Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0-Pre-Job Safety Meeting

  • 1.1 JSA Complete and signed by all employees on location? Standard: API RP 54 6.1.7

  • 1.2 Job Hazards Identified? Standard: API RP 54 6.1.7

  • 1.3 Responsibilities outlined and understood? Standard: IPS Standard

  • 1.4 Restricted work area identified? Standard: 29 CFR 1910.1200(f)(5-6)

  • 1.5 Emergency plan in place and understood by all employees? Standard: OSHA 29 CFR 1910.38.(b)

  • 1.6 Evacuation / All clear alarm identified? Standard: OSHA CFR 1910.38(d)

  • 1.7 Mentor assigned to SSE's? Standard: API RP 54.6.1.7

  • 1.8 SIMOPS coordinated through company man? Standard: API RP 54.6.1.7

  • 1.9 All persons sign in/out when entering/exiting location? Standard: OSHA CFR 1910.38(c)(4)

  • 1.10 All personnel using designated smoking area? Standard: API RP 54.1.2-3, OSHA 29 CFR 1910.145(c)(2)(i)

  • 1.11 Safety briefing/muster area designated? Standard: OSHA 29 CFR 1910.38(c)(4)

  • 1.12 At least 2 people on location trained in CPR/First Aid? Standard:API RP 54 4.3.1, OSHA 29 CFR 1910.151(b)

  • 1.13 Are 2 people on location trained in well control? Standard: API RP 54 6.4.4, 20 AAC 25.527

  • 1.14 Personnel H2S Awareness Trained? Standard: API RP 49 5.1

  • Comments:

2.0 Mandatory Safety Equipment

  • 2.1 FRC's Properly worn by all employees? (zipped up and sleeves rolled down) Standard: OSHA 29 CFR 1910.132, NFPA 2113

  • 2.2 Hard Hats (Plastic no metal) being worn by all employees? Standard: API RP 54 5.2.1, OSHA 29 CFR 1910.135(a)(1-2)

  • 2.3 Safety Glasses - All employees Standard: API RP 54 5.2.2, OSHA 29 CFR 1910.135(a)(1-5)

  • 2.4 Safety boots - All employees Standard: API RP 54 5.2.3, OSHA 29 CFR 1910.136(a)

  • 2.5 Gloves - All employees Standard: OSHA 29 CFR 1910.132(a)

  • 2.6 Hearing protection available? Standard: OSHA 29 CFR 1910.95

  • 2.7 Fall arrest system ( inspected and labels readable) Standard: OSHA 29 CFR 1910.66 App C(f), ANZI Z359.5 1.2

  • 2.8 Lanyards ( inspected and labels readable) Standard: OSHA 29 CFR 1910.66 App C(f), ANZI Z359.5 1.2

  • 2.9 Hard hat and safety glasses available for visitors Standard: OSHA 29 CFR 1910 132(a)

  • Comments:

3.0 Rig Up - General / Wellhead

  • 3.1 Spotter used when backing equipment. Standard: IPS Standard

  • 3.2 20# Fire extinguisher located at left front bumper of each pice of equipment. Standard: API RP 54 7.2.4 & 5

  • 3.3 Is Fall arrest system used while working in aerial lift? Standard: OSHA 29 CFR 1926.453(b)(2)(v)

  • 3.4 Is Fall arrest system used from heights greater than 4 ft? Standard: OSHA 29 CFR 1910.453(b)(2)(v)

  • 3.5 Do Personnel using forklifts and aerial lifts have current certification cards? Standard: OSHA 29 CFR 1910.178(i) & 1926.453(b)(2)(ii)

  • 3.6 Was an inspection done before use on Forklift? Standard: OSHA 29 CFR 1910.178(p)(7), API RPB56.6 6.5.1-2

  • 3.7 Is seat belt used while operating forklift? Standard: API RP B 56.1 5.3.19

  • 3.8 Are ropes used on hammer wrenches? Standard: IPS Standard

  • 3.9 Are endless loops used to secure iron? (Ribs & Spine) Standard: IPS Standard

  • 3.10 Are lubricators permanently marked with a serial #? Standard: API RP 54 13.6.5C

  • 3.11 Are Lubricator Certifications current? Standard: API RP 54 13.6.2

  • 3.12 BOP's Tested? Standard: API 54 6.4.1

  • 3.13 Are all bolts in place in all flanges? Standard: API RP 54 6.4.1

  • 3.14 Is caution tape put up around all High Pressure and crane working area? Standard:API RP 54 16.1.10

  • 3.15 Are all persons not involved in Pressure testing standing outside the taped off area? Standard: API RP 54 16.1.10

