Information
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Site/crew
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Manager
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Supervisor
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HSE Tech/Prepared by
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Conducted on
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Location
Personnel
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All personnel on pad wearing proper PPE IAW current PPE Hazard Assessment and/or SDS.
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SSE identified. Ref. RP54 6.1.7
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Personnel H2S awareness trained. Ref. API RP 49 5.1
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Each company on pad has JSA for their job. Ref. RP54 6.1.7
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SIMOPS is being coordinated through Co/Man. Ref. RP54 6.1.7
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Personnel using spotters when backing.
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Personnel using tag lines. Ref. 1910.180(h)3()(vi), RP54 6.2.12
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Personnel use designated smoking area. Rf. RP54 7.1.2-3
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All personnel operating equipment are trained and certified on that equipment. Ref. manufacturer recommendation
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General housekeeping good. Ref. RP54 6.5.1, 1910.22(a)(1)
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Comments:
Outside of equipment (trailers)
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Is equipment clean?
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Fuel tanks/caps/mounts in place and not damaged. Ref. API RP 54 8.3.3
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Fuel, hydraulic and other tanks properly labeled. Ref. 1910. 1200 (f) (5)
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All drive belts and rotating lines have guards in place. Ref. API RP 54 6.8.3 API RP 54 6.8.2-3
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All hoses on equipment in good condition. Ref. General duty clause
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One unit on each axel chocked. Ref. API RP 54 11.1.2
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Trailer plug and hitch secured and not damaged.
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Breaking away cable on light duty trailers connected and working. Ref. FMCA 393.43 (d)
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Tool/junk boxes uncluttered and lids able to close and latch. Ref. FMCA 393. 100(b)
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No leaks on equipment. Ref. Industry standard.
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Comments:
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RIG-UP-general/wellhead
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Spotters used when backing equipment
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20 lb. fire extinguisher located at left front bumbdr of each piece of equipment Ref. API RP 54 7.2.4-5
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Fall arrest system used while in aerial lift? Ref. 1926.453(b)(2)(v)
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Person using forklift and arial lift must have current certification cards. Ref 1910.178(I), 1926.453(b)(2) (ii)
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Forklift inspected before use? Ref. 1926. 453(b)(2)(v)
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Seatbelt used while operating forklift. Ref. B56. 1 5. 3. 19
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Ropes used on hammer wrenches
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Iron certification current. Ref. API RP5412.5.1
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Hammer up unions in good shape and not mushroomed. Ref. API RP54
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Restraints on iron and rated for that pressure. Ref. Industry standard
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Lubricator marked with permanent serial number. Ref. API RP 54 13.6.5c
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Lubricator certification current. Ref. API RP 54 13.6.2
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BOP tested. Ref. API RP 54 6.4.1
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All bolts in place on all flanges. (Full nut) Ref API RP 54 6.4.1
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All personnel not involved with pressure testing should be outside of the taped area. Ref API RP 54 16.1.10
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Caution tape around high pressure and crane working area. Ref API RP 54 16.1.10
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Comments:
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Frac Tanks
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Quick connect pipe from fresh water source free of leaks or damage?
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Water manifold to tanks free of leaks, all valves to operate present and in containment if re-use water is used?
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All lines from manifold into tank secured to tank?
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tanks sit level?
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Stairs, handrails, and walkways pinned, connected and not damaged with no open holes? Ref. RP54 9.3.8, 1910.24(h)
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Frac tanks grounded? Ref. RP2003 4.5.2
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Valves double blocked when not in use?
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Flare lines properly torqued? Ref. manufacturing recommendation
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Flare line properly secured? Ref. API 9B
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Comments:
Lubricator
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No leaks on closing unit
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1 end male and 1 end female
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Open/close clearly marked on handle. Ref. RP54 7.2.2, RP53 12.5.3f
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Valve hand had direct line of sight to well head?
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Closing unit has crush restraint over hoses. Ref. RP 54 12.5.4
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Comments:
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Crane
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Cr/Op certified and knowledgable. Ref. 1910.180(b)(3)
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Outriggers out and pads under them. Ref. 1910.180(h)(3)(i)(a)
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Boom angle not too great for load. Ref. 1910.180(h)(1)(i)
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Cones out to identify swing path. Ref. 1910.180(h)(3)(iii)(b)
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Crane is free of leaks. Ref. manufacturer recommendation
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Cr/Op has performed daily inspection. Ref. 1910.180(d)(2)(i)
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Annual inspection on crane is up to date. Ref. 1910.180(d)(2)(ii)
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Cr/Op remains at controls while lubricator is unsecured. Ref. 1910.180(h)(4)(i)
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Rigging meets Crosby standards. Ref. Industry standard
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F.E.'s charged, inspected, and ready for service. Ref. RP54 16.1.10
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Cr/Op clear of area when testing or pumping. Ref. Rap54 16.1.10
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Lift slings inspected and label readable? Ref.1910.184 , 1915. 112(b)
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Chains inspected and tagged grade 8 or better? Ref. 1910. 184, 1915. 112(c)
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Tag lines inspected and used while lifting loads? Ref 1910.180(h)(3)(vi), API RP54 6.2.12
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Only one person signaling crane operator? Ref. industry standard
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Outriggers floats secures with pad pin? Ref. 1910.180(h) (3)(IV)
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Boom exhibits no damage to structure, wear pads, boom stops, or cylinder. Ref. 1910. 180 (h) (3) (ix)
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Block not damaged? Ref. per manufacturer
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Wire rope free of dirt, excess lube, kinks and spooled correctly. Ref. 1910. 180(g)
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No damage to the hook and it swivels freely. Ref. 1910.180(d)(3)(v)
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All Guards in place. Ref. 1910.212(a)(1)
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Handrails in place , secured, and not damaged? Ref. 1910.21 (f)(10)
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Cab glass not cracked and wipers are functional. Ref. per manufacturer
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Anti-two block in place and functioning. Ref. 1910.180(b)(3)(iii)
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Comments:
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Rig Up-CT Unit
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CT Unit placed upwind from well? API RP49 11.6.1, RP68 12.7.1
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Steps leading to operators can secure, level, has handrails, and pins In place?Ref. 1910.23, 1910.36
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All railing in place and secure with keeper pins? Ref. 1910.23(c)(1)
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All hydraulic hoses in good condition with no leaks? Ref. industry standard
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All pins and keepers in reel saddle?
