Rush Wireline

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Location

• Location is free from observable hazards upon arrival?

  Yes

  No

  N/A

• Toilets are available?

  Yes

  No

  N/A

• Explosive signage is in place and visible?

  Yes

  No

  N/A

• Wireline area is free from trash

  Yes

  No

  N/A

• Wireline area is free from tripping hazards?

  Yes

  No

  N/A

• Caution tape is in place?

  Yes

  No

  N/A

• Wireline equipment has a clear exit path in case of emergency?

  Safe

  At Risk

  N/A

• Pre-work safety meeting was performed and documented?

  Yes

  No

  N/A

Crew

• Everyone is aware of high pressure zones?

  Yes

  No

  N/A

• Everyone is donning proper PPE before arrival to location?

  Yes

  No

  N/A

• Drivers logs are complete, updated, and turned in?

  Yes

  No

  N/A

• Coveralls are in acceptable working condition?

  Yes

  No

  N/A

• Safety glasses are available?

  Yes

  No

  N/A

• Ear protection is available?

  Yes

  No

  N/A

• Everyone is wearing steel toes?

  Yes

  No

  N/A

• Everyone is wearing the proper gloves for specific tasks?

  Yes

  No

  N/A

• Everyone is aware of the muster point location?

  Yes

  No

  N/A

• Has an emergency driver been established?

  Yes

  No

  N/A

• Driver's Name

• Has an emergency facility been designated?

  Yes

  No

  N/A

• Is the 911 address available?

  Yes

  No

  N/A

• Stop Work Authority has been reviewed with crew?

  Yes

  No

  N/A

Logger and Trailer

• Wheel chocks are in place?

  Yes

  No

  N/A

• Fire extinguishers are available?

  Yes

  No

  N/A

• Shooters cab hand rail is in place?

  Yes

  No

  N/A

• Exit route reviewed for wireline equipment in case of emergency?

  Yes

  No

  N/A

• Ground clamps connected?

  Yes

  No

  N/A

• Stray voltage checks completed?

  Yes

  No

  N/A

• Logger fluid levels checked upon arrival?

  Yes

  No

  N/A

• Only authorized personnel in the wireline area?

  Safe

  At Risk

  N/A

• Line of site for engineer and crew established?

  Yes

  No

  N/A

• Logger steps free from grease and debris?

  Yes

  No

  N/A

• Is the shooters key secure?

  Safe

  At Risk

  N/A

• Interior of logger is tidy?

  Yes

  No

  N/A

• First aid kits are available?

  Yes

  No

  N/A

• The logger is drip-free?

  Yes

  No

  N/A

Tools and Equipment

• SDS sheets are updated and available?

  Yes

  No

  N/A

• Crane daily inspection is completed, documented and available

  Yes

  No

  N/A

• Anemometer is available?

  Yes

  No

  N/A

• Aerial lift inspection is completed, documented and available?

  Yes

  No

  N/A

• PCE certifications are updated and available?

  Yes

  No

  N/A

• Chains and Sheeves are inspected?

  Yes

  No

  N/A

• Straps and harnesses in good working order?

  Yes

  No

  N/A

• Adequate lighting in trailer?

  Safe

  At Risk

  N/A

• Adequate lighting on ground?

  Yes

  No

  N/A

• Tools are in good working order?

  Yes

  No

  N/A

• Detonator safety tube is available?

  Yes

  No

  N/A

Miscellaneous HSE

• Any other HSE concerns that might pose a risk?

  Safe

  At Risk

  N/A

• Engineer/Supervisor: By signing, I agree that this audit was performed accurately (to the best of my knowledge)and presented in a timely manner in order to eliminate unsafe actions and working conditions.

  Sign

• Manager/HSE: By signing, I agree that this audit was performed accurately and presented in a timely manner in order to eliminate unsafe actions and working conditions.

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