Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Unit Number

  • Slickline Operator

  • Location

  • Time and Date of Inspection

  • Business Unit Field Supervisor

  • LEG HSE Conducting Inspection

Location Inspection

  • Is safety sign posted at entrance to location?

  • Is company vehicle in fall line of lubricator?

  • Are warning signs clear and visible?

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

  • Are work areas clean and free of trip hazards?

  • Additional Notes:

  • Additional pictures:

General Safety

  • Are team members CPR/ First Aid certified?

  • Has the JSA been completed?

  • Are all team members wearing the appropriate PPE?

  • Is the first aid kit available and in stock?

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

  • Are Lockout/Tagout devices available?

  • Additional Notes:

  • Additional Pictures:

Fire Protection

  • Are all flammables stored properly in approved containers?

  • Are all fire extinguishers serviceable?

  • Are annual inspections current on fire extinguishers?

  • Are fire extinguishers properly located on location?

  • Are smoking rules enforced on location?

  • Are proper spark and heat arrestors installed on exhaust?

  • Additional Notes:

  • Additional Pictures:

Carrier Inspection

  • Is the rig cab in good condition? (Free of debris, etc.)

  • Are hand rails installed on steps?

  • Are walkways free of slip and trip hazards?

  • Have wheels been chocked off?

  • Are tires and wheels in good condition?

  • Are tanks properly labeled?

  • Are service brakes (road) set and secured

  • Is the carrier free of any fluid leaks?

  • Are road brakes operational?

  • Is the suspension system free of any visible damage?

  • Are turn signals operational?

  • Are brake lights operational?

  • Are marker lights operational?

  • Are headlights operational?

  • Are windshield wipers operational?

  • Is the windshield free of any damage? (cracks, chips)

  • Is the cab free of any fluid leaks?

  • Are all mirrors free of damage?

  • Are tool box compartment doors operational?

  • Additional Notes:

  • Additional Pictures:

Hand Tools

  • Are hand tools in good condition and serviceable?

  • Are hand tools clean?

  • Are hand tools properly stored when not in use?

  • Additional Notes:

  • Additional Pictures:

Hoisting Applications

  • Are slickline sheaves operational?

  • Are sheaves in good condition?

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

  • Is sheave properly secured to well head?

  • Are certification tags present on sheave chain restraints?

  • Has annual inspection been conducted on crane?

  • Crane Unit Number

  • Date of last Crane Annual Inspection

  • Has monthly inspection been conducted on crane?

  • Month of last crane inspection:

  • Are all guards in place on sheaves?

  • Additional Notes:

  • Additional Pictures:

Slickline Wire

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

  • Have any flat spots been identified on line?

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

  • Additional Notes:

  • Additional Pictures:

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

  • Are there any visible bends or kinks in line?

  • Are there any flat spots on line?

  • Is there any signs of birdcage on wire rope?

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

  • Has rust or corrosion been observed on wire rope?

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

  • Additional Notes:

  • Additional Pictures:

Lubricator

  • Has lubricator been properly secured to well head?

  • Are all Bowen connections free of leaks?

  • Has the lubricator been pressure tested in the past 12 months? Is there documentation on site?

  • Are all PCE components operating correctly?

  • Additional Pictures:

Sign Off

  • Reviewed by

  • Signature

  • LEG HSE Conducting inspection

  • Signature

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