S&A Audit - CT - Spread

• Conducted on

  Date

• Asset Number

• Supervisor

• Supervisors Participation

• Auditor

• Rig Status

A - CAB

• A1 - Cab is free of loose objects (trash/debris) that could obstruct pedals?

  1

  0

  X

  T

  N/A

• A2 - Is the units over-height sticker placed on the windshield in view of the driver?

  1

  0

  X

  T

  N/A

• A3 - Measure the steering wheel for excessive free play. Free play is less than 30 degrees or about 5" ? ( FMCSA-part-393.209b app. G-subpart B - 7a)

  1

  0

  X

  T

  N/A

• A4 - Windshield and wipers in safe condition and windshield wipers function properly? (FMCSA-part-393.78)<br>

  1

  0

  X

  T

  N/A

• A5 - Mirrors are in good condition (no cracks, clean, and brackets are tight)? (FMCSA 393.80)

  1

  0

  X

  T

  N/A

• A6 - Flat mirrors have 50 square inches of unobstructed view (no antennas or other items are obscuring view)? (393.80)

  1

  0

  X

  T

  N/A

• A7 - Seat belts on both seats are secure, adjustable, and in good condition? (FMCSA-part-393.93)

  1

  0

  X

  T

  N/A

• A8 - Air suspension seats are equipped with belts anchored from the floor to the seat and from the seat to the driver? (FMCSA-part-393.93)

  1

  0

  X

  T

  N/A

• A9 - Tractor has proper paperwork (i.e. insurance document, permits, registration, etc.) is current and located in the cab? (Key Company Policy)

  1

  0

  X

  T

  N/A

• A10 - Log book is up-to-date and previous post-trip was signed when required? (FMCSA-part-395.8 & part-396.11)

  1

  0

  X

  T

  N/A

• A11 - Truck has emergency triangle reflectors and they are in good condition? (FMCSA-part-393.95 h)

  1

  0

  X

  T

  N/A

B - UNDER HOOD

• B1 - Brake assemblies including chamber, mounting, and fittings are in good condition? (Tractor and Trailer)

  1

  0

  X

  T

  N/A

• B2 - Leaf springs and U bolts are in good condition. (FMCSA 393.207)

  1

  0

  X

  T

  N/A

• B3 - Steering axle tires are in good condition (no cuts, bruises, bulges, a minimum of 4/32 tread wear and no re-caps on steering axle)?(FMCSA-part-393.75a,b)

  1

  0

  X

  T

  N/A

• B4 - Steering axle wheel lug nuts and indicators are present and tight?(FMCSA-part393.205)(Tractor and Trailer)

  1

  0

  X

  T

  N/A

• B5 - Front axle oil hubs have proper oil level (seals are not leaking)?

  1

  0

  X

  T

  N/A

C - OUTSIDE

• C1 - No leaks indicated by fluid on ground?(FMCSA-part-396.5)

  1

  0

  X

  T

  N/A

• C2 - Head lights are working properly (low/high beams)? FMCSA 393.11 subpart B

  1

  0

  X

  T

  N/A

• C3 - Four way flashers, cab clearance and identification lights, running lights and turn signal lights are all working properly on tractor and trailer? FMCSA 393.11 subpart B

  1

  0

  X

  T

  N/A

• C4 - Grill, bumper and license plate are in good condition and not obstructed?(FMCSA-part-393.60c & 393.78a,b)

  1

  0

  X

  T

  N/A

• C5 - Unit is level and not lopsided?

  1

  0

  X

  T

  N/A

• C6 - Over width reel trailers outrigger mirrors or rear view cameras have been added to allow the driver clear view of the rear corners of the trailer?

  1

  0

  X

  T

  N/A

• C7 - Confirm the following items are present and in good condition: Key Energy Services decal (tractor and/or Trailer) , U.S. DOT Number decal, haul permit decals, hand-holds, reflectors, reflective tape, battery box, tool box, step mounting, fuel tank

  1

  0

  X

  T

  N/A

• C8 - Full asset number is on both sides of the tractor and in good condition (legible, contrasting color)? (Key paint and marking specification)

  1

  0

  X

  T

  N/A

• C9 - Air tank is solidly mounted and in good condition?

