be properly grounded. (OSHA 1910.303 / RP54 9.14.11 / NEC)

  Yes

  No

  N/A

• All engines will be muffled and, if within 100 feet of wellbore, will have a spark arresting system for each exhaust. (IADC 5 (a) (1), NFPA)

  Yes

  No

  N/A

• The engine floor areas will be kept clean of debris and spills from gasket or seal leaks, with absorbent pads used when necessary. (OSHA 1910.22)

  Yes

  No

  N/A

• Hearing protection available and associated warning signs will be at all approaches to the sheds. (OSHA 1910.132, 145)

  Yes

  No

  N/A

• All electric support motors should be grounded properly, and all wiring fully insulated with all electric plug outlets covered (OSHA 1910.303(b)(1-2) / 1910.305(a)(2)(iii) / RP54 10.2.3 / NEC)

  Yes

  No

  N/A

• Engines/motors employing either drive belts or drive shafts should have these rotating parts covered by an appropriate guard to prevent accidental contact. (OSHA 1910.212(a)(1) / IADC)

  Yes

  No

  N/A

• Compressors should be checked for an operating and tested pop-off valve and all gauges should be in good condition and operating properly. (OSHA 1910.03)

  Yes

  No

  N/A

• Lighting fixtures in the engine shed(s) will have good, clean lenses and have Safety keeper wires to prevent falling if loosened by vibration. (OSHA 1910.303-307, NEC)

  Yes

  No

  N/A

• The floor area in front of the electrical control panels should be covered by ‘non-conducting’ material. (OSHA 1910.307, NEC)

  Yes

  No

  N/A

Mud Pumps

• Mud pumps should be kept as clean as possible with the immediate area free of trash. (OSHA 1910.22)

  Yes

  No

  N/A

• The area should be kept clear of tools and unnecessary equipment such as pump parts and excess hoses. (IADC 5(a)(1), OSHA 1910.22)

  Yes

  No

  N/A

• Flow lines and pressure hoses should have Safety snub lines on each end. Softline is not suitable for the pressure applied. (OSHA 1910.158, IADC)

  Yes

  No

  N/A

• Each pump will have an operating pop-off valve with pin in place and have a diverter line rigged so that the discharge will be safely directed. The diverter line should have a U-Bolt in place and secured. (OSHA 1910.212)

  Yes

  No

  N/A

• All pumps will have their drive belts guarded if applicable and possible pinch points will be covered in a proper manner with the drive shafts on small transfer pumps also guarded. (OSHA 1910.212)

  Yes

  No

  N/A

• Valve handles and wheels will be setup in a manner to allow lockout/tagout procedures to be used. (OSHA 1910-1920, IADC)

  Yes

  No

  N/A

Dog Houses and Parts Houses

• Each house will be properly grounded and have light fixtures that meet the explosion proof requirements if it is set inside a 50 foot radius of the rig cellar. (OSHA 1910.303-307)

  Yes

  No

  N/A

• All wiring will be in good condition and if spliced, will be in a proper manner and plug receptacles will have covers in place when not in use. (OSHA 1910.303-307)

  Yes

  No

  N/A

• All electrical tools and utilities such as coffee pots will have 3-pronged plugs and will be UL approved. (OSHA 1910.305)

  Yes

  No

  N/A

• Chemicals, fuels, paint and rig wash will be kept in proper containers and MSDS information will be available for Employee information. (OSHA 1910.157, NFPA)

  Yes

  No

  N/A

• Good housekeeping will be maintained with clean floors, free from clutter and all items stored in their proper places. (OSHA 1910.22)

  Yes

  No

  N/A

• All applicable warning signs will be posted, eye protection and eyewash will be available for use with grinders, pressure cleaners and spray guns. The proper respirator or dust mask will be kept clean and ready for use when applicable. (OSHA 1910.145,132)

  Yes

  No

  N/A

• Fire extinguisher(s) will be available, properly mounted, clean and good condition, with the current inspection tag in place. (OSHA 1910.157, NFPA)

  Yes

  No

  N/A

Cellar, Substructure, BOP, and Choke Manifold

• The cellar should be free of all clutter, and any deck openings or holes should be covered. (OSHA 1910.22-23)

