Information
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Title:
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Client / Site
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Manager
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Supervisor
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Conducted on
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Prepared by/HSE Tech
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Location
Frac
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's identified and assigned a mentor. 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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All personnel sign in and out when entering/exiting pad. Ref. 1910.38(c)(4)
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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:
Wireline
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Are wireline personnel giving Cr/Op clear signals
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Unit chocked, positioned 50ft. from well head, and grounded. Ref RP54 13.8.6, RP67 2.9.1, 3.7, RP54 13.2.1
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F.E.'s charged, inspected, and ready for service. Ref. RP54 16.1.10
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Lower wire line sheave secured to well head. Ref. RP54 13.4.5
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Wireline BOP tested in open and closed position. Ref. RP54 13.6.2 & 13.6.3
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Wireline unit caution taped off. Ref. RP54 12.1.7
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Wireline personnel maintain 75 ft. Rule from wellhead when testing or pumping. Ref. RP54 16.1.10, BMP frac standard
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Are personnel respecting radio silence. Ref RP67 2.6.2.3
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Is warning given prior to guns being armed ballistically. Ref. 1910.109(e)(5)
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Comments:
Lubricator
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Lubricator marked with permanent serial number. Ref. RP54 13.6.5c
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Lubricator tested, banded, and inspected on annual basis. Ref. RP54 13.6.2
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Weight of lubricator marked on lubricator. Ref. Manufacturer Recommendation
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Lubricator has 2 bleed valves. Ref. RP54 12.5.2
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Personnel check for pressure prior to removing lubricator. Ref. RP 54 12.5.4
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Lubricator bleed valves cycled after pressure bled off. Ref. RP54 12.5.11
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Are personnel using tag lines and staying out from under suspended loads. Ref. RP54 6.2.12
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Additional Comments:
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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Is 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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Wire rope free of dirt, excess lube, kinks and spooled correctly. Ref. 1910. 180(g)
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Block not damaged? Ref. per manufacturer
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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:
Well Head
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Area around hydraulic lines for BOP or hydraulic valves free of leaks. Ref. Manufacturer Recommendation
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All valves have handles installed.
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Frac stack has platform installed or man lift on location. Ref. RP54 5.5.1
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All flanges have all bolts and not short bolted. Ref. RP54 6.4.10
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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
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Flow back tie in(see FB Checklist)
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Hydraulic valves have 1 male and 1 female fitting.
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BOP hoses have crush proof sheaths. Ref. RP53 12.5.2
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Frac head, hydraulic valve, BOP, and B section should be accompanied with test chart. Ref. RP 53 17.3.7
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Comments:
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RIG-UP-general/wellhead
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Additional Comments:
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Spotters used when backing equipment
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20 lb. fire extinguisher located at left front bumper 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 in all flanges. 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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Additional 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. 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:
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
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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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Additional Comments:
Sign off
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Any additional comments:
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Inspector/HSE Tech
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On site representative