  1

  0

  X

  T

  N/A

• C10 - Exhaust system is mounted securely and is in good condition (no signs of leaks that may enter the cab)?(FMCSA-393.83)

  1

  0

  X

  T

  N/A

• C11 - All four grommets in the glad hands are in good condition (no tears or excessive wear)? (FMCSA 393.45)

  1

  0

  X

  T

  N/A

• C12 - Trailer's power cord casings are in good condition (no cracking or missing pins)?

  1

  0

  X

  T

  N/A

• C13 - All glad hand and power cord lines are suspended and in good condition (no chaffing and no air leaks)? (FMCSA 393.45(B)(2))

  1

  0

  X

  T

  N/A

• C14 - Drive tires are in good condition (No recaps, no sidewall cuts or bulges and have a minimum 2/32" tread depth)?(FMCSA-part-393.75a,b)

  1

  0

  X

  T

  N/A

• C15 - Drive wheels are in good condition, have lug indicators, and are rated for the load (no loose or missing lugs, cracked rims or leaking oil seals, no mixed wheels - aluminum/steel)?(FMCSA-part393.205)

  1

  0

  X

  T

  N/A

• C16 - Are the tire chocks present and installed? (all equipment on location) (Key E.S.H. Section Three, 1.26 & Section 13, 1.10)

  1

  0

  X

  T

  N/A

• C17 - Rear and inside frame assembly is in good condition?

  1

  0

  X

  T

  N/A

• C18 -Mud flaps and reflective tape in good condition? (FMCSA-part-393.13)

  1

  0

  X

  T

  N/A

• C19 - King pin locking lever is set?(FMCSA-part-393.70, 2)

  1

  0

  X

  T

  N/A

• C20 - King pin plate is free of cracks and/or missing bolts and has been greased?

  1

  0

  X

  T

  N/A

• C21 - Fifth wheel mounting and slide assembly in good condition?(FMCSA-part-393.70,b,ii)

  1

  0

  X

  T

  N/A

• C22 - Tractor steps and accessible rear deck are in good condition and are equipped with anti-slip grating? (Key equipment rigging standards)

  1

  0

  X

  T

  N/A

• C23 - Fire extinguisher is correct size, in good condition, has current inspections, and properly mounted (5 lb in cab and 20 lb for deck engine)?

  1

  0

  X

  T

  N/A

D - TRAILER

• D1 - Lights, reflective tape and reflectors in good condition? (FMCSA-part-393.13)

  1

  0

  X

  T

  N/A

• D2 - All hoses are properly secured?

  1

  0

  X

  T

  N/A

• D3 - Tool box has a functioning cover and latch?

  1

  0

  X

  T

  N/A

• D4 - Landing gear is secure and free of damage?

  1

  0

  X

  T

  N/A

• D5 - Catwalk deck is in good condition (no holes, tripping hazards, or loose objects)? OSHA 1910.23

  1

  0

  X

  T

  N/A

• D6 - Ladder to catwalk is in good condition with safety chain?

  1

  0

  X

  T

  N/A

• D7 - No low hanging wires?

  1

  0

  X

  T

  N/A

• D8 - Overall frame, suspension, and axles are in good condition? (FMCSA-393.207,a,b,e)

  1

  0

  X

  T

  N/A

• D9 - Hubs have proper oil level and seals are not leaking?

  1

  0

  X

  T

  N/A

• D10 - DOT bumper and license plate is in good condition?