  Yes

  No

  N/A

• Cellar and ditches should be kept as dry as operations permit and free of blockage. (OSHA 1910.22)

  Yes

  No

  N/A

• All tripping hazards should be removed whenever possible or properly marked. (OSHA 1910.22)

  Yes

  No

  N/A

• Wiring in the substructure should be properly insulated and mounted so as to prevent damage caused by vibration. (OSHA 1910.303-307)

  Yes

  No

  N/A

• Adequate lighting, explosion proof, will be maintained in clean and operating condition with all junction boxes and plug outlets of explosion proof configuration and outlets covered when not in use. (OSHA 1910.307, NFPA, NEC)

  Yes

  No

  N/A

• Each structure connection pin will have a proper Safety Keeper applied. (OSHA 1910.181)

  Yes

  No

  N/A

• The BOP will be tested and maintained in good operating condition, kept as clean as possible with all flanges and lines tightened and free from leaks. The BOP will be properly anchored against vibration with turnbuckles. (IADC, API-54)

  Yes

  No

  N/A

• Any scaffolding will be secured at each end, kept clean and provided with handrails or other positive means of fall protection. (OSHA 1910.23, 181)

  Yes

  No

  N/A

• All pressure hoses and lines will be secured at each end by proper Safety Snub lines. (IADC, API54)

  Yes

  No

  N/A

• The manual control levers and/or wheels will be whole and in good operating condition and fixed on each control valve on the BOP and the Choke Manifold. (IADC, API-54)

  Yes

  No

  N/A

• The legs on the Choke Manifold platform, if so constructed, will have structure pins in place and secured with Safety Keeper pins. (OSHA 1910.181)

  Yes

  No

  N/A

• The walking surface at the Choke Manifold will be clean, free of holes and handrails will be in place and in good condition if the platform is elevated. (OSHA 1910.23)

  Yes

  No

  N/A

• Sufficient explosion proof lighting will be maintained in the manifold and the gas buster area to allow night operations, and all junctions boxes and plug outlets will be sealed or capped when not in operation. (OSHA 1910.303-307)

  Yes

  No

  N/A

• Proper grounding will be applied to the manifold platform and the gas buster. (OSHA 1910.303, NEC)

  Yes

  No

  N/A

• All flow and transfer lines subject to abnormal pressures will be properly anchored. (IADC, API54)

  Yes

  No

  N/A

Pipe Racks, Catwalk, and V-Door

• Pipe racks will be set as level as possible, have the appropriate chock pin in each and have each layer of pipe scotched or chocked. (OSHA 1910.176(b) / API- RP54 9.12.3)

  Yes

  No

  N/A

• Housekeeping in the pipe rack area. (OSHA 1910.22 / 1910.176(c) / API RP54 6.5.1)

  Yes

  No

  N/A

• The catwalk should be level and even with the pipe racks, be smooth to allow an even drag or laydown of tubular with a stop or bumper board at the off V-door end. (OSHA 1910.27, IADC, API-RP54)

  Yes

  No

  N/A

• The V-door chute should be smooth with associated stairs and handrails in good condition, with the steps level and un-bent. (IADC, API-RP54)

  Yes

  No

  N/A

Toolpusher’s Trailer

• The trailer should be adequately grounded, contain a working fire extinguisher with a current tag and a properly powered smoke alarm. (OSHA 1910.303-307)

  Yes

  No

  N/A

• There should always be a certified CPR / First Aid person on location with a properly stocked First Aid kit approved by and displaying a medical profession’s signature. (OSHA 1910.151)

  Yes

  No

  N/A

• Emergency Phone numbers should be current and posted in the immediate vicinity of the communications equipment. (IADC, API-54)

  Yes

  No

  N/A

• Exit signs should be at each door. (OSHA 1910.145)

  Yes

  No

  N/A

• Sewage should be properly disposed of and handled. (OSHA 1910.22)

  Yes

  No

  N/A

• Camp water tanks and trailers using potable water.

