LEG Completions Frac Audit

• Title:

• Client / Site

• Manager

• Supervisor

• Conducted on

  Date

• Prepared by/HSE Tech

• Location
  Address

Site Arrival

• JSA filled out properly

  Yes

  No

  N/A

• Proper warning signs posted at entrance

  Yes

  No

  N/A

• All personnel in proper PPE

  Yes

  No

  N/A

• All personnel trained and certified in specialized operation

  Yes

  No

  N/A

• Wind sock

  Yes

  No

  N/A

• Location has designated smoking area

  Yes

  No

  N/A

• Comments:

Tree

• Flanges have all bolts and are the correct size and properly torqued and tested

  Yes

  No

  N/A

• All valve handles are correctly installed for proper use

  Yes

  No

  N/A

• Valves capable of venting to atmosphere are capped and a means of bleed off installed.

  Yes

  No

  N/A

• Tree pressure tested at shop to maximum anticipated pressure/ API standard

  Yes

  No

  N/A

• Verify that the number of turns to (FULLY) open/close each valve and choke are written on the wellhead and are correct

  Yes

  No

  N/A

• Comments:

Flow Lines

• All flow iron upstream of choke must be tested to 10k and 5k downstream of choke banded/identified every 12 months

  Yes

  No

  N/A

• Break apart ALL threaded connections and visually inspect before EVERY flow line installation

  Yes

  No

  N/A

• Lines are not bowed or laid in a bind

  Yes

  No

  N/A

• Unions are positioned correctly for direction of flow & checked for compatibility

  Yes

  No

  N/A

• Tested to maximum anticipated pressure + an acceptable safety margin or working pressure

  Yes

  No

  N/A

• Comments:

Flow Line Anchors

• Set as not to cause excessive dips, arches, or bows in flow lines

  Yes

  No

  N/A

• Set first anchor as close to wellhead as feasible placing one every joint- upstream of manifold every other joint- downstream of manifold with hammer union positioned between the anchors

  Yes

  No

  N/A

• When encountering bend or turn in flow line repeat process placing first one as close as feasible after turn with one every other joint thereafter

  Yes

  No

  N/A

• Verify that anchors have been driven flush to the top of line clamp (NO USE OF SUCKER RODS)

  Yes

  No

  N/A

• Verify that the clamps used with the anchors are correct size for the outside diameter of flow line

  Yes

  No

  N/A

• Verify that clamps/anchors are sufficiently bound together and annotate be broken apart

  Yes

  No

  N/A

• Ensure that anchor clamps are 1/2" thick by 3" wide by 12" length with rod holes no greater than 1" or equivalent

  Yes

  No

  N/A

• Comments:

Manual Chokes

• When completely closed- reading is 0/64

  Yes

  No

  N/A

• Pressure test body to same pressure as flow line

  Yes

  No

  N/A

• Housing and seat checked prior to flowing of well

  Yes

  No

  N/A

• Comments:

Flow Back Separator

• Valves checked prior to flow back and function tested at appropriate time.

  Yes

  No

  N/A

• Adequate fall protection of tie-offs (Built in or portable platforms if properly secured will suffice)

  Yes

  No

  N/A

• Set in level position

  Yes

  No

  N/A

• Comments:

Flow Back Tank/ Gas Buster

• Clean sand prior to transport

  Yes

  No

  N/A

• Set level

  Yes

  No

  N/A

• Adequate fall protection or tie-offs(built in or portable platforms if properly secured will suffice)

  Yes

  No

  N/A

• Easy access for tank gauging, walkways and stairs should not be damaged or missing pins

  Yes

  No

  N/A

• External valves not in use have barrier device installed in case of accidental opening

  Yes

  No

  N/A

• Set to provide easy truck access for hauling out produced fluids

  Yes

  No

  N/A

• Working wind sock installed near tank

  Yes

  No

  N/A

• Comments:

H2S

• Comments:

• H2S plan provided for well that may exceed 10 PPM

  Yes

  No

  N/A

• H2S site specific procedures developed for location (if required)

  Yes

  No

  N/A

• H2S contingency plan on location (if required)

  Yes

  No

  N/A

• H2S plan is coordinated by safety department and implemented by foreman

  Yes

  No

  N/A

Personnel

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

  Yes

  No

  N/A

• SSE's identified and assigned a mentor. Ref. RP54 6.1.7

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Personnel using spotters when backing.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Crews communicating well.