  1

  0

  X

  T

  N/A

• D11 - Diesel and other storage tanks are labeled correctly? (OSHA 1910.1200 f 5; Key HazCom Program)

  1

  0

  X

  T

  N/A

• D12 - Trailer tires are in good condition (No recaps, no sidewall cuts or bulges and have a minimum 2/32" tread depth)?(FMCSA-part-393.75a,b)

  1

  0

  X

  T

  N/A

• D13 - Trailer wheels are in good condition, have lug indicators, and are rated for the load (no loose or missing lugs, cracked rims or leaking oil seals, no mixed wheels - aluminum/steel)?(FMCSA-part393.205)

  1

  0

  X

  T

  N/A

E - CREW VEHICLES

• E1 - Registration, inspection sticker, and insurance card current? (FMCSA/State Requirements)

  1

  0

  X

  T

  N/A

• E2 - Vehicle numbers and company logo signs are in good condition and visible? (FMCSA 390.21; Key Policy)

  1

  0

  X

  T

  N/A

• E3 - Seat belts are readily available and in good condition? (FMCSA/State Requirements; ESH 1.10.3)

  1

  0

  X

  T

  N/A

• E4 - Truck overall appearance is clean, neat, orderly and load secured (general house keeping)?

  1

  0

  X

  T

  N/A

• E5 - Auxiliary fuel tanks have correct labels (gas, diesel, LPG, etc.)? (API 54 8.4; OSHA 1910.1200)

  1

  0

  X

  T

  N/A

• E6 - Windshield, wipers, mirrors, and heater are in good working condition? (FMSCA 393.60, 393.78, 393.80)

  1

  0

  X

  T

  N/A

• E7 - All lights are working properly (tail, stop, turn, flashers, markers, etc.)? (State traffic laws, ESH Sect. 3.6.1)

  1

  0

  X

  T

  N/A

• E8 - Minimum 10 lb. fire extinguisher securely mounted and in good condition with a current inspection? (ESH 8.3.2.h)

  1

  0

  X

  T

  N/A

• E9 - Steering tires have a minimum 4/32 tread and other tires a minimum 2/32 tread? (FMCSA 393.75)

  1

  0

  X

  T

  N/A

F - GENERAL

• F1 - Did the Supervisor participate in the audit?

  1

  0

  X

  T

  N/A

• F2 - Distance from overhead power lines - min. 10‘? (API 54 10.1; NFPA; ESH 5-30 & 6-38)

  1

  0

  X

  T

  N/A

• F3 - Hazard signs displayed? (OSHA 1910.145, 1000, 1200; API 54 7.1.2-3)

  1

  0

  X

  T

  N/A

• F4 - Auxiliary equipment exhaust minimum 50’ from well? (ESH 6-41; API 54 9.15.3)

  1

  0

  X

  T

  N/A

• F5 - Spark arrestors in place behind the muffler (where applicable), maintained, & the exhaust system in good condition? (API 54 9.15.13)

  1

  0

  X

  T

  N/A

• F6 - Good housekeeping is present on general location? (API 54 6.5, 9.3.11; ESH 5-34; AESC pg. 89)

  1

  0

  X

  T

  N/A

• F7 - All areas that might contain pressure or where dangerous fluids are being mixed and transferred are marked/cordoned off? (CTSOPH 1.4, Meet and Greet for Well Site and Facility Operations - Key OP-0034)

  1

  0

  X

  T

  N/A

• F8 - Two 30-Minute SCBA's inspected and logged/dated monthly (where applicable)? (Clean and 2216+ psi) (OSHA 1910.134, API 54 5.4.2; API 55 3.3; API 49 6.6; Key Respiratory Protection Program)

  1

  0

  X

  T

  N/A

• F9 - Personal H2S monitor(s), calibrated monthly with dated tag (where applicable)? (API 49, 6.5; API 55 3.3; AESC pg. 73 - 75; OSHA 1910.1000)

  1

  0

  X

  T

  N/A

• F10 - Is the mount for the wet kit in good condition?

  1

  0

  X

  T

  N/A

• F12 - Are all light-duty trailer hitch/safety slings in place and in good condition? Key E.S.H. Section 3, 4.3

  1

  0

  X

  T

  N/A

• F11 - Are the wet kit's filters in good condition (tattle tale indicators show green)?

