Information

  • Title:

  • Rig manager

  • Rig #/ crew

  • Supervisor

  • Driller

  • HSE Tech/Prepared by

  • Conducted on

  • Location

Road Access and Lease

  • Adequate road direction signs posted<br><br>

  • Proper road directions communicated <br>

  • Bridge height,weight and width restriction signs<br>

  • Power lines, height restriction and warning signs posted

  • Adequate pull outs <br>

  • Speed limits posted

  • Road and lease clean of rubbish

  • Lease clean and free of environmental spills

  • Open pits marked and fenced

  • Is lease properly bermed to prevent runoff from entering or leaving lease

  • Comments:

Lease entrance signs

  • Drilling operator entrance sign posted

  • Are signs clean and legible

  • Do signs say H2S warning if required

  • Do signs have PPE requirements

  • Signage for visitors "Must report to Wellsite supervisor"

  • Tight hole no admittance if required

  • Comments:

BOP & Well Control Equipment

  • BOP shop service current

  • Date:

  • Choke and kill line hoses fire rated

  • All hydraulic hoses and quick couplers within 20 feet of well head fire rated

  • Annular preventer closes within 60 seconds (90 seconds if annular is larger than 13 inches)

  • Flow tees installed for flow changes in relief lines (installed in proper Orientation)

  • Proper measures in place for draining or blowing relief lines ( Ability to blow out lines or drain lines without environmental spills)

  • Relief lines properly staked every 30 ft.

  • All BOP studs protrude through nuts

  • Bleed off lines installed properly

  • Pressure test charts availible

  • BOP controls properly connected secured and mounted

  • BOP pressure test documented in tour book

  • Max Allowable Casing Pressure (MACP) posted in manifold shack and doghouse

  • BOP drills being preformed and documented in tour book (before any drill out or min 1 time per crew every week)

  • Flare line integrity verified and condition of flare line and flare line components

  • Casing wear test being preformed (every thirty days minimum requirement)

  • Manual locking wheels available

  • All open flame type equipment 80 feet from well bore

  • Trip sheets being used signed and recorded as per regulatory requirements

  • Are degasser and mud systems properly vented

  • Is the stabbing valve and inline BOP available, opened and ready for easy installation on the floor

  • Are the BOPs and BOP system of the right size and pressure rating.

  • Diverter line is a minimum of 6 inches I.D.

  • Does diverted line have a hydraulic opening valve with a minimum ID of 6 inches

  • Is the HCR valve hydraulically plumbed in a fashion so to will open before the annular closes

  • Comments:

Accumulator

  • Is the Accumulator the right pressure rating and size

  • Is the Accumulator vented outside away from any potential ignition source

  • Is the Accumulator 50 feet from well head

  • Are the Nitrogen procedures posted by the Accumulator

  • Are the nitrogen bottles charged to a minimum of 1800 PSI.

  • Is the nitrogen inlet upstream of the pressure side of the Regulators

  • Pressure isolation valves are required if nitrogen inlets are downstream of the pressure regulators<br>

  • Is there a check valve on the discharge side of the accumulator pump

  • Are nitrogen bottles properly stored

  • Do nitrogen bottles meet the ABSA 10 year certification

  • Does the shear Ram/blind ram controls have a proper safety device (cover)

  • Do all controls on the accumulator that are not in use properly locked out or blanked off

  • In the Accumulator area are all dangerous good signs, WHIMIS, hearing protection signs, automatic starting signs, and eye protections signs posted.

  • Are all accumulator controls properly labeled

  • General housekeeping

  • Comments:

Manifold

  • Heated proper for winter operations

  • All electrical in manifold meets class 1 Division 2 Classification

  • All valve handles installed

  • Proper gauges installed and calibreated

  • Drill pipe pressure gauge working

  • MACP and Mud weight posted

  • Choke positions visible

  • Proper view of rig floor

  • Proper size and pressure rating for well type<br>

  • Proper lighting

  • Proper exits and ventalation

  • Good house keeping

  • Proper procedures for operations of manifold posted. ( hard shut in, soft shut-in. )

  • Are all valves properly flagged for open or closed

  • No smoking signs posted

  • Comments: i.e. does it smell like smoke? is there mess?

