S&A Audit - RIGS

• Conducted on

  Date

• Asset Number

• Supervisor

• Supervisors Participation

• Auditor

• Rig Status

A - GENERAL

• A1 - Key Energy logo’s and numbers correctly placed and in good condition?

  1

  0

  X

  T

  N/A

• A2 - Is the rig rigged up within 10 feet of a power line?

  1

  0

  X

  T

  N/A

• A3 - Location sign and high voltage or "Look Up and Live" flag displayed?

  1

  0

  X

  T

  N/A

• A4 - Driver of rig has a class A or B CDL?

  1

  0

  X

  T

  N/A

• A5 - Are all vehicles out of the fall line of the rigs mast?

  1

  0

  X

  T

  N/A

• A6 - Auxiliary equipment exhaust minimum 50’ from well?

  1

  0

  X

  T

  N/A

• A7 - Is the spark arrestor in place behind the muffler, maintained, & the exhaust system in good condition?

  1

  0

  X

  T

  N/A

• A8 - Registration & insurance card current and in the rig cab?

  1

  0

  X

  T

  N/A

• A9 - Transportation permits current and in the rig cab?

  1

  0

  X

  T

  N/A

• A10 - Good housekeeping is present on the general location?

  1

  0

  X

  T

  N/A

• A11 - Tank mounting brackets in good condition? (diesel, oil, etc.)

  1

  0

  X

  T

  N/A

• A12 - Current Common Operating Guidelines (COG) book is complete and available?

  1

  0

  X

  T

  N/A

• A13 - Current Employee Safety Handbook (ESH) is available?

  1

  0

  X

  T

  N/A

• A14 - Current Assigned Rig Information (ARI) sheet is complete and available?

  1

  0

  X

  T

  N/A

• A15 - Current Crew Inspection Process document is available and up to date?

  1

  0

  X

  T

  N/A

• A16 - D-1 lifting equipment is less than 1 year old?

  1

  0

  X

  T

  N/A

• A17 - Auxillary equipment exhaust positioned a minimum of 50 feet from a gas source?<br>

  1

  0

  X

  T

  N/A

B - GUYING

• B1 - Crown guy lines positioned & anchored to OEM or API requirements?

  1

  0

  X

  T

  N/A

• B2 - Crown and tubing guy lines tightened correctly?

  1

  0

  X

  T

  N/A

• B3 - Condition of guy lines adequate?

  1

  0

  X

  T

  N/A

• B4 - Turnbuckle 1" minimum or OEM recommendation?

  1

  0

  X

  T

  N/A

• B5 - Guy lines flagged at eye level with 2 or more flags each?

  1

  0

  X

  T

  N/A

• B6 - Guy line ground anchors tested within 2 years?

  1

  0

  X

  T

  N/A

• B7 - Tubing board guy lines properly positioned and anchored?

  1

  0

  X

  T

  N/A

• B8 - Internal guys adjusted properly?

  1

  0

  X

  T

  N/A

• B9 - Outriggers in place and pinned if equipped?

  1

  0

  X

  T

  N/A

• B10 - Proper number and spacing of cable clamps?

  1

  0

  X

  T

  N/A

C - FOUNDATION

• C1 - Rig mat in good condition?

  1

  0

  X

  T

  N/A

• C2 - Jack pads in good condition and adequate footing provided?

  1

  0

  X

  T

  N/A

• C3 - Jack stands in good condition?

  1

  0

  X

  T

  N/A

D - MAST/DERRICK

• D1 - Mast/Derrick in good condition?

  1

  0

  X

  T

  N/A

• D2 - Manufacturer’s Specifications and Operation plates legible and attached to the mast?

  1

  0

  X

  T

  N/A

• D3 - Derrick ladder in good condition and bottom rung within 18" of floor or ground?

  1

  0

  X

  T

  N/A

• D4 - Tubing board in good condition?

  1

  0

  X

  T

  N/A

• D5 - Rod basket/board in good condition?

  1

  0

  X

  T

  N/A

• D6 - Lower derrick locking pins in place and properly secured?

  1

  0

  X

  T

  N/A

• D7 - Scoping ram stabilizers are even with each other and in good condition?

  1

  0

  X

  T

  N/A

• D8 - Crown-sheave guards in place and in good condition?

  1

  0

  X

  T

  N/A

• D9 - Rod/tubing fingers safety chains are in good condition?

  1

  0

  X

  T

  N/A

• D10 - Upper derrick locking pins in place with safety pins?

  1

  0

  X

  T

  N/A

• D11 - Upper latch mechanism flag in place to indicate derrickman inspected latching dogs prior to loading derrick?

