LEG Workover Rig Safety Inspection 2020

• Site conducted

  Select

• Rig#/Crew:

• Rig Manager:

• Driller:

• Supervisor:

• HSE Tech/Prepared by:

• Conducted on:

  Date

• Location:

Observations/Training

• a. Clothing, Gloves, Hard Hats, Safety Glasses, Steel toe shoes

  Yes

  No

  N/A

• b. Fall protection used at 6' or higher

  Yes

  No

  N/A

• c. No Smoking areas posted.<br> RP 7.1.2-3, 1910.145

  Yes

  No

  N/A

• d. Worksite free of unsafe acts/conditions

  Yes

  No

  N/A

• e. First aid training provided minimum of 1 trained person on site

  Yes

  No

  N/A

• f. (H2s locations)<br> H2s warning signs erected, All personnel trained

  Yes

  No

  N/A

• g. Tailgate/pretask safety meeting held with all personnel

  Yes

  No

  N/A

• h. Hazards/tasks communicated with all contractors on site

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Location/Rig Up

• a. Distance from overhead power lines - min 10 feet

  Yes

  No

  N/A

• b. Hazard signs displayed (no smoking, hard hat area, authorized personnel only, no vehicles in guy line pattern, wear caustic protection)

  Yes

  No

  N/A

• c. Guy wires flagged 8' from ground

  Yes

  No

  N/A

• d. Fall line of derrick clear

  Yes

  No

  N/A

• e. All vehicles out of guy pattern

  Yes

  No

  N/A

• f. Overall housekeeping (carrier and derrick free of excessive oil buildup, no standing oil, slip/trip hazards reduced where possible)

  Yes

  No

  N/A

• g. Pipe racks, catwalk - level and stable (personnel should not walk on racked pipe)

  Yes

  No

  N/A

• i. All engines - mud pumps and other engines at least 50 ft. away from wellhead or other sources of gas

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Guying

Crown to ground guy lines

• a. Number of wind guys (a minimum of four)

  Yes

  No

  N/A

• b. Condition of guylines (free of kinks, excessive corrosion, knots, bends, breaks, and splices)

  Yes

  No

  N/A

• c. Diameter of guylines (minimum of 9/16")

  Yes

  No

  N/A

• d. Minimum of three wire clamps at each attachment point/ four clamps when turned back on a sheave

  Yes

  No

  N/A

• e. Ground anchors (permanently installed as per manufacturer pattern)

  Yes

  No

  N/A

Tubing board guys

• a. Strung and crossed for racking

  Yes

  No

  N/A

• b. Three clamps minimum on wire rope

  Yes

  No

  N/A

Internal Load Guys

• a. Adjusted for tension according to manufactures specification

  Yes

  No

  N/A

• b. Four Clamps 3/4" diameter line or larger

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Mast/Derrick

• a. Manufacturers operation/specification plate in place and legiable

  Yes

  No

  N/A

• b. Damage/corrosion (visually inspect for damage to legs, braces, girts, and excessive corrosion)

  Yes

  No

  N/A

• c. Ladder has no missing or bent rungs, free of corrosion, excessive grease or oil

  Yes

  No

  N/A

• d. Tubing Board in good condition (no bends or breakes, missing sections)

  Yes

  No

  N/A

• e. Rod Basket has intact bottom, hangs out of the way of travel assembly, hinge points greased and not excessively worn support lines satisfactory

  Yes

  No

  N/A

• f. Crown railing free of corrosion and physical damage

  Yes

  No

  N/A

• g. Manual latch dog extension/retraction mechanism (confirm operation, check lubricant, wear or damage

  Excellent

  Good

  Poor

• h. Latch dogs visually inspected prior to loading derrick (to be done by derrickman each rig up)

  Yes

  No

  N/A

• I. Scoping ram stabilizers in place, functional, lubricated, free from wear or damage

  Yes

  No

  N/A

• j. Crown-sheave guards in place and in satisfactory condition

  Yes

  No

  N/A

• k. Finger board safety cable in place, functional, wire condition satisfactory

  Yes

  No

  N/A

• l. No cracks, metal failure or wear at hinge points (visual)