  Yes

  No

  N/A

• All personnel sign in and out when entering/exiting pad. Ref. 1910.38(c)(4)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Data Van

• Proper PPE inventory

  Yes

  No

  N/A

• Fire extinguisher

  Yes

  No

  N/A

• First aid kit

  Yes

  No

  N/A

• Emergency shut off switch functional

  Yes

  No

  N/A

• Houskeeping

  Yes

  No

  N/A

• SDS's

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Outside of equipment (trailers)

• Is equipment clean?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Trailer plug and hitch secured and not damaged.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Cooling Trailer operable

  Yes

  No

  N/A

• No leaks on equipment. Ref. Industry standard.

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Fuel Trucks

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Splash filling prohibited.

  Yes

  No

  N/A

• Fill line & discharge velocity limited.

  Yes

  No

  N/A

• Grounded.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Sand Kings

• Stairs and walkway free of clutter and undamaged. All open holes on walkways covered. All hand rails are up and pinned. Ref. RP54 9.3.8, 1910.24(h)

  Yes

  No

  N/A

• Rotating equipment and belts have all guards. Ref. 1910.219(c)(2)(i)

  Yes

  No

  N/A

• Spotter located at front of sand kings to assist haulers in backing.

  Yes

  No

  N/A

• F.E.'s charged, inspected, and ready for service. Ref. 1910.252(a)(2)(ii)

  Yes

  No

  N/A

• Grounded

  Yes

  No

  N/A

• proper signage

  Yes

  No

  N/A

• Appropriate PPE worn, P-100 respirators or better. Ref. 1910.132

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Frac Tanks

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• All lines from manifold into tank secured to tank?

  Yes

  No

  N/A

• tanks sit level?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Frac tanks grounded? Ref. RP2003 4.5.2

  Yes

  No

  N/A

• Valves double blocked when not in use?

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Hydration Unit

• Hydration unit grounded

  Yes

  No

  N/A

• Stairs and walkways free of clutter and undamaged. Hand rails up and pinned. Ref. RP54 9.3.8, 1910.24(h)

  Yes

  No

  N/A

• SDS of all chemicals on site. Ref. 1910.1200

  Yes

  No

  N/A

• Chemicals are properly labeled. Ref. 1910.1200

  Yes

  No

  N/A

• All personnel wearing proper PPE per SDS. Ref. 1910.1200, LEG Policy, 1910.132

  Yes

  No

  N/A

• F.E.'s charged, inspected and ready for service. Ref. RP 54 20.3.4, 1910.252(a)(2)(ii)

  Yes

  No

  N/A

• Hydration unit free of leaks.

  Yes

  No

  N/A

• Hoses from hydration to blender free from abrasions, gouges, and cuts. Hose rated to 100 psi with factory ends. Whip checks installed properly. RP54 16.1.7/ OEM

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Chemicals

• Acid transport and all other tote tanks in containment.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Acid transport grounded. Ref. RR 2003

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Eye Wash Trailer

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Generator starts on first crank. Ref. manufacturer recommendation

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Add media

  Media

Blender:

• Hydraulic hoses in vicinity of turbo sheathed. Ref. RP54 16.1.7

  Yes

  No

  N/A

• Blender free of leaks.

  Yes

  No

  N/A

• Fire suppression system inspected and ready for use

  Yes

  No

  N/A

• Radiation source (densitometer) labeled, closed, and locked. Ref. 1910.1096(j)

  Yes

  No

  N/A

• All personnel wearing proper PPE per SDS. Ref. 1910.1200

  Yes

  No

  N/A

• Valves double blocked when not in use on suction and discharge side.

