Information
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Asset Number
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Rig Number
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Inspection date
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Rig Series
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Rig Model
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Inspected by
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Rig Make
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Manufacturer
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Operator
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Date of Manufacturer
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Supervisor
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Derrick Manufacturer
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Derrick Refurb Date
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Manager
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Derrick Rating
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Derrick Height (ft)
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Telescoping
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Folding
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Engine
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Rig Location
General
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Key Energy Logo & Signs
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Distance from overhead power lines
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Location entrance & hazard signs displayed
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Rig driver has Class B license.
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Fall lane of derrick clear
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Auxiliary equipment exhaust distance.
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Spark arrestor-exhaust system.
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Registration & insurance card
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Transportation permits in cab.
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Housekeeping
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Driver daily log & post trip current.
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Designated muster area labeled
Guying
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External guy lines strung out properly
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External guy lines tightened to specifications
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Guy lines condition
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Turnbuckle minimum 1 1/4"
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Guy lines flagged
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External guy line safety anchors tested within 2 years.
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Tubing board guy lines strung & crossed for racking & tubing
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Internal guy lines adjusted to specifications
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Outriggers in place and pinned
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Proper number and spacing of cable clips
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Crown to ground guy wires
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Appropriate number of guy wires
Foundation
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Rig mat condition
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Adequate footing
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Jack stands condition
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Jack pad
Mast/Derrick
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Mast/Derrick
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Manufacturer's specifications operation plate
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Derrick ladder
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Tubing board
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Rod basket/board
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Lower derrick locking pins in place w/ safety pins
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Scoping ram stabilizers
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Crown-sheave guards
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Rod, tubing fingers safety chains
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Upper derrick locking pins in place w/ safety pins
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Upper latch mechanism flag
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Standpipe secured.
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Circulating hose secured to gooseneck with safety hobbles
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Lighting system functional, rated & adequate.
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Crown painted a contrasting color
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Bottom ladder rung w/i 18" of floor or ground
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Top section breaking/landing point flagged
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Derricks over 102' anti-crownout device installed & operational
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KeyView CO/FO & hook load protection set.
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All pivot pins in derrick trapped
Drawworks/Winch
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Guards are in place
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Drill line (less than 1 year in service)
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Sand line
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Winch-line, guard, & tagged Grade 80 lift chain
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Deadline anchor & retainer uses proper pins and/or bolts
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Tubing/sand line brake system
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Tubing/sand line brake latch.
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Sufficient wraps on drum to allow blocks to be in lowest position when taking on a load.
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Sand line clutch guarded.
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Brake linkage to drawworks
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Drum brakes adjusted to specifications
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Road/hoist shift lever secured.
Rig Carrier
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Housekeeping
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Guardrails/handrails in place with safety pins.
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Head, tail & signal lights
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Wheel chocks
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Fluid systems free of leaks
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Cab free of loose or flammable materials
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Glass & mirrors
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Windshield wipers & blades
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Emergency brake set
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Emergency reflector kit in rig cab
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Battery covers in place
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Hydraulic leveling jacks secured by mechanical lock nuts.
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Seat belt
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6th gear locked out
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All controls labeled
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All gauges functioning properly
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Road to drawworks shift lever secured
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Brakes, tires & wheels
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Diesel and other storage tanks are labeled
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Kill switches functional
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Emergency air intake shut down functional
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Drive line recently greased
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Low air warning device functional
Work Platform/Floor
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Work floor condition
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Steps/handrails/guardrails/toe boards in place & secured
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V-door opening guard rails in place or protected with chains
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Floor chains secured properly with support/suspension pins with keepers/clevis or clutch hooks
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Work floors stored in the vertical or up position, are secured on both sides.
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Work floor sliding section has stops to prevent sliding closed when floor is stored in the vertical position.
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Work floor suspension safety hooks use 80 grade chain
Well control equipment
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BOPs installed, tested as necessary, and operating properly
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BOP sling
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BOP installed with all bolts/nuts
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Safety valve with (wrench) handle on floor
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Accumulator valves in correct position
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Accumulator engine/controls minimum 50' from well head
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Crew has performed Well Control drill scenario
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Manual BOP closing handles properly installed
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Blow down lines are staked and hobbled
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BOP closed sign is available and being used.
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BOP drills performed & documented on site
Tools & Equipment
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Tubing/Rod tongs condition.
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Stiff arm, tong safety sling and/or snub lines are properly installed
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Tong safety gate (door) in place
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Tong manufacturer back ups condition.
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Tong hanger safety cable and tongs are hung with a clutch hook
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Hand tools condition
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Slings condition
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Traveling block assembly is guarded
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Rod/tubing elevators condition
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Air slips in good condition & not chained to the working floor.