  1

  0

  X

  T

  N/A

• F13 - Do all of the power driven hose reels have the spokes covered/guarded?

  1

  0

  X

  T

  N/A

G - DOCUMENTATION

• G1 - Employee Safety Handbook and Coiled Tubing Operations Practices Handbook available at the unit? (SMS)

  1

  0

  X

  T

  N/A

• G2 - Current well control certification for Supervisor? (Key Well Control Manual - People, Equipment and Processes )

  1

  0

  X

  T

  N/A

• G3 - Drivers have a CDL with correct endorsement(s)? (FMCSA 383.91, ESH 4-22)

  1

  0

  X

  T

  N/A

• G4 - SRL has been inspected by a manufacture representative within past two years? (OEM Req)

  1

  0

  X

  T

  N/A

• G5 - SDS/EAP/SPCC book on site? (Key HazCom Program; OSHA 1910.1200, 1910.38, 1910.120; Key EAP; EMS Manual Ref. 2.7; API 54 4.2.1, 6.1.12, API 55 4.6)

  1

  0

  X

  T

  N/A

• G6 - Work Plan-JSA is current, complete, and reviewed with all affected and SOP(s) referenced on WP? (Key Work Plans - Hazard Assessment Policy; SMS)

  1

  0

  X

  T

  N/A

• G7 - Unit recently inspected by Supervisor (monthly)? (ESH 1.8.5)

  1

  0

  X

  T

  N/A

• G8 - Crew members and supervisors training dates are current and available? (OSHA 1910.151; API 54 4.3; API 55 5.1-8; ESH 1.5.2)

  1

  0

  X

  T

  N/A

• G9 - Crew has performed H2S drill scenario (where applicable)? (Key Respiratory Protection Program; API 49 5.2 & 10.7; AESC pg. 74)

  1

  0

  X

  T

  N/A

• G10 - Documentation package includes: Lifting-equip. certs., Pressure-containing equip. certs., Pressure test charts for the BOP, Pressure-pumping, iron-cert. confirmation (banded for last pressure test and UTM), Chemical- hazard cert. (as applicable DOT), Crane and Operators cert., Chemical bills of lading (Hazmat as required) (CTSOPH 2.2.2)

  1

  0

  X

  T

  N/A

• G11 - Daily wet kit, fluid pump, nitrogen pump, and BOP inspection reports have been completed? (CTSOPH 9.1)

  1

  0

  X

  T

  N/A

H - WELL CONTROL EQUIPMENT/PRACTICES

• H1 - BOP's installed, tested as necessary, and operating properly? (API 53, 54 6.4; ESH 5.3.6.d, AESC pg. 104)

  1

  0

  X

  T

  N/A

• H2 - BOP sling in good condition and annually inspection? (ESH 5.8.b, OSHA 1910.184)

  1

  0

  X

  T

  N/A

• H3 - BOP installed with all bolts/nuts, not short bolted? (API 53, 54 6.4; OEM Req; ESH 5.6.3.d)

  1

  0

  X

  T

  N/A

• H4 - Control panel is flagged if rams are closed? (ESH 5.3.6.l, API 53; Key Corp Safety Alert 03-02 Corp 01)

  1

  0

  X

  T

  N/A

• H5 - BOP hoses and connections in good condition and not leaking?

  1

  0

  X

  T

  N/A

• H6 - Lubricator is in good condition and banded annually?<br>

  1

  0

  X

  T

  N/A

• H7 - Position locks on the blind and shear ram controls in the control cabin? (CTSOPH 1.3.7)

  1

  0

  X

  T

  N/A

• H8 - Two backups on the hydraulic system for the BOPs and pack off (for example, air and manual)? (CTSOPH 1.3.7.1)

  1

  0

  X

  T

  N/A

• H9 - Number of turns to open and close the master valve have been recorded? (CTSOPH 1.4)

  1

  0

  X

  T

  N/A

• H10 - Are high pressure irons/hoses/fittings banded and current?