  Yes

  No

  N/A

• m. Safety retainers on hinge pins (locking pins in place when derrick erected)

  Yes

  No

  N/A

• n. Derrick locking pins in place with safety pins

  Yes

  No

  N/A

• o. Derrick hydraulic system free of leaks

  Yes

  No

  N/A

• p. Full body harness, lanyards and lifelines provided at all elevated work areas and inspected for condition and use

  Yes

  No

  N/A

• q. Anti-fall/climbing assist device provided

  Yes

  No

  N/A

• r. Emergency derrick escape /anchor installed and functional

  Yes

  No

  N/A

• s. Lighting system in proper location, secured, wiring insulated and secured

  Yes

  No

  N/A

• t. Air purged from hydraulic raising cylinder

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Rig Cab

• a. Seat belt used, and functional

  Yes

  No

  N/A

• b. No loose or flammable materials stored in cab

  Yes

  No

  N/A

• c. Glass and mirrors in place, clean and free of breakage

  Yes

  No

  N/A

• d. Fire Extinguisher inspected and mounted

  Yes

  No

  N/A

• e. Reflectors

  Yes

  No

  N/A

• f. Windshield wipers in good condition and functional

  Yes

  No

  N/A

• Add media

  Media

• comments:

Carrier

• a. Adequate supplemental footing provided

  Yes

  No

  N/A

• b. Handrails/guards on elevated walkways/steps

  Yes

  No

  N/A

• c. Walkways free of slip trip hazards (grease, oil, tools or fittings)

  Yes

  No

  N/A

• d. Head, tail and signal lights not broken, clean and functioning

  Yes

  No

  N/A

• e. Wheels chocked

  Yes

  No

  N/A

• f. Condition of tires/wheels (wear, tread, apparent rubbing and breaks)

  Yes

  No

  N/A

• g. Fuel, hydraulic and other tanks labeled correctly

  Yes

  No

  N/A

• h. No fuel or other fluid leaks (check for seepage or accumulation)

  Yes

  No

  N/A

• I. Hydraulic leveling jacks secured by automatic mechanical locknuts (locknuts jammed)

  Yes

  No

  N/A

• j. Brakes set/secure

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Drawbacks/winch

• a. Guards at drawworks in place and in good physical condition<br>

  Yes

  No

  N/A

• b. Tubing/drill line

  Yes

  No

  N/A

• c. Sandline free from Whickering, fraying, broken strands, stretching

  Yes

  No

  N/A

• d. Sufficient wraps left on drum with locks in down position (per manufacturers recommendation)

  Yes

  No

  N/A

• e. Dead-line anchor and retainer (Wraps on correctly, number of wraps (2-2 1/2), clamps secure, retainer in place)

  Yes

  No

  N/A

• f. Hydromatic break in good condition, antifreeze, has no leakage.

  Yes

  No

  N/A

• g. Break linkage has no bends, or cracks (free operation, Linkage pins secured)

  Yes

  No

  N/A

• h. Tubing/sandline brakes (drums smooth, bands free of cracks, pad thickness)

  Yes

  No

  N/A

• i. Movement from winch to road gear prevented with road gear lock-out

  Yes

  No

  N/A

• j. Handling winch and tail chain (grade 8 and tagged in good condition)

  Yes

  No

  N/A

• k. Catline (check for kinks, knob, splices fraying and wear)

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Assembly Condition

• a. Traveling Blocks in good condition.<br> RP54

  Yes

  No

  N/A

• b. Traveling Blocks properly guarded.<br> RP54

  Yes

  No

  N/A

• c. Bales and/or links in good condition.<br> RP54

  Yes

  No

  N/A

• d. Elevators in good condition.<br> RP54

  Yes

  No

  N/A

• e. Hoisting hook equipped with safety latch.<br> RP54

  Yes

  No

  N/A

• f. Transfer elevators (inspect suspension line, safety latches, pivot)

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Operators Station/Work Floor

• a. Operator control panel properly labeled/identified.

