Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Rig Number:

  • Customer Name:

  • Rig Supervisor & Rig Operator:

Location

  • Rig sign with PPE requirements out and in visible location (1910.145(c) (2) (i) / (c) (3) & 1910.151 (a)).

  • No smoking allowed on location. (RP54 7.1.2-3).

  • Rig Permit to Work Permit / Visitor sign/check in policy adhered. (1910.38 (c) (4).

  • Wind direction indicator (wind flag) installed. (RP49 8.2.3)

  • Housekeeping on rig is acceptable. (RP54 6.5.1)

  • A. Distance from overhead power lines - minimum 10 feet (RP54 10.1.1)

  • C. Fall line of derrick clear.

  • D. Vehicle out of guy pattern and 100 feet from rig. (RP54 6.1.15)

  • E. Pipe racks have pins in place to prevent roll-off.

Guying

A. Crown to ground guy lines

  • 1. Guy and escape wires flagged (RP4G 14.5.f).

  • 2. Number of wind guys - 4 (RP4G 13.1).

  • 3. Condition of guy lines appear to be in acceptable condition (RP4G 13.1.1).

  • 5. 4 clamps minimum

B. Tubing board guys

  • 1. Strung and Crossed.

  • 3. Internal guys adjusted for tension

Mast/Derrick/Foundation

  • A. Manufacturer's specification/operation plate attached to the rig (RP 9.2.2)

  • B. Derrick appears to be in good condition. (RP54 9.16.1).

  • Derrick escape slow descender unit installed and properly rigged up (RP54 6.10.1).

  • C. Derrick Ladder in good condition (RP54 9.3.1-5).

  • D. Tubing board in good condition (RP 9.2.12).

  • E. Rod Basket secure and in good condition.

  • F. Crown railing intact and painted in contrasting color.

  • H. Scoping ram stabilizers in good condition RP54 9.2.4).

  • I. Crown sheave guards in place (RP54 9.7.5).

  • J. Tubing board fingers in good condition with safety cables (RP54 9.3.16).

  • M. Derrick assembly locking pins in place with keepers (RP54 9.2.8).

  • N. Fall protection being utilized properly 1910.145 (c) (2) (i)).

  • Overhead tie-off cable in place over the tubing board.

  • O. Lighting system in place and adequate if needed (RP54 9.14.7).

  • G. Rig mat in good condition/adequate condition.

  • P. Jack pad/jack stands in good condition and used properly.

Crew Truck

  • Unit Number

  • A. No external or internal damage (dents, broken glass, mirrors, etc).

  • C. Seat belt working

  • F. Housekeeping in cab

Doghouse

  • A. Housekeeping is acceptable.

  • B. Stove condition is safe and in good working order.

  • C. Electrical/Lights functioning.

  • D. Hitch & safety chains in place and in proper use.

  • E. Wheels chocks available and in use for uneven work surfaces.

Rig

  • A. Seat belt in proper working order.

  • B. No external or internal damage (broken head, tail, signal lights, dents, broken glass, mirrors, etc).

  • D. Flares or reflectors in cab and properly stored.

  • E. Housekeeping acceptable in cab.

  • DOT required papers properly stored in cab of the rig.

  • 1. Date of DOT inspection

Carriers

  • A. Handrails/guard rails on elevated walkway/step

  • B. Walkway free of slip trip hazards

  • C. Wheels/Tires in good condition and chocked when rig is stationary.

  • D. Tanks labeled properly along with all temporary storage containers (1910.1200).

  • E. No signs of fuel or other fluid leaks or other loss of containment.

  • F. Work floor is secure and in good condition.

Draw works/Winch

  • A. Drawworks guards are in place (RP54 9.4.52).

  • B. Tubing and sand line in good condition (RP9B 3.3.3).

  • D. Sufficient wraps left on drum with blocks down (RP54 9.6.4)

  • H. Tubing/sand line brakes functioning properly.

  • I. Road gear lockout functioning properly.

  • J. Winch line in good condition (RP54 3.2.7).

Traveling Assembly

  • A. Block assembly in good condition (RP54 9.7.5).

  • C. Bales/links in good condition (RP54 9.7.1).

  • D. Rod/tubing Elevators in good condition (RP54 9.7.1).

  • E. Rod hook in good condition (RP54 9.7.1).

  • F. Rod Transfers in good condition with safety latch (RP54 9.7.1).

  • G. Slips are in good condition (RP54 9.9.2).

Operator Station

  • A. Controls labeled

  • B. Kill switch functional

  • C. Operator communicating well with crew.

  • D. Weight indicator visible and functioning.

Work Floor

  • A. Level/even surfaces

  • B. Work floor secured when in the up position.

  • C. Sliding section has stops, pins or chains in place to prevent slipping when lifted.

  • D. Suspension cables chains are grade 8 alloy and have tags in place.

  • E. Support suspension pins with keepers/clevis positive chain hooks.

  • F. Steps/handrails in place and in good condition.

Tools and Equipment

  • A. Tubing/rod tongs are in good condition (RP54 9.9.7).

  • B. Slings and lift chains are in good condition.

  • D. Stiff arm, back up, snub line in good condition (RP54 9.9.4).

  • E. Hoses/fittings appear in good condition.

Well Control Equipment

  • A.BOP's and accumulator installed, tested, and functional (RP54 6.4.1)

  • B. Appropriate personnel trained in well control.

  • D. Accumulator at least 50 feet from well and any high pressure lines equipped with whip checks (RP54 7.2.2).

  • E. Accumulator bottles labeled with contents (1910.1200).

Hand Tools

  • A. No issues observed with hand tools.

  • C. Hand tools are organized and stored neatly.

Safety

  • 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).

  • B. Fall protection/safety harness in good condition - climb assist in use and working properly. (1910.132)

  • C. Permit to work with emergency numbers completed along with the JSA section. Safety meetings held along with employee signatures (RP54 6.1.7).

  • E. First aid and CPR training up to date.

  • F. First aid supplies available.

  • G. Lockout/Tagout kit available (1910.147/MIOSHA Part 85 & RP54 6.9.1)

  • H. SDS sheets on site or available with 24 hour access (1910.1200).

  • J. SCBA's on site and available for H2S locations.

  • K. H2S monitors worn by all applicable personnel and are calibrated.

  • L. Two briefing areas identified and reviewed daily on H2S locations.

  • M. No jewelry loose clothing, long hair or jewelry present which could be an entanglement hazard (RP54 5.2.7).

  • P. Rig grounded to well head

  • 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).

  • S. Eye wash bottles available and not expired.

  • Inspected By:

  • Rig Supervisor Signature:

  • Inspector Signature:

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