  1

  0

  X

  T

  N/A

• H11 - First 25 ft (minimum) of the BOP hoses are fire resistant?

  1

  0

  X

  T

  N/A

I - SAFETY EQUIPMENT/PRACTICES

• I1 - Full-body harness with trauma straps is in good condition? (Key Fall Protection Program; API 54 5.5.1; OSHA 1910.132 c)

  1

  0

  X

  T

  N/A

• I2 - Lanyard with soft stop in good condition and not to be used in conjunction with SRL? (Key Fall Protection Program; OSHA 1910.132 c; API 54 5.5.1)

  1

  0

  X

  T

  N/A

• I3 - SRL in good condition, line is not frayed or kinked, safety hook does not indicate an impact, and sash cord being used to retract SRL when not in use? (OSHA 1910.132, OEM Req)

  1

  0

  X

  T

  N/A

• I4 - All lifting slings are in good condition and tagged?

  1

  0

  X

  T

  N/A

• I5 - Static line (ground/bonding wire) installed from reel unit to well head in good condition? (ESH 8.1.4.a, API 54 6.1.16)

  1

  0

  X

  T

  N/A

• I6 - Stored energy locked out with lock and tag: dated/signed? (Key LO/TO Policy, ESH 14.5, API 54 6.9 & 11.1)

  1

  0

  X

  T

  N/A

• I7 - First aid kit, blood borne pathogen kit, and eye wash are stocked, available, and not expired? (AESC pg. 66 - 68; OSHA 1910.151; API 54 4.3.2)

  1

  0

  X

  T

  N/A

• I8 - All work platforms over 30" high have appropriate fall protection measures in place?

  1

  0

  X

  T

  N/A

• I9 - Hand tools in good condition? (ESH 5.3.2.a; AESC pg. 12)

  1

  0

  X

  T

  N/A

J - REEL UNIT

• J1 - Reel bearings have been recently lubricated and in good condition?

  1

  0

  X

  T

  N/A

• J2 - Hydraulic motor mounts, hoses, and connections in good condition and no leaks found?

  1

  0

  X

  T

  N/A

• J3 - Reel drive system has been function tested and is operating properly?

  1

  0

  X

  T

  N/A

• J4 - Level wind has been tested and clutch inspected?

  1

  0

  X

  T

  N/A

• J5 - Pipe lubrication system is in good working condition? (not a hand sprayer, using correct lubricant)

  1

  0

  X

  T

  N/A

• J6 - Does the swivel head have a trap/cap in place?

  1

  0

  X

  T

  N/A

• J7 - All guards on the reel unit are in place and in good condition?

  1

  0

  X

  T

  N/A

• J8 - Is the pipe spooling correctly on the reel?

  1

  0

  X

  T

  N/A

• J9 - Pipe counter is in good condition and functioning properly? (no more than 30ft/10k deviation)

  1

  0

  X

  T

  N/A

K - TUBING GUIDE (GOOSENECK ASSEMBLY)

• K1 - Tubing guide has been recently lubricated?

  1

  0

  X

  T

  N/A

• K2 - Rollers are appropriate size and in good condition?

  1

  0

  X

  T

  N/A

• K3 - Upper roller cover latch is functional and in good condition?

  1

  0

  X

  T

  N/A

• K4 - All mounting bolts and pins are in place?

  1

  0

  X

  T

  N/A

• K5 - Tubing guide frame and mounting area are free of damage?

  1

  0

  X

  T

  N/A

• K6 - Tubing guide is aligned with injector traction area?

  1

  0

  X

  T

  N/A

L - INJECTOR HEAD

• L1 - Gripper blocks are in good condition?

  1

  0

  X

  T

  N/A

• L2 - Skates are in good condition, no excessive wear?

  1

  0

  X

  T

  N/A

• L3 - Chain has been lubricated with correct lubricant medium? (not diesel)

  1

  0

  X

  T

  N/A

• L4 - No excessive wear on the chain links and pins?

