Oil Field site Audit

• Company name:

• Conducted on

  Date

• Prepared by

Site information

• Select date

  Date

• Customer:

• Location:

• Crew members:

• Units on location:

• Add media

  Media

Location & Crew setup

• Type of work being performed?

  Frac Heating

  Hot Oiling

  Water Hauling

  Tank Cleaning

• Has the JSA been filled out & signed by the appropriate parties?

  Yes

  No

• Has hot work been filled out & signed by appropriate parties?

  Yes

  NO

  N/A

• Are fitting/hoses/pumps properly rated to handle customer requests?

  Yes

  No
Hot Oiling/Acidizing

• Are crew members outside or inside unit?

  inside

  outside

• Explain?

• Is the wind sock visible & in an appropriate location?

  Yes

  No

• Is desired rate of flow/temperature/pressure per customer requests?

  Yes

  No

• Is fire extinguisher out & placed in front of unit?

  Yes

  No

• Are unit wheels chocked?

  Yes

  No

• Are safety cones out & placed in the appropriate locations?

  Yes

  No
Water Hauling

• Are crew members outside or inside unit?

  inside

  outside

• Explain?

• Are wheels chocked on unit?

  Yes

  No

• Are safety cones placed out in appropriate locations?

  Yes

  NO

  N/A

• Does the load line have a drip containment or is there a bucket under the load line connection?

  Yes

  NO

  N/A

• Are buckets under the connection at the unit?

  Yes

  NO

  N/A

• Is unit on a containment?

  Yes

  NO

  N/A
Frac Heating

• Is there a pick-up on location?

  Yes

  No

• Where is pick-up located?

• Are the wheels chocked on pick-up?

  Yes

  No

• Is there a safety cone in front of pick-up ?

  Yes

  No

• Are crew members inside or outside units?

  inside

  outside

• Explain why inside unit:

• Are safety cones placed out in appropriate location?

  Yes

  No

• Are the fire extinguisher out and placed in front of the units?

  Yes

  No

• Are wheels chocked on units?

  Yes

  No

Preventive Spill Protection

• Are spill containments in place?

  Yes

  NO

  N/A

• Are hose bridges in place?

  Yes

  NO

  N/A

• Are Cam-lock pins and/or Velcro straps in place?

  Yes

  NO

  N/A

• Is there evidence of unintentional fluid release?

  Yes

  No

• Add media

  Media

PPE

• Is the proper PPE being worn by all crew members?

  Yes

  No

• Explain?

• Add media

  Media

• FRC

  Off

  On

• Steel toe boots

  Off

  On

• Hard hat

  Off

  On

• Safety glasses

  Off

  On

• 4-gas monitor

  Off

  On

• We have reviewed and discussed any corrective actions needed.

• Crew member signature

  Sign

• Crew member signature

  Sign

• Crew member signature

  Sign

• Crew member signature

  Sign

• Auditor signature

  Sign