Information

  • Type of Inspection

  • Rig Number

  • Conducted on

  • County

  • Operator

  • Rig Manager

  • Driller

  • Location
  • Present Operation

A) personal Protective Equipment

  • Proper clothing being worn by employees (no loose clothing and FRC's being worn)

  • Approved hard hats being worn by employees, sub contractors, and visitors.

  • Z- 87 approved safety glasses worn by employees, sub-contractors, and visitors.

  • Safety toe foot wear being worn by employees/sub-contractors/visitors <br>

  • Hearing protection available/ required in areas higher than 85 db.

  • Face shield for grinder, pressure washing etc. available and serviceable.

  • A minimum of six safety harness and six double (tie off) landyards on location.

  • Safety harness and landyards are in serviceable conditions.<br>

  • Adequate safety supplies available in Rig Manager quarters.

  • " Authorized Personnel Only" sign Posted at enter entrance location.

  • Hard hats and safety glass available for visitors.<br>

  • Derrick escape lines installed and flagged with visible material.

  • Respiratory protection program in place and followed per company policy.

  • Hazardous jewelry not worn by employees on tour.

  • OTHER:

  • OTHER:

  • OTHER:

  • OTHER:

  • Comments

Miscellaneous

  • General appearance of location is satisfactory (housekeeping / garbaged picked up )

  • Rig Manager quarters clean and organized.

  • OSHA 5 in 1 poster posted in Rig manager office.

  • Rig manager and crew quarters electrical systems maintained.

  • First aid kit in Rig Manager quarters properly stocked and maintained.

  • Blood borne pathogen kit available on site and in Rig Manager quarters.

  • Smoke alarm in Rig Manager and Crew quarters present and properly functioning.

  • Living quarters, (Rig Manager and Crew) doors, windows, roof appliances in proper order.<br>

  • Hotel package, external water pumps, transformers are properly grounded.

  • Hotel package, all cables are properly strung, using waterproof enclosures at plug.

  • Fall protection devices present on top of living quarters per type of structure. <br>

  • Rig Manager and Crew trailer securely positioned; two means of escape.

  • Lower dog house, grounded, crew change area maintained properly.

  • Paint storage area properly identified / vented to atmosphere and maintained.

  • All electrical controls marked as to their function and legible.

  • Electric tools properly grounded and in good condition.

  • Bench grinder in good condition, properly grounded, and rest in proper condition.

  • Tools on location out away. Ladders are not left standing up and unattended. Ladders tied off when in use.

  • Rope knots. Is the rig and the other houses free of unused ropes and knots on equipment.

  • Only four piece shackles with cotter pins are being used to secure any equipment.

  • Four gas sensor detector available for use. Calibrated and operational.

  • Others

  • Others

  • Others

  • Others

  • Others

  • Comments:

Record Keeping

  • Quality safety meetings being held daily "all employees participate", properly documented, and turned in.

  • Quality JSA's being done, properly documented, and turned in.

  • New-hire rig orientation "NERO" being conducted properly, documented, and turned in.

  • Current OSHA 300 Log current and properly posted in clear view.

  • Accident reports for all OSHA 300 Log entries on file.

  • Employee and Supervisor accident report files being maintained and current.

  • Rig Manager and Driller inspections being done, corrections made, properly documented, and turned in.

  • Rig Manager filing system organized and in order.

  • Company Safety Manual is present.

  • SPCC plan binder.

  • Accident Verification Forms completed, current, and turned in.

  • Forklift inspection performed being each tour or as required as per company policy.

  • Forklift operators are certified and certification card retained on location.

  • Rig Manager and Drillers Well Control current with a copy of card on location.

  • MSDS book present and up to date.

  • Crown-O-Matic test, BOP drills being done.

  • Emergency numbers are current and posted in clear view.

  • Map created and posted for Rig Fire Extinguisher locations.

  • Rig Manager and Drillers have current First Aid certification card present.

  • Derrick inspection preformed yearly and documented.

  • Tone mileage drill line records available and current.

  • Derrick raising line records available.

  • Overhead equipment tested per IADC recommendations.

  • LO-TO procedure manual available and maintained (In good condition).

  • LO-TO Permits on file (Record keeping: Must have last 90 days on file).

  • Confined Space Permits on file ( Record keeping must have last 90 days on file).

  • Hot Work Permits on file (Record keeping: must have last 90 days on file).

  • Chain Inventory Log: is current and up to date.

  • Water Rope Slings Inspection Inventory Log: is current and up to date.

  • Fall Protection Harness Inspection Inventory Log: is current and yo to date.

  • OTHER:

  • Comments:

Closing

Closing Comments

  • Additional Comments

  • Signature

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