LEG Slickline Monthly Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Unit Number

• Slickline Operator

• Location

• Time and Date of Inspection

  Date

• Business Unit Field Supervisor

• LEG HSE Conducting Inspection

Location Inspection

• Is safety sign posted at entrance to location?

  Yes

  No

  N/A

• Is company vehicle in fall line of lubricator?

  Yes

  No

• Are warning signs clear and visible?

  Yes

  No

  N/A

• Has operation area been marked off? (No Go Zone)

  Yes

  No

  N/A

• Are work areas clean and free of trip hazards?

  Yes

  No

  N/A

• Additional Notes:

• Additional pictures:

  Media

General Safety

• Are team members CPR/ First Aid certified?

  Yes

  No

  N/A

• Has the JSEA been completed?

  Yes

  No

  N/A

• Are all team members wearing the appropriate PPE?

  Yes

  No

  N/A

• Is the first aid kit available and in stock?

  Yes

  No

  N/A

• Are all the emergency numbers posted in the cab of unit?

  Yes

  No

  N/A

• Are Lockout/Tagout devices available?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Fire Protection

• Are all flammables stored properly in approved containers?

  Yes

  No

  N/A

• Are all fire extinguishers serviceable?

  Yes

  No

  N/A

• Are annual inspections current on fire extinguishers?

  Yes

  No

  N/A

• Are fire extinguishers properly located on location?

  Yes

  No

  N/A

• Are smoking rules enforced on location?

  Yes

  No

  N/A

• Are proper spark and heat arrestors installed on exhaust?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Carrier Inspection

• General condition of rig cab

  Yes

  No

  N/A

• Are hand rails installed on steps?

  Yes

  No

  N/A

• Are walkways free of slip and trip hazards?

  Yes

  No

  N/A

• Have wheels been chocked off?

  Yes

  No

  N/A

• Are tires and wheels in good condition?

  Yes

  No

  N/A

• Are tanks properly labeled?

  Yes

  No

  N/A

• Are service brakes (road) set and secured

  Yes

  No

  N/A

• Is there any fluid leaks on the carrier?

  Yes

  No

  N/A

• Are road brakes operational?

  Yes

  No

  N/A

• Is there any visible damage on suspension system?

  Yes

  No

• Are turn signals operational?

  Yes

  No

  N/A

• Are brake lights operational?

  Yes

  No

  N/A

• Are marker lights operational?

  Yes

  No

  N/A

• Are headlights operational?

  Yes

  No

  N/A

• Are windshield wipers operational?

  Yes

  No

  N/A

• Is windshield damage?

  Safe

  At Risk

  N/A

• Are there any fluid leaks inside the cab?

  Yes

  No

  N/A

• Are mirrors damaged?

  Safe

  At Risk

  N/A

• Are tool box compartment doors operational?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Hand Tools

• Are hand tools in good condition and serviceable?

  Yes

  No

  N/A

• Are hand tools clean?

  Yes

  No

  N/A

• Are hand tools properly stored when not in use?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Hoisting Applications

• Are slickline sheaves operational?

  Yes

  No

  N/A

• Are sheaves in good condition?

  Yes

  No

  N/A

• Are all retainer pins in place and in good condition?

  Yes

  No

  N/A

• Is sheave properly secured to well head?

  Yes

  No

  N/A

• Are certification tags present on sheave chain restraints?

  Yes

  No

  N/A

• Has annual inspection been conducted on crane?

  Yes

  No

  N/A

• Crane Unit Number

• Date of last Crane Annual Inspection

  Date

• Has monthly inspection been conducted on crane?

  Yes

  No

  N/A

• Month of last crane inspection:

• Are all guards in place on sheaves?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Slickline Wire

• Are there any visible bends or kinks in the line?

  Yes

  No

• Have any flat spots been identified on line?

  Yes

  No

• Is there any other visible damage been identified on line?

  Yes

  No

• Additional Notes:

• Additional Pictures:

  Media

Wire Rope (Optional: For units able to run breaded cable)

• Are there any visible bends or kinks in line?

  Yes

  No

• Are there any flat spots on line?

  Yes

  No

• Is there any signs of birdcage on wire rope?

  Yes

  No

• Have any broken strands been observed on wire rope lays?

  Yes

  No

• Has rust or corrosion been observed on wire rope?

  Yes

  No

• Is there any other visible damage or abnormalities on wire rope?

  Yes

  No

• Additional Notes:

• Additional Pictures:

  Media

Lubricator

• Has lubricator been properly secured to well head?

  Yes

  No

  N/A

• Are there on leaks on bowen connections?

  Yes

  No

  N/A

• Last date lubricator was pressure tested:

• Additional Notes:

• Additional Pictures:

  Media

Sign Off

• Reviewed by

• Signature

  Sign

• LEG HSE Conducting inspection

• Signature

  Sign