Information
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Site conducted
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Rig#/Crew:
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Rig Manager:
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Driller:
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Supervisor:
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HSE Tech/Prepared by:
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Conducted on:
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Location:
Observations/Training
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a. Clothing, Gloves, Hard Hats, Safety Glasses, Steel toe shoes
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b. Fall protection used at 6' or higher
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c. No Smoking areas posted.<br> RP 7.1.2-3, 1910.145
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d. Worksite free of unsafe acts/conditions
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e. First aid training provided minimum of 1 trained person on site
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f. (H2s locations)<br> H2s warning signs erected, All personnel trained
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g. Tailgate/pretask safety meeting held with all personnel
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h. Hazards/tasks communicated with all contractors on site
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Comments:
Location/Rig Up
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a. Distance from overhead power lines - min 10 feet
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b. Hazard signs displayed (no smoking, hard hat area, authorized personnel only, no vehicles in guy line pattern, wear caustic protection)
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c. Guy wires flagged 8' from ground
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d. Fall line of derrick clear
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e. All vehicles out of guy pattern
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f. Overall housekeeping (carrier and derrick free of excessive oil buildup, no standing oil, slip/trip hazards reduced where possible)
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g. Pipe racks, catwalk - level and stable (personnel should not walk on racked pipe)
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i. All engines - mud pumps and other engines at least 50 ft. away from wellhead or other sources of gas
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Comments:
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Guying
Crown to ground guy lines
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a. Number of wind guys (a minimum of four)
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b. Condition of guylines (free of kinks, excessive corrosion, knots, bends, breaks, and splices)
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c. Diameter of guylines (minimum of 9/16")
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d. Minimum of three wire clamps at each attachment point/ four clamps when turned back on a sheave
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e. Ground anchors (permanently installed as per manufacturer pattern)
Tubing board guys
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a. Strung and crossed for racking
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b. Three clamps minimum on wire rope
Internal Load Guys
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a. Adjusted for tension according to manufactures specification
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b. Four Clamps 3/4" diameter line or larger
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Comments:
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Mast/Derrick
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a. Manufacturers operation/specification plate in place and legiable
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b. Damage/corrosion (visually inspect for damage to legs, braces, girts, and excessive corrosion)
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c. Ladder has no missing or bent rungs, free of corrosion, excessive grease or oil
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d. Tubing Board in good condition (no bends or breakes, missing sections)
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e. Rod Basket has intact bottom, hangs out of the way of travel assembly, hinge points greased and not excessively worn support lines satisfactory
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f. Crown railing free of corrosion and physical damage
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g. Manual latch dog extension/retraction mechanism (confirm operation, check lubricant, wear or damage
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h. Latch dogs visually inspected prior to loading derrick (to be done by derrickman each rig up)
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I. Scoping ram stabilizers in place, functional, lubricated, free from wear or damage
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j. Crown-sheave guards in place and in satisfactory condition
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k. Finger board safety cable in place, functional, wire condition satisfactory
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l. No cracks, metal failure or wear at hinge points (visual)
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m. Safety retainers on hinge pins (locking pins in place when derrick erected)
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n. Derrick locking pins in place with safety pins
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o. Derrick hydraulic system free of leaks
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p. Full body harness, lanyards and lifelines provided at all elevated work areas and inspected for condition and use
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q. Anti-fall/climbing assist device provided
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r. Emergency derrick escape /anchor installed and functional
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s. Lighting system in proper location, secured, wiring insulated and secured
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t. Air purged from hydraulic raising cylinder
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Comments:
Rig Cab
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a. Seat belt used, and functional
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b. No loose or flammable materials stored in cab
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c. Glass and mirrors in place, clean and free of breakage
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d. Fire Extinguisher inspected and mounted
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e. Reflectors
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f. Windshield wipers in good condition and functional
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comments:
Carrier
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a. Adequate supplemental footing provided
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b. Handrails/guards on elevated walkways/steps
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c. Walkways free of slip trip hazards (grease, oil, tools or fittings)
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d. Head, tail and signal lights not broken, clean and functioning
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e. Wheels chocked
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f. Condition of tires/wheels (wear, tread, apparent rubbing and breaks)
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g. Fuel, hydraulic and other tanks labeled correctly
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h. No fuel or other fluid leaks (check for seepage or accumulation)
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I. Hydraulic leveling jacks secured by automatic mechanical locknuts (locknuts jammed)
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j. Brakes set/secure
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Comments:
Drawbacks/winch
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a. Guards at drawworks in place and in good physical condition<br>
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b. Tubing/drill line
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c. Sandline free from Whickering, fraying, broken strands, stretching
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d. Sufficient wraps left on drum with locks in down position (per manufacturers recommendation)
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e. Dead-line anchor and retainer (Wraps on correctly, number of wraps (2-2 1/2), clamps secure, retainer in place)
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f. Hydromatic break in good condition, antifreeze, has no leakage.
