Information

  • Site/crew

  • Manager

  • Supervisor

  • HSE Tech/Prepared by

  • Conducted on

  • Location

Personnel

  • All personnel on pad wearing proper PPE IAW current PPE Hazard Assessment and/or SDS.

  • SSE identified. Ref. RP54 6.1.7

  • Personnel H2S awareness trained. Ref. API RP 49 5.1

  • Each company on pad has JSA for their job. Ref. RP54 6.1.7

  • SIMOPS is being coordinated through Co/Man. Ref. RP54 6.1.7

  • Personnel using spotters when backing.

  • Personnel using tag lines. Ref. 1910.180(h)3()(vi), RP54 6.2.12

  • Personnel use designated smoking area. Rf. RP54 7.1.2-3

  • All personnel operating equipment are trained and certified on that equipment. Ref. manufacturer recommendation

  • General housekeeping good. Ref. RP54 6.5.1, 1910.22(a)(1)

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  • Comments:

Outside of equipment (trailers)

  • Is equipment clean?

  • Fuel tanks/caps/mounts in place and not damaged. Ref. API RP 54 8.3.3

  • Fuel, hydraulic and other tanks properly labeled. Ref. 1910. 1200 (f) (5)

  • All drive belts and rotating lines have guards in place. Ref. API RP 54 6.8.3 API RP 54 6.8.2-3

  • All hoses on equipment in good condition. Ref. General duty clause

  • One unit on each axel chocked. Ref. API RP 54 11.1.2

  • Trailer plug and hitch secured and not damaged.

  • Breaking away cable on light duty trailers connected and working. Ref. FMCA 393.43 (d)

  • Tool/junk boxes uncluttered and lids able to close and latch. Ref. FMCA 393. 100(b)

  • No leaks on equipment. Ref. Industry standard.

  • Comments:

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RIG-UP-general/wellhead

  • Spotters used when backing equipment

  • 20 lb. fire extinguisher located at left front bumbdr of each piece of equipment Ref. API RP 54 7.2.4-5

  • Fall arrest system used while in aerial lift? Ref. 1926.453(b)(2)(v)

  • Person using forklift and arial lift must have current certification cards. Ref 1910.178(I), 1926.453(b)(2) (ii)

  • Forklift inspected before use? Ref. 1926. 453(b)(2)(v)

  • Seatbelt used while operating forklift. Ref. B56. 1 5. 3. 19

  • Ropes used on hammer wrenches

  • Iron certification current. Ref. API RP5412.5.1

  • Hammer up unions in good shape and not mushroomed. Ref. API RP54

  • Restraints on iron and rated for that pressure. Ref. Industry standard

  • Lubricator marked with permanent serial number. Ref. API RP 54 13.6.5c

  • Lubricator certification current. Ref. API RP 54 13.6.2

  • BOP tested. Ref. API RP 54 6.4.1

  • All bolts in place on all flanges. (Full nut) Ref API RP 54 6.4.1

  • All personnel not involved with pressure testing should be outside of the taped area. Ref API RP 54 16.1.10

  • Caution tape around high pressure and crane working area. Ref API RP 54 16.1.10

  • Comments:

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Frac Tanks

  • Quick connect pipe from fresh water source free of leaks or damage?

  • Water manifold to tanks free of leaks, all valves to operate present and in containment if re-use water is used?

  • All lines from manifold into tank secured to tank?

  • tanks sit level?

  • Stairs, handrails, and walkways pinned, connected and not damaged with no open holes? Ref. RP54 9.3.8, 1910.24(h)

  • Frac tanks grounded? Ref. RP2003 4.5.2

  • Valves double blocked when not in use?

  • Flare lines properly torqued? Ref. manufacturing recommendation

  • Flare line properly secured? Ref. API 9B

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  • Comments:

Lubricator

  • No leaks on closing unit

  • 1 end male and 1 end female

  • Open/close clearly marked on handle. Ref. RP54 7.2.2, RP53 12.5.3f

  • Valve hand had direct line of sight to well head?

  • Closing unit has crush restraint over hoses. Ref. RP 54 12.5.4

  • Comments:

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Crane

  • Cr/Op certified and knowledgable. Ref. 1910.180(b)(3)

  • Outriggers out and pads under them. Ref. 1910.180(h)(3)(i)(a)

  • Boom angle not too great for load. Ref. 1910.180(h)(1)(i)

  • Cones out to identify swing path. Ref. 1910.180(h)(3)(iii)(b)

  • Crane is free of leaks. Ref. manufacturer recommendation

  • Cr/Op has performed daily inspection. Ref. 1910.180(d)(2)(i)

  • Annual inspection on crane is up to date. Ref. 1910.180(d)(2)(ii)

  • Cr/Op remains at controls while lubricator is unsecured. Ref. 1910.180(h)(4)(i)

  • Rigging meets Crosby standards. Ref. Industry standard

  • F.E.'s charged, inspected, and ready for service. Ref. RP54 16.1.10

  • Cr/Op clear of area when testing or pumping. Ref. Rap54 16.1.10

  • Lift slings inspected and label readable? Ref.1910.184 , 1915. 112(b)

  • Chains inspected and tagged grade 8 or better? Ref. 1910. 184, 1915. 112(c)

  • Tag lines inspected and used while lifting loads? Ref 1910.180(h)(3)(vi), API RP54 6.2.12

  • Only one person signaling crane operator? Ref. industry standard

  • Outriggers floats secures with pad pin? Ref. 1910.180(h) (3)(IV)

  • Boom exhibits no damage to structure, wear pads, boom stops, or cylinder. Ref. 1910. 180 (h) (3) (ix)

