LEG Flow Back Audit

• Site/crew

• Manager

• Supervisor

• Conducted on

  Date

• HSE Tech/Prepared by

• Location
  Address

Site Arrival

• JSA filled out properly

  Yes

  No

  N/A

• Is there handwritten input?

• Are persons trained for their individual tasks

  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 for their specialized operation

  Yes

  No

  N/A

• Location has designated smoking area

  Yes

  No

  N/A

• Wind sock Available?

  Yes

  No

  N/A

• Additional 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 & 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 # of turns to (FULLY) open/close each valve and choke are written on the wellhead and are correct

  Yes

  No

  N/A

• Additional Comments

Flow Lines

• No threaded connections leak upstream of choke manifold

  Yes

  No

  N/A

• All flow iron upstream of choke must be tested to 10k and 5k downstream of choke banded/identified every 6 months

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Lines are not bowed or laid in a bind

  Yes

  No

  N/A

• Additional Comments

Flow Line Restraints

• Have personnel who install restraints received training, if so by whom?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Set first Flow Line Restraint 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 Flow Line Restraints.

  Yes

  No

  N/A

• On flow lines, are all angels and unions tied down from the wellhead to open-top tanks

  Yes

  No

  N/A

• Additional 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

• Additional Comments

Flow Back Tank/ Gas Buster

• Clean sand prior to transport

  Yes

  No

  N/A

• Set level

  Yes

  No

  N/A

• Tanks grounded

  Yes

  No

  N/A

• Trucks using bonding cables

  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

• Additional Comments

H2S

• 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

• Additional Comments

• Add media

  Media

Sign Off

• Signature

  Sign

• On site representative

  Sign