Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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" General "
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1. Visible Rig at sign at entrance of location
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2. Sign in sheet available
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3. Parking within limits of power lines
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4. Parking within limits of guys wires
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5. Brief area available or assigned
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6. Hazard signs displayed and visible
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7. First aid kit available and easy to get to
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8. Lock out tag out in place
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9. Every day tail gate meetings/ Jsa
" Guying Operations"
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1. Guy wires flagged with visible material
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2. Anchors available for all guy lines
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3. Anchors tested and verified
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4. Conditions of guy lines
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5. Conditions of clamps
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6. Guy lines well- adjusted and tightened
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7. Tbg board guy lines well strung
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8. Tbg board lines w / minimum of three clamps
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9. Geronimo line well strung and anchored
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10. Geronimo well installed
" Foundation "
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1. Adequate location or supplemental footing provided
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2. Adequate rig mat
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3. Condition of seals of rig
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4. Condition of stands
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5. Condition of matting boards
" hand tools "
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1. Condition of tools
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2. Proper storage of tools
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3. Proper housekeeping is tools
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Proper tools for the job
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Right quantity of tools
" Rig "
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1. All combustible liquid containers labeled
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2. Tires in good and working condition
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3. Windshield , Windows , and mirrors in good condition
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4. Rig permit, insurance and registration available and up to date
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5. Rig numbered and labeled
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6. Rig condition and maintance
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7. Floor ladder with proper side rails
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8. Rig floor condition w/ safety chain or cable
" Derrick"
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1. Condition of latch dogs
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2. Condition of scoping ram stabilizers
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3. Sheave guards crown
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4. Derrick locking pins
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5. Condition of winch line
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6. Condition of Derrick raising cylinder
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7. Condition of rod basket
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8. Condition of tbg board
" operator controls/ work platform "
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1. Operator controls properly labeled
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2. Controls in good and proper working condition and functioning
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3. Emergency kill switch
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4. Hand rails on elevated walkways
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5. Hand rails on work platform (4ft or higher )
"Draw works"
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1. Guards ( tubing lines, turning shafts)
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2. Condition of tbg line
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3. Handling winch
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4. Hydromatic brake
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5. Condition of brake linkage
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6. Condition of sand line
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7. Controls on sand line ( labeled and in good condition )
"Equipment on rig "
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1. Condition of power tongs
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2. Safety gate on power tongs
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3. Condition of tbg elevators
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4. Stiff arm and snub line
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5. Power tongs w/ good hoses and fittings
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6. Tong Positioner
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7.Tong Safety Cables
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8. Condition of blocks
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9. Bales& links
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10. Condition of Rod hook
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11. Condition of Rod Elevators
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12. Condition of Rod Transfer
" Safety equipment "
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1. All workers in compliance with safety training( fit test card and Block card up to date)
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2. SCBA's on location/Visible & easy to get too
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3. All workers wearing correct P.P.E(Frc's)
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4. All workers wearing personal h2s monitors
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5. Emergency Derrick Escape (Geronimo w/ Line)
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6. H2s Monitor on Rig
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7. Portable Fire Extinguuishers
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8. Wind sock
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9. Wheels Chocked on rig / doghouse
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10. All workers properly shaved
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11. Emergency contact list available
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12. Road Gear & lighting system on Comp. vechicle
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13. Good housekeeping of truck/ Doghouse
"Fall arrest system "
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1. Condition of full body harness
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2. Daily inspections of harness
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3. Fall arrest system
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4. Good tie point
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5. Condition of Srl
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6. Good rescue plan in tact
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Correction field
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