  Yes

  No

  N/A

• Spare sets of Personnel Protective Equipment such as glasses, hardhats, chemical masks, and hearing protection should be available. (OSHA 1910.132)

  Yes

  No

  N/A

• Safety Meeting / Training records, Ton Mileage, Derrick raising, Cable inspections and an up-dated MSDS manual should be maintained in the trailer. (OSHA 1910,1920)

  Yes

  No

  N/A

• All rig personnel are wearing the ANSI approved safety glasses, hard hats and steel toed boots. (ANSI Z89.1-1997 / ANSI Z87.2-1997)

  Yes

  No

  N/A

• A smoke detector / carbon monoxide monitor is present, in working order and has been tested in the past 30 days. (NFPA 720 / NFPA 72 / NFPA Life Safety Code 101)

  Yes

  No

  N/A

• All applicable OSHA posters are posted. (1903.2(a)(1))

  Yes

  No

  N/A

General Location

• Used oil storage stored correctly, properly labeled, and secondary containment in place.

  Yes

  No

  N/A

• Site is free of any spills or discharges.

  Yes

  No

  N/A

• Safety signage is in place and in good condition.

  Yes

  No

  N/A

• Bloodborne Pathogen Kit available on site? 1910.151(b)

  ✔

  ✖

  N/A

• Upon arrival to rig was everyone wearing the proper PPE?

  ✔

  ✖

  N/A

• Are the crews aware of the Company's cell phone policy?

  ✔

  ✖

  N/A

• Jewelry or other adornments subject to snagging or hanging not worn in the work area? RP54 5.2.7

  ✔

  ✖

  N/A

Company Manuals

• Is a Safety Manual present and up to date?

  ✔

  ✖

  N/A

• Is a Well Control Manual present and up to date?

  ✔

  ✖

  N/A

• Is a physical and/or digital copy of the SPCC Plan present and up to date? There should be a documented annual inspection and should be updated/reviewed every 5 years and stamped by P.E. & Operations Manager.

  ✔

  ✖

  N/A

• Is a Waste Management Plan present and up to date?

  ✔

  ✖

  N/A

• Is an Emergency Management Plan present and up to date?

  ✔

  ✖

  N/A

• Are Safety Bulletins reviewed with all crew members, signed and kept at the Rig?

  ✔

  ✖

  N/A

• Is a physical and/or digital copy of Rig Move Procedure present and up to date?

  ✔

  ✖

  N/A

Rig Orientation Procedures

• Are all rig crew members and visitors Oxy orientated and wearing the green orientation sticker on their hard hats?

  ✔

  ✖

  N/A

• Are Rig Managers meeting with every new rig team member upon arrival and utilizing a Rig Orientation process?

  ✔

  ✖

  N/A

• Are Rig Orientation forms filed at the rig and copies sent to the HR office?

  ✔

  ✖

  N/A

Regulatory and Training Files

• Are OSHA 300 Forms on file?

  ✔

  ✖

  N/A

• Well control certificates up to date and on file? (Check all certs) RM, Driller, Driller, RM, Driller, Derrick hand

  ✔

  ✖

  N/A

• H2S certificates up to date and on file? (Verify cert for crew on tour)

  ✔

  ✖

  N/A

• CPR/First Aid/BBP certificates up to date and on file? (Check all certs)

  ✔

  ✖

  N/A

• Forklift Training certificates up to date and on file? (Verify cert for crew on tour)

  ✔

  ✖

  N/A

• Are the required OSHA Trainings being presented to all crews on a Monthly/Annual basis? (Verify the previous months training)

  ✔

  ✖

  N/A

• Have all Employees with over 2 months' service been to Rig Pass/Safe Land training?

  ✔

  ✖

  N/A

Equipment Inspections

• (Check random Sample from each item, bring in a harness and lanyard etc. and check it off on the list.)

• SALA Block Inspection up to date?

  ✔

  ✖

  N/A

• Lanyard, Harness Inspections up to date?

  ✔

  ✖

  N/A

• Forklift Inspection Forms?

  ✔

  ✖

  N/A

• Fire Extinguisher Inspection Monthly and Annual in file?

  ✔

  ✖

  N/A

• Wire rope Inspections (Monthly)

  ✔

  ✖

  N/A

• Wire Rope Certificates on file?

  ✔

  ✖

  N/A

• Lifting Gear Registry up to date? Organized with separate table for all 6 month and 1 year change outs.