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g. Break linkage has no bends, or cracks (free operation, Linkage pins secured)
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h. Tubing/sandline brakes (drums smooth, bands free of cracks, pad thickness)
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i. Movement from winch to road gear prevented with road gear lock-out
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j. Handling winch and tail chain (grade 8 and tagged in good condition)
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k. Catline (check for kinks, knob, splices fraying and wear)
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Comments:
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Assembly Condition
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a. Traveling Blocks in good condition.<br> RP54
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b. Traveling Blocks properly guarded.<br> RP54
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c. Bales and/or links in good condition.<br> RP54
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d. Elevators in good condition.<br> RP54
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e. Hoisting hook equipped with safety latch.<br> RP54
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f. Transfer elevators (inspect suspension line, safety latches, pivot)
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Comments:
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Operators Station/Work Floor
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a. Operator control panel properly labeled/identified.
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b. Kill Switch at control panel operational.
Work Floor
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a. Rig floor in good condition, level, and secured on both sidees, holes covered<br>
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b. Support/suspension pins with keepers
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c. All chains and cables labeled and tagged.<br>
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d. Sliding section has stops or pins (sliding section cannot close completely)
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e. Winch Cables, Load Hooks, Swivel, Chain Choker Hooks and approved Shackles in good condition.
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f. Steps/handrails guarded
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Comments:
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Tools and Equipment/Power tongs condition
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b. Backup in place and functional
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c. Stiff arm, snub/safety line (clamps in place and in good condition)
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d. Covers/head guards in place and in good condition <br>
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e. Hoses/fittings - disconnected for servicing
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Comments:
Blow out Preventer (BOP)
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a. BOP properly installed. (100% bolts used)
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b. BOP properly tested and functional.
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c. Training procedures for BOP use established and in use<br>
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d. Safety valve and handle for tubing (valve available with proper connection and handle)
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e. Accumulator valves in open or closed position
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Comments
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Hand Tools
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a. Condition of handles, jaws, faces, heads
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b. Cleanliness (no excessive grease, oil, dirt or rust)
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c. Unused tools stored/racked
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Comments:
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Mud/Circulation System
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a. Standpipe secured at each end
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b. Circulation hose secured to gooseneck and swivel with safety hobbles (attached to hose via hose clamp, wire line or chain is acceptable)
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c. High pressure fittings in high pressure system
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d. Pressure relief valves (cap covering shear pin, pin of proper diameter and strength)
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e. Discharge lines from relief valve anchored (blooey line anchored pop-off in place)<br>
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f. Guards in place /swabs (no pinch points)
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g. Mud pit walkways/steps level, clear, free of damage, handrails if applicable
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Comments:
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Material Handling Equipment
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1. Forklift operators trained and certified
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2. Forklift equipped with seat belt.
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3. Forklift inspected prior to use.
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4. Manlift operators trained and certified.
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5. Manlift operators using fall protection as required.
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6. Manlift inspected prior to use.
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Comments:
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Safety Equipment
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a. First Aid/Blood borne pathogen kit
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b. Fire extinguishers (up to date and a minimum of three 20 lb.)
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c. Lock out-tag out equipment
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d. Emergency numbers posted
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e. SDS and emergency response plan available on site
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Comments:
Vehicles
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a. Glass and mirrors are clean, unbroken and well attached
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b. Lights, turn signals, brakes, horn, tires, reflectors are in good condition.
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c. Seatbelts accessible, clean, with evidence of use.
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d. Hitch and ball free from excessive wear, safety chains or cables present and functional.
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Comments:
Doghouse
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Electrical lights in good condition
Comments/Sign off
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Any Additional Comments:
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Signature of safety inspector:
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Signature of rig supervisor/ on site representative:
