Jobsite Inspection (Baker Hughes) Southern US

• Document No.

• Audit Title

• Client (Customer)

• Conducted on

  Date

• Prepared by

• Location (Wellsite information)
  Address

• Personnel

1) Mobilization

• A) Journey management covered and documented?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• B) Gate check completed?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• C) Ground guides and an adequate amount off spotters used?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• D) Site Safety Champion identified with a vest as well as qualified for the position?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• E) JSA's/JHA's completed and address all identified safety concerns per job site?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• F) Customer required orientations/training? Cards avalable?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• G) Qualified first aid person identified and first aid kit available?

  Yes

  No

  N/A

• Comments

2) Pre-Job Execution

• A) Ready to service on time?

  Yes

  No

  N/A

• Comments

• B) Zero hotshots required?

  Yes

  No

  N/A

• Comments

• C) Sufficient and safe lighting for job?

  Yes

  No

  N/A

• Comments

• D) Safety meetings covered before and between stages:

• Comments

• Safety plan reviewed?

  Yes

  No

  N/A

• Photo

  Media

• Comments

• *Employee duties established?

  Yes

  No

  N/A

• Comments

• *Complete hazard assessment was conducted on location and discussed with crew (Use HRA/JSA to verify)

  Yes

  No

  N/A

• Comments

• Photo

  Media

• *Personnel was attentive during the meeting?

  Yes

  No

  N/A

• Comments

• *Emergency procedures covered?

  Yes

  No

  N/A

• Comments

• * Wind direction identified?

  Yes

  No

  N/A

• Comments

• Photo

  Media

3) Rig-Up

• A) All flow iron is within inspection per the market requirements: 6 months for shale market and 12 months for all others

  Yes

  No

  N/A

• Comments

• Photo

  Media

• B) Equipment safely moved, properly spotted on location, and properly space for wellhead and secured as per company standards. (Ground guides, cones used properly, fire extinguisher, check 6)

  Yes

  No

  N/A

• Comments

• Photo

  Media

• C) Hose hobbles placed on all discharge hoses?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• D) All ground iron placed on blocks or some other comparable device to keep iron from sinking into the ground?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• E) Bleed off iron is staked and saddled or secured with a comparable device?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• F) Pop-off place in the line as well as set per standard?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• G) All suction and discharge hoses in good condition? No kinks or excessive wear marks?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• H) Wing in good condition? Wings needing attention have been identified?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• I) Crane and rigging inspected?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• J) Iron rigged up per standard

  Yes

  No

  N/A

• Comments

• Photo

  Media

• K) Proper amount of hoses used per standard?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• L) Lines were tested 1000 psi above max pressure? If it was allowable by the line working pressure?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• M) BOP tested and documented?

  Yes

  No

  N/A

• Comments

• Photo

  Media

4) Environmental

• A) Secondary containment properly placed under potential leaking equipment? Blender, Chem-add, Chemical Floats?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• B) Adequate spill response equipment on site? Absorbent diapers, absorbent socks, shovels, Soda Ash?

  Yes

  No

  N/A

• Comments

• Photo

  Media

5) Hazardous Communications (HAZCOM)

• A) All chemicals labeled properly?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• B) SDS's available for every chemical?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• C) SDS's reviewed and required PPE in use?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• D) Chemical transfer hoses in good working condition? No kinks or excessive wear marks

  Yes

  No

  N/A

• Comments

• Photo

  Media

• E) Non-locking camlocks secured with zip ties when locking camlocks are not in use?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• F) Tote valve handles clearly marked with the correct open and closed positions illustrated?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• G) Barriers in place to prevent personnel from entering high pressure and any other hazardous areas?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• H) Appropriate grounding/bonding applied?

  Yes

  No

  N/A

• Comments

• Photo

  Media

6) Respiratory Protection

• A) All employees within 50 feet of sand being moved are fit tested and wearing appropriate respirator? Half face mask (<50k lbs. 100 mesh in a stage) Full face (>50k lbs. 100 mesh in a stage)

  Yes

  No

  N/A

• Comments

• Photo

  Media

• B) The 50 foot barrier is in place to warn people of the silica dust?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• C) Respirators are clean and in good condition?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• D) A wind sock is in place to indicate wind direction?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• E) "Silica Hazard" signage in place and visible?

  Yes

  No

  N/A

• Comments

• Photo

  Media

7) Personnel

• A) Personnel aware of local initiatives? Upstream Process Safety? Perfect HSE Day?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• B) Personnel demonstrated positive HSE culture?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• C) Personnel are clean shaven?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• D) Appropriate PPE worn throughout the job?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• E) SSE's identified?

  Yes

  No

  N/A

• Comments

• Photo

  Media

8) Vehicles and Equipment/Housekeeping

• A) Truck cabs clean?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• B) Unused items are out of walking paths in order to prevent trip hazards?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• C) TMV is presentable in order to accommodate the customer?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• D) Location is cleaned up of any general trash throughout and at the end of the job?

  Yes

  No

  N/A

• Comments

• Photo

  Media

9) Third Party

• A) Third parties are able to communicate with the crew throughout the job?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• B) Third parties are following BHI location requirements?

  Yes

  No

  N/A

• Comments

• Photo

  Media

10) Behavior Based Safely (BBS)

• A) Means exist for BBS observations to be reported?

  Yes

  No

  N/A

• Comments

• Photo

  Media

• B) Demonstration of evidence of interventions undertaken?

  Yes

  No

  N/A

• Comments

• Photo

  Media

Additional Findings

• Finding

• Comments

• Photo

  Media

• Finding

• Comments

• Photo

  Media

• Finding

• Comments

• Photo

  Media

• Finding

• Comments

• Photo

  Media

• Finding

• Comments

• Photo

  Media

• Finding

• Comments

• Photo

  Media

• Name of Reviewer?

• Reviewed by

  Sign

• Name of On-Site Supervisor?

• On site Supervisor

  Sign