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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Customer Name:
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Rig Supervisor & Rig Operator:
Location
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Rig sign with PPE requirements out and in visible location (1910.145(c) (2) (i) / (c) (3) & 1910.151 (a)).
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No smoking allowed on location. (RP54 7.1.2-3).
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Rig Permit to Work Permit / Visitor sign/check in policy adhered. (1910.38 (c) (4).
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Wind direction indicator (wind flag) installed. (RP49 8.2.3)
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Housekeeping on rig is acceptable. (RP54 6.5.1)
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A. Distance from overhead power lines - minimum 10 feet (RP54 10.1.1)
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C. Fall line of derrick clear.
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D. Vehicle out of guy pattern and 100 feet from rig. (RP54 6.1.15)
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E. Pipe racks have pins in place to prevent roll-off.
Guying
A. Crown to ground guy lines
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1. Guy and escape wires flagged (RP4G 14.5.f).
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2. Number of wind guys - 4 (RP4G 13.1).
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3. Condition of guy lines appear to be in acceptable condition (RP4G 13.1.1).
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5. 4 clamps minimum
B. Tubing board guys
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1. Strung and Crossed.
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3. Internal guys adjusted for tension
Mast/Derrick/Foundation
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A. Manufacturer's specification/operation plate attached to the rig (RP 9.2.2)
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B. Derrick appears to be in good condition. (RP54 9.16.1).
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Derrick escape slow descender unit installed and properly rigged up (RP54 6.10.1).
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C. Derrick Ladder in good condition (RP54 9.3.1-5).
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D. Tubing board in good condition (RP 9.2.12).
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E. Rod Basket secure and in good condition.
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F. Crown railing intact and painted in contrasting color.
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H. Scoping ram stabilizers in good condition RP54 9.2.4).
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I. Crown sheave guards in place (RP54 9.7.5).
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J. Tubing board fingers in good condition with safety cables (RP54 9.3.16).
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M. Derrick assembly locking pins in place with keepers (RP54 9.2.8).
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N. Fall protection being utilized properly 1910.145 (c) (2) (i)).
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Overhead tie-off cable in place over the tubing board.
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O. Lighting system in place and adequate if needed (RP54 9.14.7).
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G. Rig mat in good condition/adequate condition.
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P. Jack pad/jack stands in good condition and used properly.
Crew Truck
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Unit Number
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A. No external or internal damage (dents, broken glass, mirrors, etc).
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C. Seat belt working
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F. Housekeeping in cab
Doghouse
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A. Housekeeping is acceptable.
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B. Stove condition is safe and in good working order.
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C. Electrical/Lights functioning.
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D. Hitch & safety chains in place and in proper use.
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E. Wheels chocks available and in use for uneven work surfaces.
Rig
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A. Seat belt in proper working order.
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B. No external or internal damage (broken head, tail, signal lights, dents, broken glass, mirrors, etc).
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D. Flares or reflectors in cab and properly stored.
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E. Housekeeping acceptable in cab.
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DOT required papers properly stored in cab of the rig.
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1. Date of DOT inspection
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/Tires in good condition and chocked when rig is stationary.
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D. Tanks labeled properly along with all temporary storage containers (1910.1200).
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E. No signs of fuel or other fluid leaks or other loss of containment.
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F. Work floor is secure and in good condition.
Draw works/Winch
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A. Drawworks guards are in place (RP54 9.4.52).
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B. Tubing and sand line in good condition (RP9B 3.3.3).
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D. Sufficient wraps left on drum with blocks down (RP54 9.6.4)
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H. Tubing/sand line brakes functioning properly.
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I. Road gear lockout functioning properly.
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J. Winch line in good condition (RP54 3.2.7).
Traveling Assembly
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A. Block assembly in good condition (RP54 9.7.5).
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C. Bales/links in good condition (RP54 9.7.1).
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D. Rod/tubing Elevators in good condition (RP54 9.7.1).
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E. Rod hook in good condition (RP54 9.7.1).
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F. Rod Transfers in good condition with safety latch (RP54 9.7.1).
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G. Slips are in good condition (RP54 9.9.2).
Operator Station
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A. Controls labeled
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B. Kill switch functional
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C. Operator communicating well with crew.
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D. Weight indicator visible and functioning.
Work Floor
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A. Level/even surfaces
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B. Work floor secured when in the up position.
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C. Sliding section has stops, pins or chains in place to prevent slipping when lifted.
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D. Suspension cables chains are grade 8 alloy and have tags in place.
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E. Support suspension pins with keepers/clevis positive chain hooks.
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F. Steps/handrails in place and in good condition.
Tools and Equipment
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A. Tubing/rod tongs are in good condition (RP54 9.9.7).
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B. Slings and lift chains are in good condition.
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D. Stiff arm, back up, snub line in good condition (RP54 9.9.4).
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E. Hoses/fittings appear in good condition.
Well Control Equipment
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A.BOP's and accumulator installed, tested, and functional (RP54 6.4.1)
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B. Appropriate personnel trained in well control.
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D. Accumulator at least 50 feet from well and any high pressure lines equipped with whip checks (RP54 7.2.2).
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E. Accumulator bottles labeled with contents (1910.1200).
Hand Tools
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A. No issues observed with hand tools.
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C. Hand tools are organized and stored neatly.
Safety
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A. PPE being worn by all personnel on location including hard hat, safety glasses, steel toed boots, gloves and fire resistant clothing as well as fall protection when needed (1910.132).
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B. Fall protection/safety harness in good condition - climb assist in use and working properly. (1910.132)
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C. Permit to work with emergency numbers completed along with the JSA section. Safety meetings held along with employee signatures (RP54 6.1.7).
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E. First aid and CPR training up to date.
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F. First aid supplies available.
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G. Lockout/Tagout kit available (1910.147/MIOSHA Part 85 & RP54 6.9.1)
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H. SDS sheets on site or available with 24 hour access (1910.1200).
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J. SCBA's on site and available for H2S locations.
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K. H2S monitors worn by all applicable personnel and are calibrated.
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L. Two briefing areas identified and reviewed daily on H2S locations.
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M. No jewelry loose clothing, long hair or jewelry present which could be an entanglement hazard (RP54 5.2.7).
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P. Rig grounded to well head
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R. A minimum of 2 fire extinguishers tagged and inspected on the rig plus 1 in the cab and 1 in the doghouse (1910.157/MIOSHA Part 6).
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S. Eye wash bottles available and not expired.
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Inspected By:
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Rig Supervisor Signature:
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Inspector Signature: