Lonquist Field Service LLC Safety Inspection Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PREVIOUS INSPECTION

• Has the last inspection been reviewed

  Yes

  No

  N/A

• Are there no outstanding issues

  Yes

  No

  N/A

SITE RECORDS

• Site specific safety plan on site and available<br>

  Yes

  No

  N/A

• LFS JSA Completed Prior to Work & reviewed with employees

  Yes

  No

  N/A

• Contractor JSA completed prior to work & reviewed with employees

  Yes

  No

  N/A

• Hot work permit obtained from client prior to work

  Yes

  No

  N/A

• MSDS onsite and available

  Yes

  No

  N/A

• LFS Morning safety meeting performed

  Yes

  No

  N/A

GENERAL

• Adequate distance from overhead power lines (minimum 10 feet)

  Yes

  No

  N/A

• Hazard signs displayed

  Yes

  No

  N/A

• Adequate lighting provided

  Yes

  No

  N/A

• Mustard location identified

  Yes

  No

  N/A

• First aid kit available

  Yes

  No

  N/A

• Eyewash kit available

  Yes

  No

  N/A

• Guy wires flagged

  Yes

  No

  N/A

• Vehicles out of guy pattern

  Yes

  No

  N/A

• Good overall housekeeping

  Yes

  No

  N/A

• Emergency numbers displayed in doghouse

  Yes

  No

  N/A

• Designated smoking area provided

  Yes

  No

  N/A

• Pump location (exhaust)

  Safe

  At Risk

  N/A

• Spacing/return tanks/pump/all engines

  Safe

  At Risk

  N/A

• Authorized Personnel signs posted

  Yes

  No

  N/A

• H2s controls in place if applicable

  Yes

  No

  N/A

GUYING

• Crown to ground guy lines in place

  Yes

  No

  N/A

• Adequate number of wind guys

  Yes

  No

  N/A

• Condition of wires

  Safe

  At Risk

  N/A

• Correct diameter of lines

  Yes

  No

  N/A

• Three clamps/turnbuckle minimum

  Yes

  No

  N/A

• Ground anchors

  Safe

  At Risk

  N/A

• Tubing board guys in place

  Yes

  No

  N/A

• Tubing board guys strung and crossed for racking

  Yes

  No

  N/A

• Internal guys adjusted for tension

  Yes

  No

  N/A

• Outriggers in place and pinned

  Yes

  No

  N/A

FOUNDATION

• Drill rig erected on stable ground

  Yes

  No

  N/A

• Outriggers fully extended with stabilizing pads

  Yes

  No

  N/A

• Stabilizer pads on place on mats (wood)

  Yes

  No

  N/A

HAND TOOLS

• All wrenches checked for wear and defects to prevent slippage

  Safe

  At Risk

  N/A

• Damaged or defective tools tagged and taken out of service

  Safe

  At Risk

  N/A

• Proper tools used for task at hand

  Yes

  No

  N/A

MAST/DERRICK

• Ladder condition

  Safe

  At Risk

  N/A

• Tubing board condition

  Safe

  At Risk

  N/A

• Manual latch dog extension/retraction mechanism

  Safe

  At Risk

  N/A

• Scoping ram stabilizers

  Safe

  At Risk

  N/A

• Crown-Sheave Guards

  Safe

  At Risk

  N/A

• Finger board safety chain in place

  Yes

  No

  N/A

• Derrick locking pins in place with safety pins

  Yes

  No

  N/A

DOGHOUSE

• Adequate exits, doors installed properly, operate freely

  Yes

  No

  N/A

• Approved heaters used

  Yes

  No

  N/A

• Emergency phone numbers posted

  Yes

  No

  N/A

• Proper postings posted

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• Electrical/lights in good working condition