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only necessary people in area when rigging up?
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injector gooseneck pinned?
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Lights and horns functional? Ref. 1910.180(b)(3)(iii)
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Comments:
Below is in operators cab
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Coil company field safety guide
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Emergency phone #s filled out and posted. Ref. API RP54 4.2.1, RP49 7.6-7, RP54 7.7-8
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Current SDS book? Ref. API RP 54 6.1.12, 1919.1200(g)(1)
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Copy of emergency response plan. Ref. 1919.38(b)
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First aid kit current and stocked, blood borne pathogen kit. Ref API RP 54 4.3.2, 1910.151 (b)
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Fire extinguisher monthy/annual current. 1910.157(e)(1)-(2)
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Operators manual. Ref. per manufacturer.
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Load chart legible and visible to operator. Ref. 1910.180(c)(2)
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Hand signal chart visible to workers. Ref. industry standard
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Hand held wind speed indicator. Ref. Industry standard
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Comments
Light Plants/Generators
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Lighting and fixtures shall be of appropriate electrical classification for the area in which they are located. Ref. RP54 9.14.6, RP 500
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Light fixtures should be placed and maintained to provide illumination for work areas. Ref. RP54 9.14.7
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Light plants/generators shall be placed 100ft. From well. Ref. RP54 9.14.2
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All electrical extension cords shall be properly insulated and plugs shall be in good condition. Ref. RP54 9.14.5
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Light plants are grounded with ground prong. Ref. RP 2003
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Repairs shall not be made on light plants unless LOTO is performed and person is qualified. Ref. RP54 9.14.9
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Comments:
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Eye Wash Trailer
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Personnel know where eyewash trailer is located. Ref. 1910.151, Z358.1.5.4.2, RP54 4.4.1
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Trailer clearly marked. Ref. Z358.1 5.4.3, 1910.145(c)(2)(i)
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Tanks are full and have been tested daily. Ref. Z358.1 4.1.4
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Generator starts on first crank. Ref. manufacturer recommendation
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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
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Hammer unions in good shape and not mushroomed. Ref. API RP 54 12.5.1
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Steps leading to operators cab secured , level, has handrails and keeper pins in place. Ref. 1910.23, 1910.36
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Iron certification current ref. API RP54 12.5.1
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N2 PPE being used (face shield, gloves)
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Comments:
Chemicals
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Acid transport and all other tote tanks in containment.
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All chemicals clearly labeled with SDS. Ref. 1910.1200(b)(1)
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All personnel wearing proper PPE Per SDS. Ref 1910. 1200 (b)(1)
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All transfer lines are fit for purpose. Ref. manufacturer recommendation.
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Acid transport grounded. Ref. RR 2003
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Comments:
Fuel Trucks
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Discharge valves, hose, and nozzles in good condition. Nozzle equipped with auto shut off. Ref. 1910.106(b)
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Piping and fuel lines in good condition. Ref. 1910.106(b)
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Fuel tanks properly labeled on all sides. Ref. RP54 8.4.1d, 1910.1200(f)(4-5)
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Fuel lines not ran under equipment when not in use.
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"No Smoking" signs erected on all sides. Ref. RP54 7.1.2-6
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Vapor release vents elevated& away from ignition source. Ref. 1919.106(b)(2)(iv)(c)
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General housekeeping. Ref. 1910.22(a)(1)
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B/C class fire extinguisher available and identified. Ref. 1910.157(c)(1)
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Splash filling prohibited.
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Fill line & discharge velocity limited.
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Grounded.
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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
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Supervisor /PIC identified and in control
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Employees work as a team
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Equipment working without failures (including cooling trailer)
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Regular checks or equipment are done? Ref. API RP 54 9.16.1-3
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Tools in good working order? Ref API PR54 6.8.6
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Leaks on equipment contained?
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Spill kit easily accessible
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Spill containment in place?
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Safety procedure followed?
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Comments:
Post job
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Area policed, garbage picked up.
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Spills cleaned up before leaving location.
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Location left clean.
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Cellars empty.
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Reserve pit empty.
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Cellar covers in good condition
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Does wellhead have cages or gaurds?
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Comments:
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Sign off
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Signature
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On site representative