  • Comments:

4.0 Rig Up (CT Unit)

  • 4.1 CT unit placed up wind of the well head? Standard: API RP 49 11.6.1, API RP 68 12.7.1

  • 4.2 Are steps leading to doghouse Secure,Level, Have hand rails with keeper pins in place? Standard: OSHA 29 CFR 1910.23 ,29 & 1910.36

  • 4.3 Are all railings in place and keeper pins in place? Standard: OSHA 29 CFR 1910.23(c)(1)

  • 4.4 Are all Hydraulic lines in good condition and without leaks? Standard: IPS Standard

  • 4.5 Are all pins and keepers in reel saddle? Standard: IPS Standard

  • 4.6 Only necessary personnel in area when rigging up. Standard: IPS Standard

  • 4.7 Is the injector gooseneck pinned? Standard: IPS Standard

  • 4.8 Is there a field safety guide in the CT doghouse? Standard: IPS Standard

  • 4.9 Are emergency phone numbers filled out and posted? Standard: API RP 54 4.2.1 - 49 7.6-7 - 54 7.7-8

  • 4.10 Current MSDS book? Standard: OSHA 29 CFR 19101200(g)(1), API RP 54 6.1.12

  • 4.11 Current emergency response plan. Standard: IPS Standard

  • 4.12 Firs Aid Kit stocked and has a bloodborne pathogen kit. Standard: OSHA 29 CFR1910.151(b), API RP 54 4.3.2

  • 4.13 Fire extinguisher Monthly & Annual inspection current? Standard: OSHA 29 CFR 1910.157(e)(1), 1910.157(e)(2)

  • 4.14 House Keeping practices used? Standard: OSHA 29 CFR 1910.22(a)(1), 1910.141(a)(3)

  • 4.15 Are drip pans, duck ponds or oil absorbent pads being used for leaks? EPA Standard

  • Comments:

5.0 Rig Up (N2 Pump)

  • 5.1 Iron certification current? Standard: API RP 54 12.5.1

  • 5.2 Hammer unions in good shape and not mushroomed. APIRP 54 12.5.1

  • 5.2 Are steps leading to doghouse Secure,Level, Have hand rails with keeper pins in place? Standard: OSHA 29 CFR 1910.23 ,29 & 1910.36

  • 5.3 N2 PPE being used? (eye and face protection and Proper gloves) Standard: Osha 29 CFR 1910.133(a)(1) - 1910 138(a)

  • 5.4 Are drip pans, duck ponds or oil absorbent pads being used for leaks? EPA Standard

  • Comments:

6.0 Rig Up (Fluid Pump)

  • 6.1 Are steps leading to doghouse Secure,Level, Have hand rails with keeper pins in place? Standard: OSHA 29 CFR 1910.23 ,29 & 1910.36

  • 6.2 Iron certification current? Standard: API RP 54 12.5.1

  • 6.3 Hammer unions in goos shape and not mushroomed. APIRP 54 12.5.1

  • 6.4 All chemicals labeled and MSDS's on location. Standard: OSHA 29 CFR 1910.1200(b)(1)

  • 6.5 All bagged materials stacked properly? Standard: OSHA 29 CFR 1910.176(b)

  • 6.6 Assessment for respirator conducted? Standard: OSHA 29 CFR 1910.134(b)(1-3), API RP 54 5.4.1

  • 6.7 Personnel wearing proper PPE per MSDS? Standard: OSHA 29 CFR 1910.1200(B)(1)

  • 6.8 Are drip pans, duck ponds or oil absorbent pads being used for leaks? EPA Standard

  • Comments:

7.0 Rig Up (Crane)

  • 7.1 Lifting slings inspected and labels readable. Standard: OSHA 29 CFR 1910.184 - 1910.112(b)

  • 7.2 Chains inspected and tagged Grade 8 or better. Standard: OSHA 29 CFR 1910.112(c) - 1910.184

  • 7.3 Tag-lines inspected and used when lifting. Standard: OSHA 29 CFR 1910.180 (h)(3)(vi), API RP 54 6.2.12

  • 7.4 Only one person signaling crane operator. Industry Standard

  • 7.5 Outriggers fully extended and approved pads under them. Standard: OSHA 29 CFR 1910.180(h)(3)(i)(a)

  • 7.6 Outrigger Floats secured with pad pins. Standard: OSHA 29 CFR 1910.180(h)(3)(iv)

  • 7.7 Cones or CAUTION tape designating the cranes swing path. Standard: OSHA 29 CFR 1910.180(h)(3)(iii)[b]

