Title Page
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 Personnel and Administration
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1.1 Safety Program available on-site? (i.e., ISS HSE Thumbstick and/or HSE Manual Hard Copy)
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1.2 SHARP Cards and Take 5 Risk Assessments completed regularly?
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1.3 Emergency Phone Numbers posted in visible area?
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1.4 Have employees been trained in site specific emergency/evacuation procedures?
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1.5 Well Control Drills (Trip Drills) conducted and documented on ESO? (Should be completed every 7 days)
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Date of Last Well Control Drill:
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1.6 BOP test conducted as required?
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Date of Last BOP Test:
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BOP test once every 7 days - HWO/Offshore
Blind Shears tested once a month
Blind Shears function tested once every trip
BOP test every rig-up/new well
NOTE: Should be documented on ESO -
1.7 Miscellaneous Safety Alerts/Bulletins posted?<br>NOTE: Company issued Safety Alerts should be posted in visible area/office.
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1.8 JSA's conducted, reviewed and signed-off by rig personnel as required?
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1.9 Safety Meeting reports completed, filed and distributed as required?
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1.10 CFT's and Daily Compliance Checklist completed as required?
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1.11 Appropriate Permit(s) issued and closed out?
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1.12 Are first aid kits available ad filled with adequate amount of supplies?
2.0 Hazard Communication (HAZCOM)
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2.1 SDS/MSDS available for materials on-site?
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2.2 Are containers properly labeled?
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2.3 Listing of chemicals used on the job site and quantities? (Chemical Cabinet Inventory List)
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2.4 Containers clearly marked to show contents?
3.0 Doghouse
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3.1 Housekeeping - clean and organized?
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3.2 PPE available and in good condition?
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3.3 Fall Arrest Equipment (i.e., SRL's, lanyards, harnesses, etc.) properly stored, inspected and in good condition?
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3.4 Lifting equipment (i.e., slings, shackles, etc.) properly stored, with in certification date and in good condition?
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3.5 Well Control Procedures posted?
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3.6 Are flammables properly stored?
4.0 Fire Extinguishers
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4.1 Fire Extinguisher signage present?
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4.2 All Fire Extinguishers inspected, properly charged, in position and unobstructed?
5.0 Hydraulic Power Pack
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5.1 Warning Signs posted (i.e., Hearing Protection)?
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5.2 Housekeeping maintained (i.e., oil, grease, leaks, etc.)?
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5.3 Drip Trays in place and clean?
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5.4 Hose restraints/halters on hydraulic lines - umbilicals secure?
6.0 Mud Pump
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6.1 Suction hoses free of leaks and installed in neat manner?
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6.2 Hose restraints/halters properly installed on chicksan iron (if applicable)?
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6.3 Warning Signs posted (i.e., Hearing Protection)?
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6.4 Guards in place and in good condition?
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6.5 Housekeeping maintained (i.e., oil, grease, leaks, etc.)?
7.0 Work Basket
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7.1 Kelly Hose secured at each end?
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7.2 Handrails, steps and grating in good condition?
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7.3 Snub Line on tongs properly installed and in good condition?
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7.4 Lighting installed and functions properly?
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7.5 Safety Valve (TIW) in place and proper size?
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7.6 Safety Valve (TIW) operation handle/wrench available for immediate use?
8.0 BOP's / Closing Unit
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8.1 Cover on Blind Shear controls?
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8.2 Proper lighting (i.e., explosion proof lighting, functioning, etc.)?
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8.3 Housekeeping maintained (i.e., leaks, hydraulic line routing, etc.)?
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8.4 Blind Shear Alarms functioning and in place on Accumulator/Closing Unit and Secondary Remote Panel?
9.0 Miscellaneous Items
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9.1 Overall housekeeping - are work areas neat and orderly?
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9.2 Are hose "step overs" in use?
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9.3 Safety Signage (i.e., PPE Required, Overhead Lifts, Pressure, etc.) displayed?
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9.4 Personal Protective Equipment (PPE) worn by employees when and where necessary?
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9.5 H2S response equipment available and unobstructed?
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9.6 Adequate walkways maintained and free of trip hazards?
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9.7 Proper/approved lifting gear used? All shackles used for lifting have split/cotter pins installed?
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9.8 Tools in good condition and properly stored?
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9.9 Sledge hammers made on non-destructible plastic handles?
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9.10 All rig components/support equipment properly grounded?
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9.11 All guide wires installed correctly, in place and flagged (i.e., thimble on guide wires/buckles, 3 minimum cable clamps, etc.)?
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9.12 Synthetic Slings properly stored?
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9.13 Vehicles properly maintained with safety equipment, including seat belts?
10.0 Envrionmental
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10.1 All used oils properly disposed of?
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10.2 Fuel properly stored - including secondary containment?
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10.3 Waste Drums properly labeled?
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10.4 Sufficient Spill Kits/Absorbent Material available and accessible on location?
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10.5 No leaks/spills on deck?
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10.6 Waste Bins located at suitable points and emptied regularly?
Participants Name & Signature
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