Flare Tank

  • 8 meters cubed (3) capacity

  • Drained and clean inside

  • Fabricated of heat resistant material

  • Proper grounding

  • Degasser tank separate from flare tank or equipped with baffle plates to prevent fluid blowout

  • Unused lines pluged

  • Ignition system proper distance from flare tank and operational

  • 30 feet load out line

  • Impingement plate installed

  • Flare stacks rigged up proper

  • Condition of connections and are all connections tight

  • Comments:

Substrucure

  • Fall protection around BOPs

  • Walking area around BOPs and cellar area

  • Drive lines to draw works properly guarded

  • All drift pins complete with proper safety pins installed in all beams and spreaders

  • Properly heated for winter operations

  • Flow nipple / mud catcher / air stripper split for easy removal for snubbing operations

  • Cellar cover present

  • Cellar drained and free of debris

  • Free of oil and fuel leaks from draw works

  • Condition of air tank and air lines

  • Free of water leaks,,

  • General housekeeping and tidiness

  • Comments:

Mud tanks

  • Hand rails and fall protection

  • Lockouts for all electrical equipment

  • Signage - All agitators and mix pumps to be locked out before entry into confined mud tank areas

  • Signage. Confined entry code of practice to be reviewed before entering mud tanks

  • Proper toe boards around shale shaker areas

  • Class 1 division 1 electrical codes being meet for electrical items with-in 6 feet mudtank and shale shale plume

  • Class 1 division 2 electrical classification outside of the 5 feet plume on mud tanks

  • Proper PPE available and being used in mixing hopper and chemical BBL.

  • Tank level monitoring system operating and calibrated proper

  • Trip tank level operative

  • Electrical chemical bbl available with proper guarding and controlled substance signage

  • Eyewash facility's available in mixing area

  • Mixing pumps properly guarded

  • Degasser tank has fluid

  • Safety entry and retrievel Device available for cleaning tanks

  • All water and steam valves are gate and not 1/4 ball valves

  • Housekeeping and cleanliness.

  • Comments:

Mudpumps

  • Roof fall protection

  • Lockouts available

  • Engine exhausts and turbos heat shielded

  • Batteries in vented box with proper WHIMIS labels

  • Relief valves have proper shear pins installed

  • Relief valve shear pins properly marked (color coded)

  • Relief valve lines sloped to drain properly

  • All guards in place and in good condition

  • All high pressure lines have safety cables

  • Condition of high pressure lines

  • Eye wash facility

  • Pulsation dampenter with proper placards

  • Condition of tools

  • General housekeeping

  • Condition of all electrical equipment

  • Does all electrical meet Class1 Division 2 electrical classification

  • Proper signage ( hearing protection, safety glasses,lockout procedures, autostart, hardhat Area)

  • Comments:

Generator and electrical control center

  • All energized equipment can be locked out

  • All receptacles and breakers identified

  • Properly grounded 6 feet apart

  • Wiring off of ground and walkways

  • Rubber matting under all breaker and control panels

  • Battery in proper vented box with WHIMIS lables

  • Condition of power cords and electrical plugs

  • Engine exhaust and turbos heat shielded

  • Engines free of oil and fuel leaks

  • Engine fans and belts guarded

  • Fire extinguisher

  • Proper signage (lockout procedures, autostart, hearing protection, no water, high voltage, etc.)

