Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

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" General "

  • 1. Visible Rig at sign at entrance of location

  • 2. Sign in sheet available

  • 3. Parking within limits of power lines

  • 4. Parking within limits of guys wires

  • 5. Brief area available or assigned

  • 6. Hazard signs displayed and visible

  • 7. First aid kit available and easy to get to

  • 8. Lock out tag out in place

  • 9. Every day tail gate meetings/ Jsa

" Guying Operations"

  • 1. Guy wires flagged with visible material

  • 2. Anchors available for all guy lines

  • 3. Anchors tested and verified

  • 4. Conditions of guy lines

  • 5. Conditions of clamps

  • 6. Guy lines well- adjusted and tightened

  • 7. Tbg board guy lines well strung

  • 8. Tbg board lines w / minimum of three clamps

  • 9. Geronimo line well strung and anchored

  • 10. Geronimo well installed

" Foundation "

  • 1. Adequate location or supplemental footing provided

  • 2. Adequate rig mat

  • 3. Condition of seals of rig

  • 4. Condition of stands

  • 5. Condition of matting boards

" hand tools "

  • 1. Condition of tools

  • 2. Proper storage of tools

  • 3. Proper housekeeping is tools

  • Proper tools for the job

  • Right quantity of tools

" Rig "

  • 1. All combustible liquid containers labeled

  • 2. Tires in good and working condition

  • 3. Windshield , Windows , and mirrors in good condition

  • 4. Rig permit, insurance and registration available and up to date

  • 5. Rig numbered and labeled

  • 6. Rig condition and maintance

  • 7. Floor ladder with proper side rails

  • 8. Rig floor condition w/ safety chain or cable

" Derrick"

  • 1. Condition of latch dogs

  • 2. Condition of scoping ram stabilizers

  • 3. Sheave guards crown

  • 4. Derrick locking pins

  • 5. Condition of winch line

  • 6. Condition of Derrick raising cylinder

  • 7. Condition of rod basket

  • 8. Condition of tbg board

" operator controls/ work platform "

  • 1. Operator controls properly labeled

  • 2. Controls in good and proper working condition and functioning

  • 3. Emergency kill switch

  • 4. Hand rails on elevated walkways

  • 5. Hand rails on work platform (4ft or higher )

"Draw works"

  • 1. Guards ( tubing lines, turning shafts)

  • 2. Condition of tbg line

  • 3. Handling winch

  • 4. Hydromatic brake

  • 5. Condition of brake linkage

  • 6. Condition of sand line

  • 7. Controls on sand line ( labeled and in good condition )

"Equipment on rig "

  • 1. Condition of power tongs

  • 2. Safety gate on power tongs

  • 3. Condition of tbg elevators

  • 4. Stiff arm and snub line

  • 5. Power tongs w/ good hoses and fittings

  • 6. Tong Positioner

  • 7.Tong Safety Cables

  • 8. Condition of blocks

  • 9. Bales& links

  • 10. Condition of Rod hook

  • 11. Condition of Rod Elevators

  • 12. Condition of Rod Transfer

" Safety equipment "

  • 1. All workers in compliance with safety training( fit test card and Block card up to date)

  • 2. SCBA's on location/Visible & easy to get too

  • 3. All workers wearing correct P.P.E(Frc's)

  • 4. All workers wearing personal h2s monitors

  • 5. Emergency Derrick Escape (Geronimo w/ Line)

  • 6. H2s Monitor on Rig

  • 7. Portable Fire Extinguuishers

  • 8. Wind sock

  • 9. Wheels Chocked on rig / doghouse

  • 10. All workers properly shaved

  • 11. Emergency contact list available

  • 12. Road Gear & lighting system on Comp. vechicle

  • 13. Good housekeeping of truck/ Doghouse

"Fall arrest system "

  • 1. Condition of full body harness

  • 2. Daily inspections of harness

  • 3. Fall arrest system

  • 4. Good tie point

  • 5. Condition of Srl

  • 6. Good rescue plan in tact

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