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Air slips positioned above work floor
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Slip bolt in place
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Rod hook condition
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Rod transfers & other tools not left in derrick
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Rod transfer condition w/ safety latch
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Block assembly condition
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Link latch retainer bolts (4) secured with castle nuts & pins
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Rod torque wheel
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Lay down dolly
Safety equipment/Practices
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Positioning lanyards are provided at rod basket and tubing board
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Full-body harness
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Lanyard with soft stop
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SRL condition
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SRL inspected by manufacturer rep w/i two years
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SRL/climbing device stored retracted
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Climbing assist
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Emergency derrick escape equipment
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Fire extinguishers minimum 60 lbs total with current inspection
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Static line installed from carrier to well head
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Stored energy locked out with lock and tag
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Pumping unit weights secured or located on bottom
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MSDS/EAP/SPCC book on site
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First aid and blood borne pathogen kits are stocked/available
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Emergency derrick rescue equipment immediately available
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JSA is current, complete & reviewed
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Rig recently inspected by Rig Supervisor & safety rep
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Crew's training is current in First Aid/CPR, HazCom, H2s, Confined Space Awareness
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Static line installed
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Emergency kill switches working & painted red
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Look up & Live flags in place
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OSHA/EPA inspection notice available
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Rig Safety Man/Blue book complete & current
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Lifting equipment annual inspection is current
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Schedule D mast inspection current within 2 years
H2s Equipment
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Two 30-minute air packs checked and dated monthly
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Rig H2s monitor(s) functional, calibrated monthly w/ dated tag and sensor located downwind
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Personal H2s monitor(s) calibrated monthly w/ dated tag
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Crew has performed H2s drill scenario
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H2s training cards current for all personnel
Dog House Trailer
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Trailer hitch
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Trailer is equipped with brakes
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Trailer tires have at least 2/32 inch tread and chocked
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LPG tanks are secured & labeled
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UL approved regulator is attached to LPG tank
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LPG hose from regulator to heater is LPG rated
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Heater has a UL approved thermo-coupling
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Trailer housekeeping
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Trailer registration
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Trash can available
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Minimum 5 lb fire extinguisher securely mounted with a current inspection
Crew Truck
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Registration, inspection sticker and insurance card
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Vehicle numbers and company logo signs are visible
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Seat belt condition
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Truck overall appearance
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Auxiliary fuel tanks have correct labels
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Windshield, wipers, mirrors, and heater
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All lights are working properly
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Minimum 10 lb fire extinguisher securely mounted with a current inspection
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Steering tires have a minimum 4/32 tread and other tires a minimum 2/32 tread
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Hazardous materials weighbill in truck if transporting diesel over 119 gallons or other hazmat
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Tie down system
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Pre-trip/Post-trip completed
Auxiliary Equipment Standards
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Auxiliary Equipment Standards
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Maximum pressure rating posted
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Fittings rated for maximum unit test pressure
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Hoses in good condition & rated for maximum unit pressure
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Appropriate OEM shear pin used and set for the appropriate safe work pressure
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Pop-off discharge line anchored
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Guards in place
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Ladders, hand rails & walk ways installed
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Controls labeled & working
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Air-intake kill switches labeled, painted contrasting color & working
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Fire extinguisher inspection tags current, extinguishers in good condition & one available for each power unit
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Battery covers in place
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Static line installed & attached to an approved earth ground
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Spark arrestor & exhaust system
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Auxiliary equipment exhaust positioned a minimum of 50 feet from gas sources
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Power swivel host reel spokes covered
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5/8" minimum deadline available & used with 2.0 or larger power swivel
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Moving parts guarded including pulleys, shafts, belts and plungers
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Hose hobbles in place & properly connected
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Hard line staked down or hobbled at each connection & pressure hoses hobbled
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Date pop-off valve last tested & documented
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Tank valves free of leaks & in good working condition
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Transport cam-lock caps available & in use.
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Drip pans & absorbent materials available & in use
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Tire chocks present & installed
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Unit clean & orderly
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Tires, wheels & wheel lugs
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Current registration located on unit
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Key signs & warning signs in place
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Gauges in good working order
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Filter pot hatches operating, free of leaks & properly secured
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Trailer safety slings in place
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Tank mounting brackets in good condition
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Equipment has adequate footing/foundation
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Hammer unions properly rated
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Lubricating system working
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Fluid end free of missing nuts, bolts & leaking fluids
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Proper eye, face, respiratory, hand and body protection and eye skin wash available, clean & serviceable for mixing hoppers
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For caustic soda, approved mixing barrel with baffles & overflow installed.
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Hearing protection posted
Signatures
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Supervisor
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Lead/Driver
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HSE