Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Unit Number:

  • Swab Rig Operator

  • Location of Inspection:

  • Time and Date of Inspection:

  • Business Unit Supervisor:

  • LEG Team Member Conducting Inspection:

Location

  • Are safety signs posted at entrance to location?

  • Are all company vehicles out of the 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 all team members CPR/ First aid certified?

  • Has a JSA been completed for the task at hand?

  • Are all team members wearing the appropriate PPE?

  • Are first aid kits available and stocked appropriately?

  • Are emergency numbers posted in the cab of unit?

  • Are LOTO devices available?

  • Additional Notes:

  • Additional Pictures:

Fire Protection

  • Are all flammable stored properly in approved containers?

  • Are all fire extinguishers serviceable?

  • Are all fire extinguishers properly located on unit?

  • Are all 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 or debris, clean, etc.)

  • Are hand rails installed on steps?

  • Are walkways free of slip, trips and falls?

  • Are wheels chocked off?

  • Are all tires in good condition? (tread life, pressure, etc.)

  • Are tanks properly labeled?

  • Are service brakes (road) set and secured?

  • Is the carrier free of leaks?

  • Are road brakes operational?

  • Is suspension in good condition with no visible damage?

  • Are turn signals operational?

  • Are brake lights operational?

  • Are marker lights operational?

  • Are headlights operational and in working condition?

  • Are windshield wipers operational?

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

  • Is the cab free of leaks?

  • Are the side mirrors free of damage?

  • Are tool boxes and compartment doors operational?

  • Additional Notes:

  • Additional Pictures:

Hand Tools and Power Tools

  • Are hand tools in good condition?

  • Are hand tools clean?

  • Are all tools stored properly in compartments?

  • Additional Notes:

  • Additional Pictures:

Hoisting Applications

  • Are swabbing sheaves operational?

  • Are all sheaves in good condition?

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

  • Are all guards in place?

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

  • Additional Notes:

  • Additional Pictures:

Wire Rope Inspections

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

  • Are there any flat spots on the line?

  • Is there any signs of birdcage on wire rope?

  • Are there any broken strands observed on any lays?

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

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

  • Additional Notes:

  • Additional Pictures:

Mast Structure and Sub Structure

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

  • Is the mast hinge pin free from metal fatigue and or cracks?

  • Is the mast hydraulic system free of any leaks?

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

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

  • Additional notes:

  • Additional Pictures:

Sign Off

  • Team Member Conducting Inspection:

  • Signature of Team Member conducting Inspection:

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