  • 7.8 Hydraulic system has no apparent leaks. Standard: OSHA 29 CFR 1910.180(d)(3)(iv)

  • 7.9 Air system has no audible leaks. Standard: OSHA 29 CFR 1910.180(d)(3)(iv)

  • 7.10 Boom exhibits no damage to structure.(wear pads, boom, stops, or cylinders) Standard: OSHA 29 CFR 1910.180(h)(3)(ix)

  • 7.11 Wire rope free of dirt, excess lube, kinks, and spooled properly. Standard: OSHA 29 CFR 1910.180(g)

  • 7.12 Block in good condition and greased. Standard: Per Manufacture

  • 7.13 No damage to the hook and it swivels freely. Standard: OSHA 29 CFR 1910.180(d)(3)(v)

  • 7.14 All guards in place. Standard: OSHA29 CFR 1910. 212(a)(1)

  • 7.15 All hand rails in place, secured and not damaged. OSHA 29 CFR 1910.21(f)(10)

  • 7.16 Cab glass free of cracks and wipers working properly. Standard: Per Manufacture.

  • 7.17 Anti-two block in place and functioning. Standard: OSHA 29 CFR 1910.180(b)(3)(iii)

  • 7.18 All lights and horn working properly. Standard: OSHA 29 CFR 1910.180(b)(3)(iii)

  • 7.19 Fire extinguisher monthly / annual current. Standard: OSHA 29 CFR 1910.157(e)(1) & (e)(2), 1910.180(i)(5)(i) API RP 54 16.1.10

  • 7.20 Daily crane inspection filled out. Standard: OSHA 29 CFR 1910.180(d)(2)(i)

  • 7.20 Annual inspection current. Standard: OSHA 29 CFR1910.180(d)(2)(ii)

  • 7.21 Operators manual in cab. Standard: Per Manufacture

  • 7.22 Load chart legible and visible to operator. Standard: OSHA 29 CFR 1910.180(c)(2)

  • 7.23 Hand signal chart visible to workers. Industry Standard

  • 7.24 Hand held wind sped indicator available. Industry Standard

  • 7.25 Are drip pans, duck ponds or oil absorbent pads being used for leaks? EPA Standard

  • Comments:

8.0 Job Execution

  • 8.1 Supervisor / PIC Identified and in Control? Standard: IPS Standard

  • 8.2 Do employees work as a team? Standard: IPS Standard

  • 8.3 Was there NO equipment failures?

  • 8.4 Are regular checks of equipment done? Standard: API RP 54 8.3.3

  • 8.5 Are tools in good working order? API RP 54 6.8.6

  • 8.6 NO homemade tools on location. Industry Standard

  • 8.7 General housekeeping Standard: OSHA 29 CFR 1910.22(a)(1), API RP 54 6.5.1

  • 8.8 Fluid leaks on equipment contained EPA Standard

  • 8.9 Spill Kit Easily accessible Standard: IPS Standard

  • 8.10 Spill containment in place.

  • 8.11 Safety Procedures Followed.

  • Comments:

9.0 Outside Of Equipment.

  • 9.1 Is Equipment clean? Standard: IPS Standard

  • 9.2 Fuel Tanks (Caps, Straps, Mounts) in place and in good condition. Standard: API RP 54 8.3.3

  • 9.3 Fuel, hydraulic, and other tanks properly labeled. Standard: OSHA 29 CFR 1910.1200(f)(5)

  • 9.4 All Belts, Chains, and rotating parts have guards in place. Standard: OSHA 29 CFR 1910.212(a)(2), API RP 54 .8.2-3

  • 9.5 All hoses on equipment in good condition. Standard: OSHA 29 CFR 1910.5(a)(1)

  • 9.6 At least one axle on each piece of equipment chocked. Standard: API RP 54 11.1.2

  • 9.7 Trailer plugs, wires, chains in good condition and no damage. Standard: DOT

  • 9.8 Break away cables on light duty trailers connected and working properly. Standard: DOT

  • 9.9 Tool / parts boxes uncluttered and lids are able to close and lock.

  • 9.10 All loose items on trailers are able to be secured.

  • Comments:

10.0 Post Job

  • 10.1 Is area policed and all trash picked up? Standard: IPS Standard

  • 10.2 Are all spills cleaned up before leaving location? Standard: IPS Standard

  • 10.3 Location Clean after equipment is removed from location? Standard IPS Standard

  • 10.4 Are Drivers Logs current? Standard: DOT & IPS Standard

  • 10.5 Has journey management been conducted? Standard: IPS Standard

  • Comments :

  • Supervisor Signature

  • Auditors Signature

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