Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Vehicles- Pre-Trip

  • 1. A Pre-Trip inspection was conducted on vehicle before beginning the trip?

  • 2. Up to date drivers log book- last duty status entered.

  • <br>3. A Journey management meeting was conducted and documented before beginning the trip?

  • 4. Equipment and supplies are secured by a cargo net or properly strapped?

  • 5. Tractor and trailer paperwork is in the tractor cab?

  • Registration current on trailer and tractor?

  • Annual inspection is current on tractor and trailer?

  • 6. Spill kit in at least one vehicle.

  • 7. Other?

Pre-Job safety Meeting

  • 8. JSA was completed properly and signed by all crew members?

  • 9. Job hazards identified based on services to be performed?

  • 10. Responsibilities/ Task outlined and delegated to responsible person ?

  • 11. Restricted work areas identified?

  • 12. Emergency response plan in place and understood by all employees.

  • 13. Evacuation/All-Clear alarms

  • 14. SSE Assigned a mentor?

  • 15. SIMOPS Coordinated through company man?

  • 16. All personnel sign in / out when entering / exiting location?

  • 17. Personnel using designated smoking areas?

  • 18. Safety briefing/muster area designated?

  • 19. 2 people on location trained in CPR/First aid?

  • 20. 2 people trained in well control?

  • 21. Personnel trained in H2S?

  • 22. Other?

Mandatory Safety Equipment

  • 23. FRC worn by all employees and properly (zipped up and sleeves rolled down)?

  • 24. Hard hats? All employees

  • 25. Safety glasses? All employees

  • 26. Steel toe safety boots worn by all employees?

  • 27. Hand protection/ gloves?

  • 28. Hearing protection?

  • 29. Safety Harness available? Inspected / Current

  • 30. Safety harness lanyard in good condition? Inspected / Current

  • 31. Gas monitors calibrated, inspected and being used properly? If required on location

  • 32. Hard hats and safety glasses available for visitor?

  • 33. Other?

Rig Up- General/Wellhead

  • 34. Spotters used when backing equipment.

  • 35. 20lbs Fire extinguisher located at the left front bumper of each piece of equipment.

  • 36. Fall arrest system in use while in aerial lift.

  • 37. Fall Arrest System used while working from heights greater than 4 feet.

  • 38. Personnel using fork lift and aerial lift must have current certification cards

  • 39. Fork lift inspected prior to use.

  • 40. Seat belt used while operating fork lift

  • 41. Ropes used on hammer wrenches

  • 42. Iron certification current?

  • 43. Hammer unions in good condition not mushroomed

  • 44. Whip checks on iron? Rated for that pressure

  • 45. Lubricators marked with pertinent serial number

  • 46. Lubricator certification current

  • 47. BOPs tested

  • 48. Well head bolted properly all bolts in flange?

  • 49. All personnel not involved with pressure testing outside of taped off areas

  • 50. Caution tape around high pressure and crane working areas

  • 51. Other?

Rig up- CT Unit

  • 52. CT unit placed up wind from well

  • 53. Steps leading to operators cab, secured, level, has handrail and keeper pins in place.

  • 54. All railing in place and secured with keeper pins

  • 55. All hydraulic hoses in good condition with no leaks

  • 56. All pins and keepers in reel saddle

  • 57. Only necessary personnel in area while rigging up

  • 58. Injector gooseneck pinned?

  • Injector head / BOPS secured properly?

In CT unit operators cab

  • 59. IPS Field safety manual available?

  • 60. Emergency phone numbers posted and available.

  • 61. MSDS'S in cabin for chemicals on site?

  • 62. Copy of the emergency response plan posted. If not mentioned in JSA of if more than 10 IPS employees on location

  • 63. First aid kit available and properly stocked?

  • 64. Fire extinguisher monthly and annual current.

  • 65. Good house keeping

  • 66. Other?

Rig up N2 pump

  • 67. Iron certification Current

  • 68. Hammer union in good shape and not mushroomed

  • 69. Steps leading to operators cab, secured, level, has handrail and keeper pins in place.

  • 70. N2 PPE being used

  • 71. Other

Rig up fluid pump

  • 72. Steps leading to operators cab, secured, level, has handrail and keeper pins in place.

  • 73. Iron certification current

  • 74. Hammer union in good shape and not mushroomed

  • 75. All chemical on well site clearly labeled with MSDS on site.

  • 76. All bagged/bucketed material stacked properly

  • 77. Assessment for respirator conducted

  • 78. All personnel wearing proper PPE per MSDS

  • 79. Other

Rig up Crane

  • 80. Lift sling condition? Identification tags/label attached and readable?

  • 81. Chains inspected and tagged grade 8 or higher

  • 82. Tag lines inspected and used while lifting loads

  • 83. Only one person signaling crane operator

  • 84. Outriggers fully extended and pads under them

  • 85. Outrigger floats secured with pad pin

  • 86. Cones out to identify crane swing path

  • 87. Hydraulic system has no apparent leaks

  • 88. Air system has no audible leaks

  • 89. Boom exhibits no damage to structure, wear to pads, boom stops or cylinder

  • 90. Wire rope free of dirt, excess lube, kinks and spooled correctly

  • 91. Block not damaged

  • 92. No damage to the hook and it swivels freely

  • 93. All guards in place

  • 94. Handrails in place, secured and not damaged

  • 95. Cab glass not cracked and wipers are functional.

  • 96. Anti-two block in place and functioning

  • 97. Light and horns are functional

Crane operators cab

  • 98. 5# Fire Extinguisher in cabin? Monthly/annual inspection current

  • 99. daily Crane inspection conducted and filled out?

  • 100. Annual crane inspection is current

  • 101. Crane operators manual

  • 102. Crane load chart legible and visible to operator.

  • 103. Crane hand signal chart visible to workers

  • 104. Hand held wind speed indicator

  • 105. Other

Job Execution

  • 106. Supervisor/ PIC identified and in control

  • 107. Employees working as a team?

  • 108. Any equipment failures

  • Job started on time?

  • 109. Regular check of equipment conducted?

  • 110. Tools in good working order?

  • 111. Trash picked up? Good housekeeping?

  • 112. Any visible leaks on equipment? Contained?

  • 113. Spill kit available in each unit?

  • 114. Spill containment in place

  • 115. Safety procedures followed

Outside of Equipment

  • 116. Is equipment clean?

  • 117. Fuel tanks, tank mounts, tank caps all attached and in good condition?

  • 118. Fuel, Hydraulic and other tanks properly labeled

  • 119. All drive belts and rotating lines have guards in place

  • 120. All hoses on equipment in in good condition

  • 121. wheel Chock blocks in vehicle?

  • Tire chains in vehicle?

  • 122. Trailer plug and hitch secured and not damaged

  • 123. Break away cable on light duty trailers connected and working properly

  • 124. Tool boxes uncluttered and lids able to close and latch

  • 125. Leaks on equipment

  • 126. Other

Post Job Responsibilities

  • 127. Area policed and cleaned up?

  • 128. All spills cleaned up before leaving location.

  • 129. Location left clean

  • 130. Other?

Audit Comments

  • Supervisor comments.

  • Supervisor signature

  • Company man comments

  • Site auditor comments.

  • Site Auditor signature

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