  Yes

  No

  N/A

• Two-Way radio provided

  Yes

  No

  N/A

• First Aid station located in Dog house

  Yes

  No

  N/A

CARRIER

• Guardrails/handrails on elevated walkways and steps

  Yes

  No

  N/A

• Head, tail and signal lights working

  Yes

  No

  N/A

• Wheels chocked

  Yes

  No

  N/A

• Condition of tires and wheels

  Safe

  At Risk

  N/A

• Fuel tanks labeled

  Yes

  No

  N/A

• Exhaust system

  Safe

  At Risk

  N/A

• No loose or flammable materials stored in cab

  Safe

  At Risk

  N/A

• Glass and mirrors

  Safe

  At Risk

  N/A

• Windshield wipers

  Safe

  At Risk

  N/A

• Hydraulic leveling jacks secured by mechanical locknuts

  Yes

  No

  N/A

• Brakes/Emergency

  Safe

  At Risk

  N/A

DRAWORKS CONDITION

• Guards in place

  Yes

  No

  N/A

• Tubing and drilling line condition

  Safe

  At Risk

  N/A

• Sufficient wraps left on drum with blocks in down position

  Yes

  No

  N/A

• Deadline anchor and retainer

  Yes

  No

  N/A

• Cathead line divider/gap

  Safe

  At Risk

  N/A

• Catline condition

  Safe

  At Risk

  N/A

• 3 wraps on drill line

  Yes

  No

  N/A

• Tubing/sand line brakes condition

  Safe

  At Risk

  N/A

OPERATOR STATION/WORK PLATFORM FLOOR

• All controls labeled

  Yes

  No

  N/A

• Work floor

  Safe

  At Risk

  N/A

• Rotary table area fully guarded, floor level, non-skid material, areas from of mud, holes

  Yes

  No

  N/A

• Vee door gate provided, in place, secured with chain or other safety device

  Safe

  At Risk

  N/A

• Steps/handrails

  Safe

  At Risk

  N/A

• Safe access provided

  Yes

  No

  N/A

• All gauges functioning properly

  Yes

  No

  N/A

POWER TONGS CONDITION

• Tong door

  Safe

  At Risk

  N/A

• Stiff arm. snub/safety line

  Yes

  No

  N/A

• Tong hose disconnects

  Safe

  At Risk

  N/A

• Tong positioner

  Safe

  At Risk

  N/A

• Tong body and jaws operate freely, latch properly, clean, no welds

  Safe

  At Risk

  N/A

TRAVELING ASSEMBLY CONDITION

• Blocks

  Safe

  At Risk

  N/A

• Sheave guards/lock

  Safe

  At Risk

  N/A

• Bales/links

  Safe

  At Risk

  N/A

• Elevators/air slips

  Safe

  At Risk

  N/A

BLOWOUT PREVENTER (BOP)

• BOPs installed, tested and functional

  Yes

  No

  N/A

• Wheels and stems in place

  Yes

  No

  N/A

• BOP properly stabilized to keep full stack centered over blowhole

  Yes

  No

  N/A

• All lines connected to close BOP, no leaks, protected against damaged

  Yes

  No

  N/A

• All unused BOP and accumulator lines plugged or capped

  Yes

  No

  N/A

• BOP unit kept clean, free from mud, ice build up, tools, adequate drainage provided

  Yes

  No

  N/A

RIGGING EQUIPMENT

• Rigging equipment inspected prior to use

  Yes

  No

  N/A

• Nylon chokers free of tears, holes, cuts, burns, discoloration and snags

  Safe

  At Risk

  N/A

• Chains inspected and have identification tag stating size, grade, rated capacity and sling manufacturer.