  ✔

  ✖

  N/A

• Is the fire extinguisher layout being used for proper placement of extinguishers?

  ✔

  ✖

  N/A

• Are there any extra fire extinguishers on location, ABC and CO2?

  ✔

  ✖

  N/A

CAT III & IV Inspections

• Mast, Substructure (API RP 4G)<br>- CAT III Inspection required every 730 Operating Days <br>- CAT IV Inspection is required every 3650 Operating Days

  Yes

  No

  N/A

• Top Drive & Traveling Blocks (API RP 8B) Per API recommended intervals or contractor’s established equipment maintenance intervals:<br>- CAT III Inspection is required every 180 days<br>- CAT IV Inspection is required every 1,800 days

  Yes

  No

  N/A

• Elevator Links, Elevators (Casing, Drill pipe, & Single Joint) (API RP 8B) Per recommended intervals or contractor’s established equipment maintenance intervals:<br>- CAT III Inspection is required every 180 days <br>- CAT IV Inspection is required every 365 days

  Yes

  No

  N/A

Rig Inspections

• Most Recent Pre-spud Safety Inspection

  ✔

  ✖

  N/A

• Date Inspected

  Date

• Number of Deficiencies Noted

• Most Recent Weekly Safety Inspection (may be same as pre-spud)

  ✔

  ✖

  N/A

• Date Inspected

  Date

• Number of Deficiencies Noted

• Most Recent Safety Inspection by Superintendent

  ✔

  ✖

  N/A

• Date Inspected

  Date

• Number of Deficiencies Noted

• Most Recent Derrick Inspection

  ✔

  ✖

  N/A

• Date Inspected

  Date

• Number of Deficiencies Noted

• Most Recent Rig Inspection by the HSE Supervisor

  ✔

  ✖

  N/A

• Date Inspected

  Date

• Number of Deficiencies Noted

• Are corrections being completed in a timely manner (15 days)?

  ✔

  ✖

  N/A

Safety Meetings

• Are pre tour and weekly safety meetings being conducted? RP54 6.1.7

  ✔

  ✖

  N/A

• Are DSM’s attending the pre-tour and weekly safety meetings? (Check for DSM Signatures)

  ✔

  ✖

  N/A

• Are pre tour and weekly safety meeting forms being filed in the Rig Manager's office? RP54 6.1.7

  ✔

  ✖

  N/A

JSA / eJSA

• Are JSA's being performed before each job task? (Pull days JSA's from Rig Floor)

  ✔

  ✖

  N/A

• Are revisions being made to existing JSA's as changing conditions arise?

  ✔

  ✖

  N/A

• Are JSA's held with ALL Third Party Crews?

  ✔

  ✖

  N/A

• Are Third Party JSA's filled out and kept on file?

  ✔

  ✖

  N/A

Drills

• Look into keeping documentation other than IADC entries

• Last Emergency Evacuation Drill

  ✔

  ✖

  N/A

• Date

  Date

• Notes

• Fire Drill

  ✔

  ✖

  N/A

• Date

  Date

• Notes

• First Aid Drill

  ✔

  ✖

  N/A

• Date

  Date

• Notes

• Rescue at Height Drill

  ✔

  ✖

  N/A

• Date

  Date

• Notes

Permitted Operations

• Are Confined Entry Permits being accomplished and filed? 1910.146(d) (1-14), 1910.146(e)-(l), RP54 6.7.4(b), and RP54 6.7.5(b)

  ✔

  ✖

  N/A

• Are the appropriate signs for Confined Space entry posted? 1910.146(c) (2), and 1910.145(c) (2) (i)

  ✔

  ✖

  N/A

• Atmospheric testing of confined space prior to entry and are confined space areas cleaned, ventilated, isolated, and locked out and tagged out before entry? RP54 6.7.4(a), and 1910.146(c) (1)

  ✔

  ✖

  N/A

• Are Hot Work Permits being accomplished and filed? RP54 20.1.1, and 1910.252(a) (2) (IV)

  ✔

  ✖

  N/A

• Is a calibrated sniffer being used for Hot work? RP54 6.7.4(a), and 1910.146(c) (1)

  ✔

  ✖

  N/A

• Gas Monitor Calibration Sheet available and updated?

