Title Page
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Contractor Company
-
Contractor Lead Person
Safety Equipment
-
Fire extinguishers in compliance?
-
Air packs charged and inspected?
-
Personal monitors have current bump check?
Personal Protective Equipment
-
Hard hat
-
Safety glasses (Z-87)
-
Steel toed boots
-
Personal monitor
-
FRCs
-
Hearing protection
-
Gloves
Location
-
Clean-no trash
-
Guy wires in place.
-
Anchors inspected
-
Parking away from rig.
-
Picture of location.
Training
-
H2S card current
-
Aware of stop work authority?
-
Trained on company HSE policies?
-
JSA performed?
Chemical Safety
-
Are SDS on location for chemicals?
-
Are chemicals on location?
Tool Safety
-
Are tools inspected?
-
Are proper tools used for the job performed?
Rig
-
Rig floor in place?
-
Rig well maintained?
-
Cables in good shape?
-
Rig inspected?