  1

  0

  X

  T

  N/A

• L5 - All grease fittings in place, functional, and recently greased? (Total, S&S, Simco)

  1

  0

  X

  T

  N/A

• L6 - Hydraulic load cell and line have correct fluid?

  1

  0

  X

  T

  N/A

• L7 - Hydraulic load cell inflated to 3/8" to 1/2" gap?

  1

  0

  X

  T

  N/A

• L8 - Weight indicator transport pins are in good condition?

  1

  0

  X

  T

  N/A

• L9 - Is the carrier/mount for the injector head in good condition? (guide poles, mount pegs, latching mechanism, etc.)

  1

  0

  X

  T

  N/A

• L10 - Guy lines for the injector head are in good condition?

  1

  0

  X

  T

  N/A

• L11 - Guy lines for the injector head are using ratchet binders? (not lever type)

  1

  0

  X

  T

  N/A

• L12 - Guy lines are anchored to pad eyes on the injector head?

  1

  0

  X

  T

  N/A

• L13 - Guy lines for the injector head have adequate ground anchor system?

  1

  0

  X

  T

  N/A

M - AUXILIARY FUEL TANK

• ENTER ASSET NUMBER

• M1 - Hoses rated for fuel service and marked? (Key EMS)

  1

  0

  X

  T

  N/A

• M2 - Static charge - bonding line present and used? (Key EMS)

  1

  0

  X

  T

  N/A

• M3 - Tank is properly labeled for its contents?

  1

  0

  X

  T

  N/A

N - NITROGEN PUMP

• ENTER ASSET NUMBERS

• N1 - Goggles and face shield used when trans filling or breaking transfer connections?

  1

  0

  X

  T

  N/A

• N2 - Cold insulating gloves used when trans filling or breaking transfer connections? (PPE hazard assesment on WP/JSA)

  1

  0

  X

  T

  N/A

• N3 - No leaks in the system?

  1

  0

  X

  T

  N/A

• N4 - Pressurized lines are properly secured synthetic hobbles?

  1

  0

  X

  T

  N/A

• N5 - Nitrogen equipment placed approximately 100 ft. from the tree but not close to a pit, manifold, or production equipment? (ESH pg. 55)

  1

  0

  X

  T

  N/A

• N6 - Pressure relief device is correct type and in good condition?

  1

  0

  X

  T

  N/A

• N7 - Burst disk rated to protect inner vessel?

  1

  0

  X

  T

  N/A

• N8 - Is check valve and T with bleed off installed downstream from nitrogen? (if not installed is it on the unit?)

  1

  0

  X

  T

  N/A

• N9 - If there is a hose is it banded, certified and in good condition?

  1

  0

  X

  T

  N/A

O - PUMPS

• ENTER ASSET NUMBER

• O1 - Is the maximum pressure rating posted in view of operator?

  1

  0

  X

  T

  N/A

• O2 - Pump gauge in view of operator? (AESC Section X1)

  1

  0

  X

  T

  N/A

• O3 - Are all hoses and fittings in good condition and rated for maximum unit test pressure?

  1

  0

  X

  T

  N/A

• O4 - Is the appropriate OEM shear pin being utilized or is the safety valve adjusted to correct pressure setting?

  1

  0

  X

  T

  N/A

• O5 - Is the pop-off discharge line anchored or hobbled, open ended, and routed to a pit or tank?

  1

  0

  X

  T

  N/A

• O6 - Are all controls labeled and working properly?

  1

  0

  X

  T

  N/A

• O7 - Are air-intake kill switches labeled, painted a contrasting color and working properly?

  1

  0

  X

  T

  N/A

• O8 - Are the fire extinguishers inspection tags current, extinguishers in good condition, and 20 lbs. available for each power unit?