  Safe

  At Risk

  N/A

• Wire rope slings are free of broken wires ( 5 broken wires in one strand in one rope lay), kinking, crushing, corrosion and birdcaging

  Safe

  At Risk

  N/A

• Labels visible and legible on rigging equipment

  Safe

  At Risk

  N/A

• Shackles free of damaged such as bent, twisted, distorted, stretched, elongated, cracked, nicks, pitting and corrosion

  Yes

  No

  N/A

• Tag line used to control the load

  Yes

  No

  N/A

PIPE RACK AREA

• Ends of pipe racks chocked

  Safe

  At Risk

  N/A

• Pipe racks level and stable

  Yes

  No

  N/A

• Pipe rack catwalk clear of debris and material

  Yes

  No

  N/A

• Stair and handrail provided for cat walk

  Yes

  No

  N/A

• Vee door slide free of holes, pipe stops used on catwalk or slide

  Safe

  At Risk

  N/A

• Employees not walking on top of pipe

  Safe

  At Risk

  N/A

MUD PUMP AREA

• Drive belts, pony rods guarded

  Yes

  No

  N/A

• Ends of relief lines secured

  Yes

  No

  N/A

• Head and valve covers fully bolted

  Yes

  No

  N/A

• General Housekeeping around mud pit area clean of debris and material

  Yes

  No

  N/A

• Approved and adequate lighting in area

  Safe

  At Risk

  N/A

MUD MIXING AREA

• Bagged material properly stacked

  Yes

  No

  N/A

• General housekeeping in area

  Yes

  No

  N/A

• Adequate ventilation in area

  Yes

  No

  N/A

• Approved and adequate lighting in area

  Yes

  No

  N/A

MUD TANKS AND PITS

• Adequate stairs with handrails provided

  Safe

  At Risk

  N/A

• Guardrails provided on crossover

  Yes

  No

  N/A

• Shale shaker guarded

  Yes

  No

  N/A

• Mud guns and jetting hoses secured

  Yes

  No

  N/A

• Adequate lighting in area

  Yes

  No

  N/A

• General housekeeping

  Safe

  At Risk

  N/A

GENERATOR AREA

• Generators properly located

  Safe

  At Risk

  N/A

• All generators moving parts guarded

  Safe

  At Risk

  N/A

• HIGH VOLTAGE warning signs used

  Safe

  At Risk

  N/A

• All electrical tools grounded

  Yes

  No

  N/A

• Hearing protection available

  Yes

  No

  N/A

• General housekeeping and lighting

  Safe

  At Risk

  N/A

• Electrical wires properly strung and protected

  Safe

  At Risk

  N/A

FUEL STORAGE TANKS

• Fuel storage tanks properly located

  Yes

  No

  N/A

• All storage valves marked as to connects

  Safe

  At Risk

  N/A

• Stationary ladders on storage tanks

  Safe

  At Risk

  N/A

• All fuel storage tanks properly labeled

  Yes

  No

  N/A

BARRICADES

• Protective barricades (cable rope, wooden post and rail, ect) are provided and used to warn and protect personnel

  Yes

  No

  N/A

• Highly visibility yellow caution tape or red danger tape used to alert personnel to hazards

  Yes

  No

  N/A

SAFETY EQUIPMENT/PRACTICES

• Geronimo line in place/anchored

  Yes

  No

  N/A

• SRL fall protection device in place

  Yes

  No

  N/A

• Safety harness, lanyard provided at tubing board, rod basket and stabbing board

  Yes

  No

  N/A

• Derrick ladder climbing device provided

  Yes

  No

  N/A

• Fire extinguishers (20lbs)

  Safe

  At Risk

  N/A

• Flammables in U.L. safety cans

  Safe

  At Risk

  N/A

• NO SMOKING rules enforced

  Yes

  No

  N/A

• Flare area clear of combustibles

  Safe

  At Risk

  N/A

• Welding performed safely

  Safe

  At Risk

  N/A

• Personal protective equipment in use or available ( hardhat, safety glasses, steel toe boots, gloves, ear protection)

  Yes

  No

  N/A

• FRC clothing worn

  Safe

  At Risk

  N/A

• H2S equipment in use

  Yes

  No

  N/A

• Emergency kill switches available

  Yes

  No

  N/A

Forklift Operations

• Employee qualified to operate forklift

  Yes

  No

  N/A

• Has proper inspection be performed prior to use

  Yes

  No

  N/A

• Seat belt worn when operating

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

SIGNATURE

• On site representative

  Sign

• Auditor's Signature

  Sign