  Yes

  No

  N/A

• b. Kill Switch at control panel operational.

  Yes

  No

  N/A

Work Floor

• a. Rig floor in good condition, level, and secured on both sidees, holes covered<br>

  Yes

  No

  N/A

• b. Support/suspension pins with keepers

  Yes

  No

  N/A

• c. All chains and cables labeled and tagged.<br>

  Yes

  No

  N/A

• d. Sliding section has stops or pins (sliding section cannot close completely)

  Yes

  No

  N/A

• e. Winch Cables, Load Hooks, Swivel, Chain Choker Hooks and approved Shackles in good condition.

  Yes

  No

  N/A

• f. Steps/handrails guarded

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Tools and Equipment/Power tongs condition

• b. Backup in place and functional

  Yes

  No

  N/A

• c. Stiff arm, snub/safety line (clamps in place and in good condition)

  Yes

  No

  N/A

• d. Covers/head guards in place and in good condition <br>

  Yes

  No

  N/A

• e. Hoses/fittings - disconnected for servicing

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Blow out Preventer (BOP)

• a. BOP properly installed. (100% bolts used)

  Yes

  No

  N/A

• b. BOP properly tested and functional.

  Yes

  No

  N/A

• c. Training procedures for BOP use established and in use<br>

  Yes

  No

  N/A

• d. Safety valve and handle for tubing (valve available with proper connection and handle)

  Yes

  No

  N/A

• e. Accumulator valves in open or closed position

  Yes

  No

  N/A

• Comments

• Add media

  Media

Hand Tools

• a. Condition of handles, jaws, faces, heads

  Yes

  No

  N/A

• b. Cleanliness (no excessive grease, oil, dirt or rust)

  Yes

  No

  N/A

• c. Unused tools stored/racked

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Mud/Circulation System

• a. Standpipe secured at each end

  Yes

  No

  N/A

• b. Circulation hose secured to gooseneck and swivel with safety hobbles (attached to hose via hose clamp, wire line or chain is acceptable)

  Yes

  No

  N/A

• c. High pressure fittings in high pressure system

  Yes

  No

  N/A

• d. Pressure relief valves (cap covering shear pin, pin of proper diameter and strength)

  Yes

  No

  N/A

• e. Discharge lines from relief valve anchored (blooey line anchored pop-off in place)<br>

  Yes

  No

  N/A

• f. Guards in place /swabs (no pinch points)

  Yes

  No

  N/A

• g. Mud pit walkways/steps level, clear, free of damage, handrails if applicable

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Material Handling Equipment

• 1. Forklift operators trained and certified

  Yes

  No

  N/A

• 2. Forklift equipped with seat belt.

  Yes

  No

  N/A

• 3. Forklift inspected prior to use.

  Yes

  No

  N/A

• 4. Manlift operators trained and certified.

  Yes

  No

  N/A

• 5. Manlift operators using fall protection as required.

  Yes

  No

  N/A

• 6. Manlift inspected prior to use.

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Safety Equipment

• a. First Aid/Blood borne pathogen kit

  Yes

  No

  N/A

• b. Fire extinguishers (up to date and a minimum of three 20 lb.)

  Yes

  No

  N/A

• c. Lock out-tag out equipment

  Yes

  No

  N/A

• d. Emergency numbers posted

  Yes

  No

  N/A

• e. SDS and emergency response plan available on site

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Vehicles

• a. Glass and mirrors are clean, unbroken and well attached

  Yes

  No

  N/A

• b. Lights, turn signals, brakes, horn, tires, reflectors are in good condition.

  Yes

  No

  N/A

• c. Seatbelts accessible, clean, with evidence of use.

  Yes

  No

  N/A

• d. Hitch and ball free from excessive wear, safety chains or cables present and functional.

  Yes

  No

  N/A

• Add media

  Media

• Comments:

Doghouse

• Electrical lights in good condition

  Yes

  No

  N/A

Comments/Sign off

• Any Additional Comments:

• Signature of safety inspector:

  Sign

• Signature of rig supervisor/ on site representative:

  Sign