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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Select date
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Rig Number:
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Current Operations:
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Company:
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Operator:
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Crew Members:
General
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A. Distance from overhead power lines
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B. Hazard signs displayed
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C. Fall lane of derrick clear
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D. Vehicle out of guy pattern
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E. Pipe racks, catwalk
Guying
A. Crown to ground guy lines
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1. Guy wires flagged
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2. Number of wind guys
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3. Condition of guy lines
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4. Diameter of guy line
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5. Three clamps minimum 4 with sheave
B. Tubing board guys
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1. Strung and Crossed
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2. Three clamps minimum 4 with sheave
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3. Internal guys adjusted for tension
Mast/Derrick
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A. Manufacturer's specification/operation plate
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B. Damage and excessive corrosion
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C. Ladder condition
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D. Tubing board condition
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E. Rod Basket
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F. Crown railing
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G. Visual inspection of latch dogs
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H. Scoping ram stabilizers
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I. Crown sheave guards
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J. Finger board safety cables
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K. Cracks, metal failure or wear at hinge points
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L. Safety retainers on hinge pins
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M. Derrick locking pins in place
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N. Derrick hydraulic system free of leaks
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O. Air purged from hydraulic raising cylinder
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P. Adequate footing
Crew Truck
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Unit Number
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Mileage
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A. Head, tail, signal light
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B. Glass, mirrors, wipers
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C. Seat belt used
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D. Tires/Wheels
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E. Brakes
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F. Housekeeping in cab
Doghouse
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A. Housekeeping
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B. Stove condition
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C. Electrical/Lights
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D. Hitch & safety chains
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E. Wheels chocked
Tool Trailer
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A. Lights
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B. Wheels chocked
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C. Hitch/Safety chains
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D. Tires/Wheels
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E. Overall condition
Rig
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A. Seat belt
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B. Head, tail, signal light
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C. Glass, mirrors, wipers
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D. Flares or reflectors
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E. Housekeeping in cab
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F. Tires/wheels
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G. Mileage
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DOT required papers
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1. Date of DOT inspection
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I. Low air buzzer
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Gauges
Carriers
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A. Handrails/guard rails on elevated walkway/step
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B. Walkway free of slip trip hazards
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C. Wheels chocked
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D. Tanks labeled
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E. Fuel or other fluid leaks
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F. Hydraulic leveling jacks secured by mechanical lock nuts
Draw works/Winch
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A. Guards
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B. Drill line
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1. Date installed
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C. Sand line
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1. Date installed
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2. Feet
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D. Sufficient wraps left on drum with blocks down
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E. Dead-line anchor and retainer
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F. Hydromatic brake
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G. Brake lineage
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H. Drill/sand line brakes
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I. Road gear lockout
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J. Handling winch
Traveling Assembly
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A. Blocks
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B. Sheave guards/lock
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C. Bales/links
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D. Elevators
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E. Rod hook
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F. Transfers with D-ring
Operator Station
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A. Controls labeled
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B. Kill switch functional
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C. BOP closed reminder
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D. Weight indicator and pads
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1. Model
Work Floor
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A. Level/even surfaces
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B. Work floor secured in up positive position
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C. Sliding section has stops and pins
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D. Suspension cables chains grade 8
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E. Support suspension pins with keepers/clevis positive chain hooks
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F. Steps/handrails
Tools and Equipment
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A. Power tongs condition
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B. Safety gates
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C. Backup
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D. Stiff arm, snub line
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E. Hoses/Fittings
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F. Tong/positioner
Well Control Equipment
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A.BOP's installed, tested, and functional
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B. Training
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C. Safety valves in open or closed position
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D. Accumulator valves in open or closed position
Hand Tools
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A. Condition
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B. Cleanliness
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C. Stored
Safety
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A. PPE
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B. Fall protection
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C. Tailgate safety meeting
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D. Smoking designated area
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E. First aid training
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F. Fire extinguishers
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G. Lockout/Tagout
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H. MSDS
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I. Emergency #'s
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J. SCBA's
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K. H2S monitors
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L. Briefing area
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M. Line charts
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N. Derrick escape equipment
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O. Lifting chains tagged
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P. Rig grounded to well head
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Q. First aid kit
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R. Fire blankets
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S. Splints
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T. Eye wash
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Inspected By:
