Information

  • Site conducted

  • Rig#/Crew:

  • Rig Manager:

  • Driller:

  • Supervisor:

  • HSE Tech/Prepared by:

  • Conducted on:

  • Location:

Observations/Training

  • Is the proper PPE being utilized? (FR Clothing, Gloves, Hard Hats, Safety Glasses, Steel toe shoes)

  • Is fall protection used at 4' or higher?

  • Are there No Smoking signs posted? <br> RP 7.1.2-3, 1910.145

  • Is there at least 1 member of the crew with an active First Aid/CPR training certificate?

  • Are there H2S warning signs erected on location and are all personnel trained at at least an awareness level? If applicable

  • Was a tailgate/pre-job safety meeting held with all personnel on location? Check documentation

  • Have all hazards/tasks been communicated with all contractors on site? SIMOPS

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  • Comments:

Location/Rig Up

  • Is the distance from any overhead power line(s) consistent with the standards set in the LEG Electrical SOP? 45ft depending on voltage (kV)

  • Are hazard signs displayed (no smoking, hard hat area, authorized personnel only, no vehicles in guy line pattern)?

  • Are all guy wires flagged 8' from ground?

  • Is the fall line of the derrick clear?

  • Are all vehicles parked outside of the guy line pattern?

  • Is the overall housekeeping around the location being well kept? (carrier and derrick free of excessive oil buildup, no standing oil, slip/trip hazards reduced where possible)

  • Are all pipe racks and catwalk level and stable? (personnel should not walk on racked pipe)

  • Are all engines at least 50 ft. away from wellhead or other sources of gas?

  • Comments:

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Guying

Crown to ground guy lines

  • Are there at least four wind guy lines?

  • Are the guy lines in good condition? (free of kinks, excessive corrosion, knots, bends, breaks, and splices)

  • Is the diameter of the guy lines at least 9/16?

  • Are there a minimum of three wire rope clamps at each attachment point/four clamps when turned back on a sheave? If applicable (engineering loops can be used)

  • Are there ground anchors permanently installed as per manufacturer's instructions?

Tubing board guys

  • Are the tubing board guys strung and crossed for racking? If applicable, not necessary if no tubing will be racked during the job.

  • Are there a minimum of three clamps on tubing guys wire rope?

Internal Load Guys

  • Are the Internal Load Guys adjusted for tension according to manufacturer's specification?

  • Are the internal load guys 3/4" diameter or larger?

  • Are there at least four clamps in place on the internal load guys? i

  • Comments:

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Mast/Derrick

  • Is the manufacturers operation/specification plate in place and legible?

  • Is the Mast/Derrick free of damage/corrosion? (visually inspect for damage to legs, braces, girts, and excessive corrosion)

  • Is the derrick ladder in good condition? (no missing or bent rungs, free of corrosion, excessive grease or oil)

  • Is the tubing Board in good condition? (no bends, breaks or missing sections)

  • Is the Rod Basket in good condition? (hinge points greased and not excessively worn support lines satisfactory) If applicable

  • Is the crown railing free of corrosion and physical damage?

  • Are the manual latch dog extension/retraction mechanisms (confirm operation, check lubricant, wear or damage)

  • Were the latch dogs visually inspected prior to loading derrick (to be done by derrickman each rig up)

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

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

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

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

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

  • n. Derrick locking pins in place with safety pins

  • o. Derrick hydraulic system free of leaks

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

  • q. Anti-fall/climbing assist device provided

  • r. Emergency derrick escape /anchor installed and functional

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

  • t. Air purged from hydraulic raising cylinder

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  • Comments:

Rig Cab

  • a. Seat belt used, and functional

  • b. No loose or flammable materials stored in cab

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

  • d. Fire Extinguisher inspected and mounted

  • e. Reflectors

  • f. Windshield wipers in good condition and functional

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Carrier

  • a. Adequate supplemental footing provided

  • b. Handrails/guards on elevated walkways/steps

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

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

  • e. Wheels chocked

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

  • g. Fuel, hydraulic and other tanks labeled correctly

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

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

  • j. Brakes set/secure

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  • Comments:

Drawbacks/winch

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

  • b. Tubing/drill line

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

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

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

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

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

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

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

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

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

  • Comments:

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Assembly Condition

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

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

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

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

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

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

  • Comments:

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Operators Station/Work Floor

  • a. Operator control panel properly labeled/identified.

  • b. Kill Switch at control panel operational.

Work Floor

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

  • b. Support/suspension pins with keepers

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

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

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

  • f. Steps/handrails guarded

  • Comments:

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Tools and Equipment/Power tongs condition

  • b. Backup in place and functional

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

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

  • e. Hoses/fittings - disconnected for servicing

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  • Comments:

Blow out Preventer (BOP)

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

  • b. BOP properly tested and functional.

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

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

  • e. Accumulator valves in open or closed position

  • Comments

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Hand Tools

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

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

  • c. Unused tools stored/racked

  • Comments:

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Mud/Circulation System

  • a. Standpipe secured at each end

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

  • c. High pressure fittings in high pressure system

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

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

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

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

  • Comments:

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Material Handling Equipment

  • 1. Forklift operators trained and certified

  • 2. Forklift equipped with seat belt.

  • 3. Forklift inspected prior to use.

  • 4. Manlift operators trained and certified.

  • 5. Manlift operators using fall protection as required.

  • 6. Manlift inspected prior to use.

  • Comments:

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Safety Equipment

  • a. First Aid/Blood borne pathogen kit

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

  • c. Lock out-tag out equipment

  • d. Emergency numbers posted

  • e. SDS and emergency response plan available on site

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  • Comments:

Vehicles

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

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

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

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

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  • Comments:

Doghouse

  • Electrical lights in good condition

Comments/Sign off

  • Any Additional Comments:

  • Signature of safety inspector:

  • Signature of rig supervisor/ on site representative:

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