  1

  0

  X

  T

  N/A

• O9 - Battery covered, cables in good condition? (OEM, FMCSA 393.29, API RP54 10.2.4)

  1

  0

  X

  T

  N/A

• O10 - Is all the auxiliary equipment exhaust positioned a minimum of 50 ft. away from flammable gas or vapor sources?

  1

  0

  X

  T

  N/A

• O11 - Are all moving parts guarded including pulleys, shafts, and belts?

  1

  0

  X

  T

  N/A

• O12 - Hard line/threads or body damaged, corroded, wing condition? (Pressurized Lines SOP - SE 0006)

  1

  0

  X

  T

  N/A

• O13 - During pump operation operator present at pump controls at all times? (KEY ESH Sect 5.7.11)

  1

  0

  X

  T

  N/A

• O14 - Unions alike: same figure number, same pressure rating, and same make and model? (Go/No-Go available if non-1502 unions present) (API RP 2 HU)

  1

  0

  X

  T

  N/A

• O15 - Lock Out/ Tag Out disconnect functional? (battery disconnect) (Key LO/TO Policy, ESH 14.5.6.e, API 54 6.9 & 11.1)

  1

  0

  X

  T

  N/A

• O16 - Centrifugal pumps greased and packing in good condition? (Key PMS)

  1

  0

  X

  T

  N/A

• O17 - Breathers in good condition and clean? (OEM, Key PMS)

  1

  0

  X

  T

  N/A

• O18 - Power end fluid level? (contamination) (Key PMS)

  1

  0

  X

  T

  N/A

• O19 - Packing lubrication pump functioning properly? (Key PMS)

  1

  0

  X

  T

  N/A

• O20 - Relief valves annual recertification is current?

  1

  0

  X

  T

  N/A

• O21 - Is the unit clean orderly?

  1

  0

  X

  T

  N/A

• O22 - Are all gauges in good working order?

  1

  0

  X

  T

  N/A

• O23 - Is the fluid end free of missing nuts, bolts, leaking fluids?

  1

  0

  X

  T

  N/A

• O24 - Are hearing protection warnings posted and is hearing protection available?

  1

  0

  X

  T

  N/A

• O25 - Are tank ladders, hand rails, and walk ways installed/secured and in good condition? OSHA 1910.23, 24

  1

  0

  X

  T

  N/A

• O26 - Are tank valves free of leaks and in good working condition?

  1

  0

  X

  T

  N/A

• O27 - Are transport cam-lock caps available and in use?

  1

  0

  X

  T

  N/A

• O28 - Are drip pans and absorbent materials available and in use, environmental issues addressed?

  1

  0

  X

  T

  N/A

• O29 - Are the tank mounting brackets in good condition? (Fuel, air and hydraulic tanks)

  1

  0

  X

  T

  N/A

• O30 - Does the equipment have adequate footing \ foundation?

  1

  0

  X

  T

  N/A

• O31 - Is proper eye, face respiratory, hand, body protection and eye/skin wash available, clean and serviceable for mixing hoppers and caustic mixing?

  1

  0

  X

  T

  N/A

P - CONTROL CABIN

• P1 - Good housekeeping is present in the control cabin?

  1

  0

  X

  T

  N/A

• P2 - All gauges and controls are labeled and functioning properly?

  1

  0

  X

  T

  N/A

• P3 - Cabins raise and lower function working properly?

  1

  0

  X

  T

  N/A

• P4 - No hydraulic leaks present?

  1

  0

  X

  T

  N/A

• P5 - Interior and exterior lights and generator are working properly and in good condition?

  1

  0

  X

  T

  N/A

• P6 - Horn and windshield wiper in the control cabin is functional an in good condition?

  1

  0

  X

  T

  N/A

• P7 - Air conditioner and heater working properly?

  1

  0

  X

  T

  N/A

• P8 - Appropriate fall protection in place?

  1

  0

  X

  T

  N/A

• P9 - Chart recorder and weight indicator functional?

