Information

  • Rig#/Crew:

  • Rig Manager:

  • Driller:

  • Supervisor:

  • HSE Tech/Prepared by:

  • Conducted on:

  • Location:

Observations/Training

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

  • b. Fall protection used at 6' or higher

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

  • d. Worksite free of unsafe acts/conditions

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

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

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

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

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  • Comments:

Location/Rig Up

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

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

  • c. Guy wires flagged 8' from ground

  • d. Fall line of derrick clear

  • e. All vehicles out of guy pattern

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

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

  • h. Spark arrestors on all exhaust

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

  • Comments:

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Guying

Crown to ground guy lines

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

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

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

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

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

Tubing board guys

  • a. Strung and crossed for racking

  • b. Three clamps minimum on wire rope

Internal Load Guys

  • a. Adjusted for tension according to manufactures specification

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

  • Comments:

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Mast/Derrick

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

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

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

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

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

  • f. Crown railing free of corrosion and physical damage

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

  • h. 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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  • comments:

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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