Rig Move Summary

• Drilling rig

• Trucking Company

• Conducted on

  Date

• Prepared by

• Location
  Address

• Company Man

• Rig Manager

• Truck Pusher

• Picture of rig number

  Media

Pre Rig Move Meeting

• Supervisor's Meeting Conducted?

  Yes

  No

  N/A

• Add signature

  Sign

• Permitted route driven and evaluated.<br>

  Yes

  No

  N/A
• Add location
  Address

• Number of people without current HMW or SLS

  Yes

  No

  N/A

• Rig move safety meeting topics covered?

  Yes

  No

  N/A

• Yes

  No

  N/A

Rig Process Utilized.

• Yes

  No

  N/A

Crane and Trucking Equipment inspections

• Operators Certifications<br>Equipment Certifications<br>Rigging Certifications

  Yes

  No

  N/A

• Operator Certs

  Media

• Add media

  Media

• Equipment Certs

  Media

• Add media

  Media

• Rigging Certs

  Media

• Add media

  Media

Removed From Service

• Add media

  Media

Critical Lift

• Add media

  Media

• Add signature

  Sign

What went well?

What did not go well?

JSA-Go-Card / Stop Card Audits

• Add media

  Media

Near Miss

• Add media

  Media

Stop Work Authority Utilized?

Heat Stress Management

• Cooling Trailers?

  Yes

  No

  N/A

• Sufficient Breaks?

  Yes

  No

  N/A

• Heat Index

  Yes

  No

  N/A

• Water, Ice, Gatorade....

  Yes

  No

  N/A