  • Houskeeping

  • 80 ft. rom well head

  • Comments

Doghouse

  • Doghouse lights pinned and safety cabled

  • Pins in place with proper keepers

  • Well control procedures in place

  • BOP controls in place and easily accessible

  • First Aid kit stocked and clean

  • JSA's and Risk assessment and Hazard ID available

  • Safety meetings records available

  • Well records available for crews

  • BOP Drills, Engine kills, check crown saver, documented in tour book

  • Proper exits with proper door handles and door swing orientation

  • Maximum Allowable Casing Pressure (MACP) posted

  • Stick diagram posted (casing)

  • SDS book available and kept current

  • Hearing protection and safety glasses supplied

  • Eyewash station supplied and clean

  • Safety belts and lanyards stored proper, clean and in good condition

  • Electrical components meet class 1 division 2 electical code

  • Bulletin board

  • Hydraulic Cable cutter supplied

  • General condition of all hand tools

  • Emergency phone numbers posted

  • Housekeeping

  • Floor is in good condition ( not slippery)

  • Proper radio / phone communication to wellsite unit

  • Fall protection on roof

  • Proper signage at doghouse (noise levels, hearing protection, nonsmoking, drug and alcohol policy in effect,all incidents must be reported, etc.

  • Comments:

Documents

  • Trip sheets completed and signed

  • Permit to drill posted

  • Weekly safety meeting books with records

  • Drilling Rig health and safety committee guidelines

  • Operators health and safety guideline posted

  • Drilling program available

  • Company Policies and safety culture posted

  • Pressure test charts available

  • Drilling contact on site emergency Contingency manual available

  • Notice of supervisor posted

  • Copy of OH&S regulations available

  • SDS available for controlled mud products

  • Comments:

Rig floor

  • Lockout on draw works

  • Proper guarding over moving mechanical equipment

  • Crown saver working

  • All electrical components within 10 feet of well head plume meets Class 1 Division 1 electrical code

  • Kelly hose safety cabled on both ends

  • Top drive service loop hanging proper no impact or rubbing areas on floor or Derrick

  • Line spooled safety line

  • All lifting slings in good condition and load rated, tags on slings

  • Condition of tongs ,iron roughneck, pipe spinner, and safety holdback lines

  • Proper hole cover and mouse hole cover

  • Condition of slips and dog collars

  • Snubbing post at Veedoor

  • Mud bucket available and mud bucket condition

  • Proper lighting on floor

  • Housekeeping

  • Brake handle hold down chain - super single

  • All draw works controls properly identified

  • Draw works free of air leaks

  • Proper exits from floor area (3)

  • Warning horn working proper

  • Condition of tugged and winch cables

  • Condition of drilling line

  • Vee-door opening properly safety chained

  • Condition of Vee-door stairs

  • Proper storage of drilling subs and tools on floor

  • Comments:

Derrick

  • All fasteners with bolts have lock nuts or cotter safety pins

  • All repairs or alterations have been documented in the log book

  • Crown has a bumper block with mesh wrapping

  • Rig is equipped with a proper block hanging line

  • Monkey board fingers are straight and safety chained

  • Monkey board has wind boards

  • Mast certification is posted on the Derrick

  • Ladder is in good condition withn6 inch toe room

  • Controlled descent device is accessible and in good condition

  • Escape line in good condition and mounted on a proper anchor bloc

  • Climbing assist supplied and in good condition

  • Proper fall arrest on monkey board and Derrick

  • All sheaves properly secure and safety cabled

  • Crown sheave in good condition

  • No loose tools in Derrick

  • Proper tethered tool set with log book available

  • All pins in place with safety pins installed

  • Lighting operational meets electrical classification and safety cabled

  • Derrick inspected before raising the Derrick and documented in tour book

  • Condition of tong lines safety cables

  • Electrical fixtures all in good condition

  • Top drive torque tube properly mounted

  • Top drive service loop strung properly

  • Comments:

Traveling assembly / Top Drive / Swivel

  • Sheave all properly guarded

  • Top drive /Swivel free of oil and mud leaks

  • All fasteners properly pined or bolted with locknuts

  • Weight indicator calibrated proper

  • Comments:

General safety and safety procedures

  • Site specific ERP on location and has been reviewed and tested

  • Prejob hazard assessment/meetings are completed before tasks are done. And all controls are put in place

  • Gas detection on site and properly calibrated

  • Daily walk around done by Rig Manager and Wellsite representative and documented