  ✔

  ✖

  N/A

• Sniffer working properly?

  ✔

  ✖

  N/A

• Are LOTO Permits being accomplished and filed along with the Work Permit?

  ✔

  ✖

  N/A

• Where is the LOTO panel Located?

  ✔

  ✖

  N/A

• Are all locks present except those that are in use?

  ✔

  ✖

  N/A

• Are all types of lock out devices available for all power sources?

  ✔

  ✖

  N/A

• Is a LOTO Log being utilized?

  ✔

  ✖

  N/A

Incident Reporting

• Are all incidents including Third Party (no matter how small) being reported and documented?

  ✔

  ✖

  N/A

• Are the incident evaluations being held at the rig site?

  ✔

  ✖

  N/A

• Are all incidents closed out with all appropriate actions completed?

  ✔

  ✖

  N/A

BBS Program

• Have all rig crewmembers been trained on how to fill out the BBS cards? (Speak with two crew members on cards)

  ✔

  ✖

  N/A

• Is a BBS Log being maintained and kept up to date?

  ✔

  ✖

  N/A

Rig Site Notices and Posting Requirements

• Is the Emergency Phone Number List posted including Care Flight? RP54 4.2.1, RP49 7.6-7, and RP68 7.7-8

  ✔

  ✖

  N/A

• Are written instructions/directions to the Hospital posted in a prominent place? 1910.151(a), RP54 4.2.2

  ✔

  ✖

  N/A

• What are the GPS Coordinates for the Rig (Latitude)

• What are the GPS Coordinates for the Rig (Longitude)

• Is the 6 in 1 sign posted? 1903.2(a) (1)

  ✔

  ✖

  N/A

• Visible rig identification sign erected at entrance to site road and at all directional changes on site road. (for 911 services) 1910.145(c)(2)(i), and 1910.151(a)

  ✔

  ✖

  N/A

• Is the Muster Area (primary and secondary) identified with the "Muster Area" sign? 1910.38(c) (4), and 1910.145(c)(3)

  ✔

  ✖

  N/A

• Are No Smoking Areas AND Designated Smoking Areas Posted? RP54 7.1.3

  ✔

  ✖

  N/A

Blowout Prevention and Control

• BOP properly tested? RP54 6.4.1, and RP54 6.4.13

  ✔

  ✖

  N/A

• Date Tested

  Date

• Are the past 3 wells BOP test charts signed by Tester, DSM, and Rig Manager?

  ✔

  ✖

  N/A

• Are well control drills conducted and recorded?

  ✔

  ✖

  N/A

• Date Tested

  Date

• Are duties of each rig team member for well control drills posted?

  ✔

  ✖

  N/A

• Are kill sheets being maintained during drilling operations?

  ✔

  ✖

  N/A

• COC’s 5-year certification: API Stamped (New) or RSL (Recertified), with contractor-supplied “date in service” to verify compliance. Check all of the following: Annular, Pipe Rams, Blind Rams, Spools (DSA and Adapter Spools), RCD equipment, Choke Valves (Manual and 'E' Choke)

  ✔

  ✖

  N/A

Hazardous Communication / Employee Right to Know

• Is a list of all chemicals being used on the current job kept on file and made available to all employees? (Ask for one current chemical and verify SDS)

  ✔

  ✖

  N/A

• Is the SDS Binder kept in order?

  ✔

  ✖

  N/A

• Does each employee know where to look for the MSDS station and know how to use it? (Ask two employees to explain the MSDS process)

  ✔

  ✖

  N/A

• Are all PPE boxes near the mud pits properly stocked with appropriate items such as goggles, aprons, face shield, and rubber gloves?

  ✔

  ✖

  N/A

• Is each rig team member who handles chemicals issued a Half Face cartridge type respirator?

  ✔

  ✖

  N/A

SSE Program

• Are SSE's wearing either SSE hard hats or affixing SSE stickers to their hard hats?

  ✔

  ✖

  N/A

• Is an SSE completion forms being completed once the employee is released from the program?

  ✔

  ✖

  N/A

Completion

• Audit By

  Sign

• Drilling Superintendent

  Sign

• Drill Site Manager

  Sign