  Yes

  No

  N/A

• Hoses on discharge side of blender to missile free from abrasions, gouges, and cuts. Hose rated to 250 psi with factory ends. Whip checks installed properly. Ref. RP54 16.1.7, RP54 9.13.3

  Yes

  No

  N/A

• F.E.'s charged, inspected and ready for service. Ref. 1910.252(a)(2)(ii)

  Yes

  No

  N/A

• Stairs and walkway free of clutter and undamaged. Hand rails are up and pinned. Ref. RP54 9.3.8, 1910.24(h)

  Yes

  No

  N/A

• Blender, hydration unit, and sand king caution taped off. Ref. API 5416.1.10

  Yes

  No

  N/A

• Rotating equipment at sand screw appropriately guarded ref. 1910.219(c)(2)(i)

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Missile

• High pressure area only 1 Line Boss in area to look for leaks while testing or pumping. Ref. API 5416.1.10

  Yes

  No

  N/A

• Hoses on missile free from abrasions, gouges, and cuts. Hose rated to 250 psi with factory ends. Whip checks installed properly. Ref. RP 54 16.1.7, RP 54 9.13.3

  Yes

  No

  N/A

• All valves have handles. Ref. industry standard

  Yes

  No

  N/A

• All brackets on missile have bolts and tightened. Ref. industry standard

  Yes

  No

  N/A

• All iron on missile certified and banded within last 6 months.

  Yes

  No

  N/A

• Hammer unions clean and dressed free of mushrooms. Ref. RP54 12.5.1

  Yes

  No

  N/A

• All valves not in use capped.

  Yes

  No

  N/A

• F.E.'s charged, inspected, and ready for service. Ref. RP 54 20.3.4, 1910.252(a)(2)(ii)

  Yes

  No

  N/A

• All iron between missile and pumps certified, tested, and banded (last 12 months). (Min4 chick sans) blocked under chicks. Ref. API 54 12.4.2

  Yes

  No

  N/A

• Bars available for isolation valves.

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Pump Trucks

• Fire Suppression system inspected and ready for use

  Yes

  No

  N/A

• Wheel chocks in place. Ref. industry standard

  Yes

  No

  N/A

• F.E.'s charged, inspected and ready for service. Ref. RP 54 16.1.10

  Yes

  No

  N/A

• High pressure area only 1 SDS in area to look for leaks while testing or pumping. Caution tape up or no go zone designated. Ref. 1910.219(c)(2)(i)

  Yes

  No

  N/A

• Guards in place over transmission and drive shaft. Ref RP54 16.1.7

  Yes

  No

  N/A

• Hydraulic hoses in vicinity of turbo sheathed.

  Yes

  No

  N/A

• All iron brackets in place and bolted down tightly.

  Yes

  No

  N/A

• All iron on pumps certified, tested, and banded in last 12 months. Ref. RP54 12.5.1

  Yes

  No

  N/A

• Hammer unions clean and dressed free of mushrooms. Ref. RP54 12.5.1

  Yes

  No

  N/A

• Bars for isolation valves readily available.

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Well Head

• Area around hydraulic lines for BOP or hydraulic valves free of leaks. Ref. Manufacturer Recommendation

  Yes

  No

  N/A

• All valves have handles installed.

  Yes

  No

  N/A

• Frac stack has platform installed or man lift on location. Ref. RP54 5.5.1

  Yes

  No

  N/A

• All flanges have all bolts and not short bolted. Ref. RP54 6.4.10

  Yes

  No

  N/A

• Cellar has been cleaned out filled in to CSG valve less than 4 ft. And properly guarded. Ref. API 54 7.1.9, API RP 54 6.7.2

  Yes

  No

  N/A

• Flow back tie in(see FB Checklist)

  Yes

  No

  N/A

• Hydraulic valves have 1 male and 1 female fitting.

  Yes

  No

  N/A

• BOP hoses have crush proof sheaths. Ref. RP53 12.5.2

  Yes

  No

  N/A

• Frac head, hydraulic valve, BOP, and B section should be accompanied with test chart. Ref. RP 53 17.3.7

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Treating Iron to Well Head

• High pressure are only 1 Line Boss in area to look for leaks while testing or pumping. Caution tape up or no go zone designated. Ref. RP 54 16.1.10

  Yes

  No

  N/A

• All iron certified, tested, and banded in last 12 months.