  • JSA's are continually being used and updated

  • General housekeeping throughout the Rig area

  • basic crew knowledge of safety systems

  • Crew Attitude toward safety and safety systems good

  • Crew participation in safety meetings, near miss reporting,

  • BOP drills Being performed ( crew well control knowledge)

  • Man down drills being performed if required

  • Back in parking being communicated and being done

  • Spotters alway provided for heavy equipment backing up

  • New SSE's and personnel identified and properly orientated

  • Rig floor danger zone identified and marked

  • Power catwalk zone is classified as a buffer zone and 30 feet no go zone flagged when catwalk is in operation (yellow chain and cones)

  • Restricted areas all flagged, barricaded and identified

  • Lease hazards are communicated to everyone on location

  • Lease is properly lighted

  • Refuse properly contained

  • Safe work permits and hot work permits being used

  • Rental equipment properly rigged up

  • Operating procedures supplied and crew training provided for rental equipment

  • Rental equipment properly grounded and meets electrical codes

  • Proper signage on rental equipment

  • Rental equipment proper size for job being done

  • Rental equipment free of fuel oil mud or steam leaks

  • All tanks are proper for fuel spill containment or meet fuel tank spill regulations

  • Pipe racks are level and choked and chained together

  • Comments:

Crew Training tickets

  • Drillers have first line bop training

  • H2S alive training<br>

  • First aid training

  • Second line well control for,Wellsite supervisors and Rig Manager

  • Fall arrest / rescue training

  • GHS training

  • Equipment operator training

  • Comments:

Breathing Apparatus

  • Condition of face piece good

  • Air cylinders full,of air less that 1 year old

  • Adequate number of air packs or SCBA's

  • Low pressure alarm working

  • Positive pressure

  • Clean and stored properly

  • Crews properly trained on donning air packs

  • Spare air cylinders in good condition

  • Comments:

Rig site trailers / Living Quarters

  • First aid kits available

  • Equipped with fire extinguishers

  • Smoke alarms working

  • Co detectors

  • Proper knock out windows

  • Spotted 2 meters end to end apart to meet fire regulations

  • Bedrooms have proper fire escape windows or doors

  • Propane bottled current certification

  • Power cords strung proper off of the ground

  • Sewage being treated or properly contained and hauled away

  • Main entrances have people landings and steps

  • Comments:

Toolhouse / Watertank / Fuel Tank / Parts Storage

  • Fuel pumps free of leaks and guarded<br>

  • Fuel tanks free of leaks and have proper lables

  • Fuel lines are free of leaks and rigged up neatly out of harms way

  • Fuel fill up hose has proper fill-up nozzel with isolation valve next to tank

  • Are all main storage fuel tanks designed to comply with transportation regulation

  • Do all small storage/transfer tanks designed with proper spill containment

  • Are all fuel tanks a safe distance from open flames and engine exhaust

  • Do the main Fuel storage tanks have proper access ladders/stairs with fall protection

  • Are water pumps free of leaks and properly guarded

  • Are water lines free of leaks and rigged up neatly

  • Are all Hazardous materials stored properly with SDS sheets for them

  • Are parts all stored neatly and organized

  • Are all parts locker clean and free of rubbish and junk

  • Are all hand tools and Electric tools in good condition and in safe operating condition

  • Is the Rig equipped with a proper tethered tool set for working up the Derrick

  • Do air compressors have proper pressure relief valves

  • Do all air tank comply with all regulatory Regulations and have been certified within the last 5 years

  • Are air compressors properly guarded

  • Are Air compressors located in a dry well ventilated area free of natural gas and water vapor

  • Are Propane Bottles stored outside and mounted securely for transportation

  • Are oil storage bins mounted securely, Contents identified and labled properly

  • Is there proper storage for 55 gal drums of oil and chemicals

  • Are all entrances and walkways clean and free of loose parts, tools and equipment causing slip and trip hazards

  • Comments

Sign off

  • Any Additional Comments:

  • Add media

  • Signature

  • 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.