LSUSA Field Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Contractor Company

• Contractor Lead Person

Safety Equipment

• Fire extinguishers in compliance?

  Yes

  No

  N/A

• Air packs charged and inspected?

  Yes

  No

  N/A

• Personal monitors have current bump check?

  Yes

  No

  N/A

Personal Protective Equipment

• Hard hat

  Yes

  No

  N/A

• Safety glasses (Z-87)

  Yes

  No

  N/A

• Steel toed boots

  Yes

  No

  N/A

• Personal monitor

  Yes

  No

  N/A

• FRCs

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

Location

• Clean-no trash

  Yes

  No

  N/A

• Guy wires in place.

  Yes

  No

  N/A

• Anchors inspected

  Yes

  No

  N/A

• Parking away from rig.

  Yes

  No

  N/A

• Picture of location.

  Media

Training

• H2S card current

  Yes

  No

  N/A

• Aware of stop work authority?

  Yes

  No

  N/A

• Trained on company HSE policies?

  Yes

  No

  N/A

• JSA performed?

  Yes

  No

  N/A

Chemical Safety

• Are SDS on location for chemicals?

  Yes

  No

  N/A

• Are chemicals on location?

  Yes

  No

  N/A

Tool Safety

• Are tools inspected?

  Yes

  No

  N/A

• Are proper tools used for the job performed?

  Yes

  No

  N/A

Rig

• Rig floor in place?

  Yes

  No

  N/A

• Rig well maintained?

  Yes

  No

  N/A

• Cables in good shape?

  Yes

  No

  N/A

• Rig inspected?

  Yes

  No

  N/A