Job Safety & Environmental Analysis Field Review

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Information for the Field Audit of a Sheridan Job Safety and Environmental Analysis.

• Date And Time Stamp.

  Date

• Is the JSEA written in ink and legible?

  Yes

  No

  N/A

• Is the date correctly noted?

  Yes

  No

  N/A

• Is the area correctly noted?

  Yes

  No

  N/A

• Is the location correctly noted?

  Yes

  No

  N/A

• If applicable, is the rig name correctly noted?

  Yes

  No

  N/A

• Is the site consultant correctly noted?

  Yes

  No

  N/A

• Is the wind direction correctly noted?

  Yes

  No

  N/A

• Are GPS coordinates noted correctly?

  Yes

  No

  N/A

• Is the Crew Supervisor noted correctly?

  Yes

  No

  N/A

• Is the muster area correctly noted?

  Yes

  No

  N/A

• Does the job task match the work being done on location?

  Yes

  No

  N/A

• Is the emergency contact identified on the JSEA?

  Yes

  No

  N/A

• What's your opinion if the JOB STEPS listed?

  excellent

  good

  needs improvement

• What's your opinion of the HAZARDS listed?

  excellent

  good

  needs improvement

• What's your opinion of the MITIGATION OF HAZARDS listed?

  excellent

  good

  needs improvement

• Add a photo of the JSEA.

  Media

• Add notes to clarify if needed.