  Yes

  No

  N/A

• All hammer unions dressed and ready for service. RP 54 12.5.1

  Yes

  No

  N/A

• All treating lines to well head have flapper style check valve, isolation valve, manifold or tree, and pressure recording device. Ref. RP54 16.1.4 BMP

  Yes

  No

  N/A

• All iron and chiksans and blocked to prevent digging into ground. Ref. RP54 12.4.2

  Yes

  No

  N/A

• Isolation valves have bar readily available. Ref. Industry Standard

  Yes

  No

  N/A

• 3" wheel valves have handles.

  Yes

  No

  N/A

• Where treating iron crosses is the iron rubbing together.

  Yes

  No

  N/A

• Down joints are anchored together with 10k strap.

  Yes

  No

  N/A

• Add media

  Media

• Comments:

RIG-UP-general/wellhead

• Spotters used when backing equipment

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Ropes used on hammer wrenches

  Yes

  No

  N/A

• Iron certification current. Ref. API RP5412.5.1

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Lubricator certification current. Ref. API RP 54 13.6.2

  Yes

  No

  N/A

• BOP tested. Ref. API RP 54 6.4.1

  Yes

  No

  N/A

• All bolts in place in all flanges. Ref API RP 54 6.4.1

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Wireline

• Are wireline personnel giving Cr/Op clear signals

  Yes

  No

  N/A

• Unit chocked, positioned 50ft. from well head, and grounded. Ref RP54 13.8.6, RP67 2.9.1, 3.7, RP54 13.2.1

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Lower wire line sheave secured to well head. Ref. RP54 13.4.5

  Yes

  No

  N/A

• Wireline BOP tested in open and closed position. Ref. RP54 13.6.2 & 13.6.3

  Yes

  No

  N/A

• Wireline unit caution taped off. Ref. RP54 12.1.7

  Yes

  No

  N/A

• Wireline personnel maintain 75 ft. Rule from wellhead when testing or pumping. Ref. RP54 16.1.10, BMP frac standard

  Yes

  No

  N/A

• Are personnel respecting radio silence. Ref RP67 2.6.2.3

  Yes

  No

  N/A

• Is warning given prior to guns being armed ballistically. Ref. 1910.109(e)(5)

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Lubricator

• Lubricator marked with permanent serial number. Ref. RP54 13.6.5c

  Yes

  No

  N/A

• Lubricator tested, banded, and inspected on annual basis. Ref. RP54 13.6.2

  Yes

  No

  N/A

• Weight of lubricator marked on lubricator. Ref. Manufacturer Recommendation

  Yes

  No

  N/A

• Lubricator has 2 bleed valves. Ref. RP54 12.5.2

  Yes

  No

  N/A

• Personnel check for pressure prior to removing lubricator. Ref. RP 54 12.5.4

  Yes

  No

  N/A

• Lubricator bleed valves cycled after pressure bled off. Ref. RP54 12.5.11

  Yes

  No

  N/A

• Are personnel using tag lines and staying out from under suspended loads. Ref. RP54 6.2.12

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Crane

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Crane is free of leaks. Ref. manufacturer recommendation

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Rigging meets Crosby standards. Ref. Industry standard

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Block not damaged? Ref. per manufacturer

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Add media

  Media

• 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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Light plants are grounded. Ref. RP 2003

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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• Comments:

Job execution

• Supervisor /PIC identified and in control

  Yes

  No

  N/A

• Equipment working without failures

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tools in good working order? Ref API PR54 6.8.6

  Yes

  No

  N/A

• Leaks on equipment contained?

  Yes

  No

  N/A

• Spill kit easily accessible

  Yes

  No

  N/A

• Spill containment in place?

  Yes

  No

  N/A

• Safety procedure followed?

  Yes

  No

  N/A

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• Comments:

Post job

• Area policed, garbage picked up.

  Yes

  No

  N/A

• Spills cleaned up before leaving location.

  Yes

  No

  N/A

• Location left clean.

  Yes

  No

  N/A

• Cellars empty.

  Yes

  No

  N/A

• Reserve pit empty.

  Yes

  No

  N/A

• Cellar covers in good condition

  Yes

  No

  N/A

• Does wellhead have cages or gaurds?

  Yes

  No

  N/A

• Comments:

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• Any additional comments:

• Inspected By/HSE Tech

• On site representative