Title Page
-
Date and Time of Assessment
-
Name of Person Conducting Assessment
-
Client/Site
-
Rig No.
-
Geographic Location
-
Specific Location
-
Type of Application
-
Rig Supervisors
-
Inspection Participants
Assessment Criteria
1.0 Personnel and Administration
-
1.1 Site Emergency Response Plan completed and posted?<br>- Crew knowledgeable about facility alarms, emergency evacuation procedures and muster points
-
1.2 Safety Meeting reports completed, filed and submitted as required?
-
1.3 SHARP Cards and Take 5 Risk Assessments completed regularly and properly filled out?
-
1.4 JSA’s conducted, reviewed and signed-off by rig personnel as required? <br>- All steps associated with the job task are identified and documented<br>- Hazards associated with each task step are documented<br>- Each mitigation is documented<br>- Responsible Personnel are documented <br>
-
1.5 CFT’s and Daily Compliance Checklist completed as required?
-
1.6 Well Control Drills (Trip Drill) conducted and documented on ESO? (Should be completed every 7 days)
-
1.7 BOP test conducted as required?<br>- BOP test once every 7 days – HWO/offshore<br>- Blind Shears tested once a month<br>- Blind Shears function tested once every trip<br>- BOP test each rig-up/new well<br>NOTE: Should be documented on ESO<br>
-
1.8 Short-Service Employee (SSE) controls adhere to Company policy and evaluations completed as required?<br>- SSE’s visibly identifiable<br>- SSE’s assigned mentors<br>- Evaluations completed at least every two weeks (per hitch)<br>
-
1.9 First aid kits available and filled with adequate amount of supplies?
2.0 Hazard Communication (HAZCOM)
-
2.1 Safety Data Sheets (SDS) available for materials on-site?
-
2.2 Listing of chemicals used on the job site and quantities? (Chemical Cabinet Inventory List)
-
2.3 Chemical containers properly labelled and legible?
3.0 Doghouse
-
3.1 Housekeeping – clean and organized?
-
3.2 PPE available and in good condition?
-
3.3 Well Control Procedures posted?
-
3.4 Are flammables properly stored?
-
3.5 Eyewash station/kit available?<br>- Solution not expired<br>- Station functions and properly maintained
-
3.6 Tools in good condition and properly stored?
-
3.7 Sledge hammers made of non-destructible plastic handles?
4.0 Lifting and Rigging
-
4.1 Only proper/approved (certified) lifting gear used for lifting and rigging? <br>- Non-certified fabricated or modified lifting and rigging equipment not used
-
4.2 Lifting equipment (i.e., slings, shackles, etc.) properly stored, with in certification date and in good condition?
-
4.3 All shackles used for lifting have the proper safety pin installed?
-
4.4 Lay-down line work area free of obstructions and debris?
5.0 Working at Heights
-
5.1 Fall Arrest Equipment (i.e., SRL’s, lanyards, harnesses, etc.) properly stored, inspected and in good condition?
-
5.2 Appropriate fall prevention/protection gear worn by employees while working at heights?
-
5.3 Tool lanyards available and in good condition? Attached to tools when used while working at heights?
-
5.4 Drops Log Sheet (Tools/Equipment in Work/Window Basket) completed and updated as needed?
6.0 Power Pack
-
6.1 Warning Signs posted (i.e., Hearing Protection)?
-
6.2 Housekeeping maintained (i.e., oil, grease, leaks, etc.)?
-
6.3 Hose restraints/halters on hydraulic lines – umbilicals secure?
7.0 Mud Pump
-
7.1 Suction hoses free of leaks and installed in neat manner?
-
7.2 Hose restraints/halters properly installed on chiksan iron (if applicable)?
-
7.3 Warning Signs posted (i.e., Hearing Protection)?
-
7.4 Guards in place and in good condition?
-
7.5 Housekeeping maintained (i.e., oil, grease, leaks, etc.)?
8.0 Work Basket
-
8.1 Kelly Hose secured at each end?
-
8.2 Handrails, steps and grating in good condition?
-
8.3 Snub Line on tongs properly installed and in good condition?
-
8.4 Lighting installed and functions properly?
-
8.5 Safety Valve (TIW) in place and proper size?
-
8.6 Safety Valve (TIW) operation handle/wrench available for immediate use?
-
8.7 Well Control Procedures posted?
-
8.8 Operator Controls clearly labelled on console?
-
8.9 Exits/hatches unobstructed?
9.0 Sub-Structure
-
9.1 General condition of sub-structure?
-
9.2 Safety Pins/Turnbuckles checked?
-
9.3 Hold down clamps in position and tight?
10.0 BOP's / Closing Unit
-
10.1 Cover on Blind Shear controls?
-
10.2 Proper lighting (i.e., explosion proof lighting, functioning, etc.)?
-
10.3 Housekeeping maintained (i.e., leaks, hydraulic line routing, etc.)?
-
10.4 Blind Shear Alarms functions and in place on Accumulator/Closing Unit and Secondary Remote Panel?
11.0 Walking-Working Surfaces
-
11.1 Adequate walkways maintained and free of slip, trip or fall hazards?<br>- Hose “Step Overs” in use as needed
-
11.2 Handrails, steps and grating maintained and in good condition?
-
11.3 Scaffolding and scaffolding components inspected prior to use?
12.0 Miscellaneous Items
-
12.1 Overall housekeeping – work areas neat and orderly?
-
12.2 All Fire Extinguishers inspected, properly charged, in position and unobstructed? Fire Extinguisher signage present?<br>- Mud Pump x 1<br>- Power Pack x 2<br>- Dog House x 1<br>- Closing Unit x 1<br>- Generator x 1
-
12.3 Safety Signage (i.e., PPE Required, Overhead Lifts, Pressure, etc.) displayed?
-
12.4 Personal Protective Equipment (PPE) worn by employees when and where necessary?
-
12.5 H2S response equipment available and unobstructed?
-
12.6 Rig components/support equipment properly grounded?
-
12.7 All guide wires installed correctly, in place and flagged (i.e., thimbles on guide wires/buckles, 3 minimum cable clamps, etc.)?
-
12.8 Vehicles properly maintained with safety equipment, including seat belts?
13.0 Environmental
-
13.1 All used oils properly disposed of?
-
13.2 Fuel properly stored – including secondary containment?
-
13.3 Waste Drums properly labelled?
-
13.4 Sufficient Spill Kits/Absorbent Material available and accessible on location?
-
13.5 No leaks/spills on deck?
