LEG Swab Rig Monthly Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Unit Number:

• Swab Rig Operator

• Location of Inspection:

• Time and Date of Inspection:

  Date

• Business Unit Supervisor:

• LEG Team Member Conducting Inspection:

Location

• Are safety signs posted at entrance to location?

  Yes

  No

  N/A

• Is company vehicle in fall line of lubricator?

  Yes

  No

  N/A

• 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 all team members CPR/ First aid certified?

  Yes

  No

  N/A

• Has JSEA been completed?

  Yes

  No

  N/A

• Are all team members wearing the appropriate PPE?

  Yes

  No

  N/A

• Is the first aid kits available and in stock?

  Yes

  No

  N/A

• Are emergency numbers posted in the cab of unit?

  Yes

  No

  N/A

• Are LOTO devices available?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Fire Protection

• Are all flammable stored properly in approved containers?

  Yes

  No

  N/A

• Are all fire extinguishers serviceable?

  Yes

  No

  N/A

• Are all fire extinguishers properly located on unit?

  Yes

  No

  N/A

• Are all 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

• What is the general condition of the rig cab?

  Yes

  No

  N/A

• Are hand rails installed on steps?

  Yes

  No

  N/A

• Are walkways free of slip, trips and falls?

  Yes

  No

  N/A

• Are wheels chocked off?

  Yes

  No

  N/A

• What are the condition of the tires?

  Safe

  At Risk

  N/A

• Are tanks properly labeled?

  Yes

  No

  N/A

• Are service brakes (road) set and secured?

  Yes

  No

  N/A

• Are there any leaks identified on carrier?

  Yes

  No

  N/A

• Are road brakes operational?

  Yes

  No

  N/A

• Is suspension in good condition with no visible damage?

  Yes

  No

  N/A

• 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 and in working condition?

  Yes

  No

  N/A

• Are windshield wipers operational?

  Yes

  No

  N/A

• Is windshield damaged on unit?

  Yes

  No

  N/A

• Are there any leaks in the cab?

  Yes

  No

  N/A

• Are side mirrors damaged on unit?

  Yes

  No

  N/A

• Are tool boxes and compartment doors operational?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Hand Tools and Power Tools

• Are hand tools in good condition?

  Yes

  No

  N/A

• Are hand tools clean?

  Yes

  No

  N/A

• Are all tools stored properly in compartments?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Hoisting Applications

• Are swabbing sheaves operational?

  Yes

  No

  N/A

• Are all sheaves in good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are all guards in place?

  Yes

  No

  N/A

• Are lifting hooks in good condition with safety latches in place?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Wire Rope Inspections

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

  Yes

  No

  N/A

• Are there any flat spots on the line?

  Yes

  No

  N/A

• Is there any signs of birdcage on wire rope?

  Yes

  No

  N/A

• Are there any broken strands observed on any lays?

  Yes

  No

  N/A

• Is there any massive rust or corrosion observed on wire rope?

  Yes

  No

  N/A

• Is there any other visible damage observed on the wire rope?

  Yes

  No

  N/A

• Additional Notes:

• Additional Pictures:

  Media

Mast Structure and Sub Structure

• Is the mast lift cylinder in good condition with no leaks?

  Yes

  No

  N/A

• Is metal fatigue or cracks observed on the mast hinge pin?

  Yes

  No

  N/A

• Is the mast hydraulic system free of any leaks?

  Yes

  No

  N/A

• Are the safety retainer in use on the mast hinge pin?

  Yes

  No

  N/A

• Are all tools secured when in use on elevated positions?

  Yes

  No

  N/A

• Additional notes:

• Additional Pictures:

  Media

Sign Off

• Team Member Conducting Inspection:

• Signature of Team Member conducting Inspection:

  Sign