Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Unit Number
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Slickline Operator
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Location
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Time and Date of Inspection
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Business Unit Field Supervisor
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LEG HSE Conducting Inspection
Location Inspection
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Is safety sign posted at entrance to location?
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Is company vehicle in fall line of lubricator?
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Are warning signs clear and visible?
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Has operation area been marked off? (No Go Zone)
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Are work areas clean and free of trip hazards?
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Additional Notes:
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Additional pictures:
General Safety
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Are team members CPR/ First Aid certified?
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Has the JSA been completed?
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Are all team members wearing the appropriate PPE?
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Is the first aid kit available and in stock?
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Are all the emergency numbers posted in the cab of unit?
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Are Lockout/Tagout devices available?
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Additional Notes:
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Additional Pictures:
Fire Protection
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Are all flammables stored properly in approved containers?
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Are all fire extinguishers serviceable?
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Are annual inspections current on fire extinguishers?
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Are fire extinguishers properly located on location?
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Are smoking rules enforced on location?
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Are proper spark and heat arrestors installed on exhaust?
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Additional Notes:
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Additional Pictures:
Carrier Inspection
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Is the rig cab in good condition? (Free of debris, etc.)
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Are hand rails installed on steps?
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Are walkways free of slip and trip hazards?
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Have wheels been chocked off?
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Are tires and wheels in good condition?
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Are tanks properly labeled?
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Are service brakes (road) set and secured
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Is the carrier free of any fluid leaks?
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Are road brakes operational?
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Is the suspension system free of any visible damage?
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Are turn signals operational?
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Are brake lights operational?
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Are marker lights operational?
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Are headlights operational?
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Are windshield wipers operational?
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Is the windshield free of any damage? (cracks, chips)
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Is the cab free of any fluid leaks?
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Are all mirrors free of damage?
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Are tool box compartment doors operational?
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Additional Notes:
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Additional Pictures:
Hand Tools
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Are hand tools in good condition and serviceable?
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Are hand tools clean?
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Are hand tools properly stored when not in use?
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Additional Notes:
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Additional Pictures:
Hoisting Applications
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Are slickline sheaves operational?
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Are sheaves in good condition?
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Are all retainer pins in place and in good condition?
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Is sheave properly secured to well head?
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Are certification tags present on sheave chain restraints?
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Has annual inspection been conducted on crane?
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Crane Unit Number
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Date of last Crane Annual Inspection
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Has monthly inspection been conducted on crane?
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Month of last crane inspection:
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Are all guards in place on sheaves?
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Additional Notes:
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Additional Pictures:
Slickline Wire
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Are there any visible bends or kinks in the line?
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Have any flat spots been identified on line?
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Is there any other visible damage been identified on line?
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Additional Notes:
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Additional Pictures:
Wire Rope (Optional: For units able to run breaded cable)
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Are there any visible bends or kinks in line?
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Are there any flat spots on line?
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Is there any signs of birdcage on wire rope?
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Have any broken strands been observed on wire rope lays?
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Has rust or corrosion been observed on wire rope?
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Is there any other visible damage or abnormalities on wire rope?
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Additional Notes:
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Additional Pictures:
Lubricator
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Has lubricator been properly secured to well head?
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Are all Bowen connections free of leaks?
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Has the lubricator been pressure tested in the past 12 months? Is there documentation on site?
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Are all PCE components operating correctly?
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Additional Pictures:
Sign Off
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Reviewed by
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Signature
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LEG HSE Conducting inspection
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Signature