  • Block not damaged? Ref. per manufacturer

  • Wire rope free of dirt, excess lube, kinks and spooled correctly. Ref. 1910. 180(g)

  • No damage to the hook and it swivels freely. Ref. 1910.180(d)(3)(v)

  • All Guards in place. Ref. 1910.212(a)(1)

  • Handrails in place , secured, and not damaged? Ref. 1910.21 (f)(10)

  • Cab glass not cracked and wipers are functional. Ref. per manufacturer

  • Anti-two block in place and functioning. Ref. 1910.180(b)(3)(iii)

  • Comments:

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Rig Up-CT Unit

  • CT Unit placed upwind from well? API RP49 11.6.1, RP68 12.7.1

  • Steps leading to operators can secure, level, has handrails, and pins In place?Ref. 1910.23, 1910.36

  • All railing in place and secure with keeper pins? Ref. 1910.23(c)(1)

  • All hydraulic hoses in good condition with no leaks? Ref. industry standard

  • All pins and keepers in reel saddle?

  • only necessary people in area when rigging up?

  • injector gooseneck pinned?

  • Lights and horns functional? Ref. 1910.180(b)(3)(iii)

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  • Comments:

Below is in operators cab

  • Coil company field safety guide

  • Emergency phone #s filled out and posted. Ref. API RP54 4.2.1, RP49 7.6-7, RP54 7.7-8

  • Current SDS book? Ref. API RP 54 6.1.12, 1919.1200(g)(1)

  • Copy of emergency response plan. Ref. 1919.38(b)

  • First aid kit current and stocked, blood borne pathogen kit. Ref API RP 54 4.3.2, 1910.151 (b)

  • Fire extinguisher monthy/annual current. 1910.157(e)(1)-(2)

  • Operators manual. Ref. per manufacturer.

  • Load chart legible and visible to operator. Ref. 1910.180(c)(2)

  • Hand signal chart visible to workers. Ref. industry standard

  • Hand held wind speed indicator. Ref. Industry standard

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  • Comments

Light Plants/Generators

  • Lighting and fixtures shall be of appropriate electrical classification for the area in which they are located. Ref. RP54 9.14.6, RP 500

  • Light fixtures should be placed and maintained to provide illumination for work areas. Ref. RP54 9.14.7

  • Light plants/generators shall be placed 100ft. From well. Ref. RP54 9.14.2

  • All electrical extension cords shall be properly insulated and plugs shall be in good condition. Ref. RP54 9.14.5

  • Light plants are grounded with ground prong. Ref. RP 2003

  • Repairs shall not be made on light plants unless LOTO is performed and person is qualified. Ref. RP54 9.14.9

  • Comments:

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Eye Wash Trailer

  • Personnel know where eyewash trailer is located. Ref. 1910.151, Z358.1.5.4.2, RP54 4.4.1

  • Trailer clearly marked. Ref. Z358.1 5.4.3, 1910.145(c)(2)(i)

  • Tanks are full and have been tested daily. Ref. Z358.1 4.1.4

  • Generator starts on first crank. Ref. manufacturer recommendation

  • Water flows freely from eye wash and shower. Ref. Z358.1 5.1.6 & 4.1.4

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Rig Up-N2 Pump

  • Hammer unions in good shape and not mushroomed. Ref. API RP 54 12.5.1

  • Steps leading to operators cab secured , level, has handrails and keeper pins in place. Ref. 1910.23, 1910.36

  • Iron certification current ref. API RP54 12.5.1

  • N2 PPE being used (face shield, gloves)

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  • Comments:

Chemicals

  • Acid transport and all other tote tanks in containment.

  • All chemicals clearly labeled with SDS. Ref. 1910.1200(b)(1)

  • All personnel wearing proper PPE Per SDS. Ref 1910. 1200 (b)(1)

  • All transfer lines are fit for purpose. Ref. manufacturer recommendation.

  • Acid transport grounded. Ref. RR 2003

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  • Comments:

Fuel Trucks

  • Discharge valves, hose, and nozzles in good condition. Nozzle equipped with auto shut off. Ref. 1910.106(b)

  • Piping and fuel lines in good condition. Ref. 1910.106(b)

  • Fuel tanks properly labeled on all sides. Ref. RP54 8.4.1d, 1910.1200(f)(4-5)

  • Fuel lines not ran under equipment when not in use.

  • "No Smoking" signs erected on all sides. Ref. RP54 7.1.2-6

  • Vapor release vents elevated& away from ignition source. Ref. 1919.106(b)(2)(iv)(c)

  • General housekeeping. Ref. 1910.22(a)(1)

  • B/C class fire extinguisher available and identified. Ref. 1910.157(c)(1)

  • Splash filling prohibited.

  • Fill line & discharge velocity limited.

  • Grounded.

  • Contents on NON-FLAMMABLE storage tanks identified on all sides of tank(s). Ref. 1910.145(c)(2)(i)

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  • Comments:

Job execution

  • Supervisor /PIC identified and in control

  • Employees work as a team

  • Equipment working without failures (including cooling trailer)

  • Regular checks or equipment are done? Ref. API RP 54 9.16.1-3

  • Tools in good working order? Ref API PR54 6.8.6

  • Leaks on equipment contained?

  • Spill kit easily accessible

  • Spill containment in place?

  • Safety procedure followed?

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  • Comments:

Post job

  • Area policed, garbage picked up.

  • Spills cleaned up before leaving location.

  • Location left clean.

  • Cellars empty.

  • Reserve pit empty.

  • Cellar covers in good condition

  • Does wellhead have cages or gaurds?

  • Comments:

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Sign off

  • Signature

  • On site representative

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