Information

  • Title:

  • Client / Site

  • Manager

  • Supervisor

  • Conducted on

  • Prepared by/HSE Tech

  • Location

Frac

Personnel

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

  • SSE's identified and assigned a mentor. 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

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

  • 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)

  • Add media

  • Comments:

Wireline

  • Are wireline personnel giving Cr/Op clear signals

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

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

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

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

  • Wireline unit caution taped off. Ref. RP54 12.1.7

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

  • Are personnel respecting radio silence. Ref RP67 2.6.2.3

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

  • Add media

  • Comments:

Lubricator

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

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

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

  • Lubricator has 2 bleed valves. Ref. RP54 12.5.2

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

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

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

  • Add media

  • Additional Comments:

Crane

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

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

  • Is 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)

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

  • Block not damaged? Ref. per manufacturer

  • 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)

  • Add media

  • Comments:

Well Head

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

  • All valves have handles installed.

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

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

  • 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

  • Flow back tie in(see FB Checklist)

  • Hydraulic valves have 1 male and 1 female fitting.

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

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

  • Comments:

  • Add media

RIG-UP-general/wellhead

  • Additional Comments:

  • Spotters used when backing equipment

  • 20 lb. fire extinguisher located at left front bumper 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 in all flanges. 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

  • Add media

  • Additional 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. Ref. RP 2003

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

  • Add media

  • Comments:

Job execution

  • Supervisor /PIC identified and in control

  • Employees work as a team

  • Equipment working without failures

  • 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?

  • Add media

  • 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?

  • Add media

  • Additional Comments:

Sign off

  • Any additional comments:

  • Inspector/HSE Tech

  • On site representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.