  1

  0

  X

  T

  N/A

• P10 - De-boosters and lines are in good condition, working, and filled with correct fluid? (de-booster is at injector)

  1

  0

  X

  T

  N/A

• P11 - Protective shields or impact resistant glass are present and in good condition? (CTSOPH 1.3.7.1)

  1

  0

  X

  T

  N/A

• P12 - Is the hydraulic pressure to weight ratio posted? (sized to the injector)

  1

  0

  X

  T

  N/A

Q - CRANE

• ENTER ASSET NUMBER

• Q1 - Crane is clean and has been lubricated recently?

  1

  0

  X

  T

  N/A

• Q2 - Engine belts and hoses are in good condition?<br>

  1

  0

  X

  T

  N/A

• Q3 - Hydraulic fluid at correct level and in good condition?

  1

  0

  X

  T

  N/A

• Q4 - Fuel, oil, or other fluid leaks present?

  1

  0

  X

  T

  N/A

• Q5 - Loose parts and equipment properly secured?

  1

  0

  X

  T

  N/A

• Q6 - First aid kit is complete and not expired?

  1

  0

  X

  T

  N/A

• Q7 - 20 lb. fire extinguisher has current inspection, is mounted, and in good condition?

  1

  0

  X

  T

  N/A

• Q8 - Reflector/DOT hazard triangle kit is complete?

  1

  0

  X

  T

  N/A

• Q9 - Control labels are clean and legible?

  1

  0

  X

  T

  N/A

• Q10 - Wiring and switches are in good condition?

  1

  0

  X

  T

  N/A

• Q11 - Boom-angle indicator, load charts, and electrical clearance charts are permanently attached, clean, and legible?

  1

  0

  X

  T

  N/A

• Q12 - The load hook throat is free of twists, cracks, or spreading?

  1

  0

  X

  T

  N/A

• Q13 - Load hook safety latch is operable?

  1

  0

  X

  T

  N/A

• Q14 - No cracked, bent, or broken structures?

  1

  0

  X

  T

  N/A

• Q15 - No cracked or broken welds?

  1

  0

  X

  T

  N/A

• Q16 - Boom extension system is operable?

  1

  0

  X

  T

  N/A

• Q17 - Boom has been lubricated with correct lube? (dry grease)

  1

  0

  X

  T

  N/A

• Q18 - Anti-two block protection system is operable?

  1

  0

  X

  T

  N/A

• Q19 - Load line condition and length are good?

  1

  0

  X

  T

  N/A

• Q20 - Sheaves and cable drum are in good condition?

  1

  0

  X

  T

  N/A

• Q21 - Level indicator is functional?

  1

  0

  X

  T

  N/A

• Q22 - Safety covers and guards are in place and secure?

  1

  0

  X

  T

  N/A

• Q23 - Owner's/Operator's manual is with unit?

  1

  0

  X

  T

  N/A

• Q24 - Last DVIR and Crane Inspection show no outstanding repairs?

  1

  0

  X

  T

  N/A

• Q25 - Outrigger pads are load rated? (each is load rated for cranes capacity)

  1

  0

  X

  T

  N/A

• Q26 - A tag line or push/pull stick is available and in good condition?

  1

  0

  X

  T

  N/A

• Q27 - Outriggers are properly positioned and secured (if applicable)?

  1

  0

  X

  T

  N/A

• Q28 - Weight of equipment being lifted is known and clearly marked on the equipment?

  1

  0

  X

  T

  N/A

• Q29 - Operator's cab glass free of cracks, damage?

  1

  0

  X

  T

  N/A

• Q30 - Operator's cab windshield wiper(s) in good condition & functions correctly?

  1

  0

  X

  T

  N/A

• Q31 - Operator's cabin heater functions correctly and not obstructed?

  1

  0

  X

  T

  N/A

• Q32 - Crane operator has current COO/NCCR certification for type & class of crane?

  1

  0

  X

  T

  N/A

• Q33 - Maximum operating parameters (temperature, wind speed, etc.) are posted, clean, legible, and have not been exceeded?

  1

  0

  X

  T

  N/A

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