  1

  0

  X

  T

  N/A

• D12 - Standpipe secured?

  1

  0

  X

  T

  N/A

• D13 - Circulating hose secured to gooseneck with safety hobbles?

  1

  0

  X

  T

  N/A

• D14 - Lighting system functional, rated, adequate, and secured?

  1

  0

  X

  T

  N/A

• D15 - Lighting system wiring insulated and secured?

  1

  0

  X

  T

  N/A

• D16 - Is the crown painted red down to the first girt?

  1

  0

  X

  T

  N/A

• D17 - KeyView COFO & hook load protection is set?<br>

  1

  0

  X

  T

  N/A

• D18 - All pivot pins in derrick are trapped?

  1

  0

  X

  T

  N/A

E - RIG CARRIER

• E1 - Rig carrier is clean and orderly?

  1

  0

  X

  T

  N/A

• E2 - Steps, guardrails, and handrails on the rigs walkway are in place, secured, and in good condition?

  1

  0

  X

  T

  N/A

• E3 - Head, tail, marker, & signal lights working properly and reflectors in good condition?

  1

  0

  X

  T

  N/A

• E4 - Wheel chocks in place?

  1

  0

  X

  T

  N/A

• E5 - No fuel, oil, or other fluid leaks on rig?

  1

  0

  X

  T

  N/A

• E6 - No loose or flammable materials stored in cab?

  1

  0

  X

  T

  N/A

• E7 - Glass & mirrors in good condition?

  1

  0

  X

  T

  N/A

• E8 - Windshield wipers functional? Wiper blade in good condition?

  1

  0

  X

  T

  N/A

• E9 - Emergency/Maxi brakes set?

  1

  0

  X

  T

  N/A

• E10 - Emergency reflector kit in rig cab, reflectors in OEM box?

  1

  0

  X

  T

  N/A

• E11 - Battery covers in place and in good condition?

  1

  0

  X

  T

  N/A

• E12 - Hydraulic leveling jacks secured by mechanical lock nuts?

  1

  0

  X

  T

  N/A

• E13 - Seat belt in good condition?

  1

  0

  X

  T

  N/A

• E14 - Is 6th gear locked out?

  1

  0

  X

  T

  N/A

• E15 - All controls labeled?

  1

  0

  X

  T

  N/A

• E16 - All gauges functioning properly?

  1

  0

  X

  T

  N/A

• E17 - Road to drawworks shift lever secured?

  1

  0

  X

  T

  N/A

• E18 - Brakes, tires, wheels, and lugs in good condition?

  1

  0

  X

  T

  N/A

• E19 - Diesel and other storage tanks are labeled correctly?

  1

  0

  X

  T

  N/A

• E20 - Kill switches are in good working condition and painted contrasting color or labeled?

  1

  0

  X

  T

  N/A

• E21 - Emergency air intake shut down functional and tested weekly?

  1

  0

  X

  T

  N/A

• E22 - Drive line captures installed?

  1

  0

  X

  T

  N/A

• E23 - Drive line recently greased?

  1

  0

  X

  T

  N/A

F - DRAWWORKS/WINCH

• F1 - Guards are in place? (winch, sand, and tubing drum)

  1

  0

  X

  T

  N/A

• F2 - Tubing or drill line in good condition and date installed within 1 year?

  1

  0

  X

  T

  N/A

• F3 - Sandline in good condition?

  1

  0

  X

  T

  N/A

• F4 - Winchline cable/chain in good condition, tagged & chain is minimum grade 80?

  1

  0

  X

  T

  N/A

• F5 - Deadline anchor & retainer in good condition with proper pins and/or bolts?

  1

  0

  X

  T

  N/A

• F6 - Tubing/sand line brake systems functioning properly?

  1

  0

  X

  T

  N/A

• F7 - Tubing/sand line brake latch in good condition and functioning properly?

  1

  0

  X

  T

  N/A

• F8 - Sufficient wraps on tubing drum to allow blocks to be in lowest position when taking on a load?

  1

  0

  X

  T

  N/A

• F9 - Sand line clutch guarded?

  1

  0

  X

  T

  N/A

• F10 - Brake linkage to drawworks in good condition? (clevises, pins, cotter keys, etc.)

  1

  0

  X

  T

  N/A

• F11 - Drum brakes adjusted properly and adjustment tool available?

  1

  0

  X

  T

  N/A

G - WORK PLATFORM/FLOOR

• G1 - Work floor free of breaks, gaps, holes and trip hazards?

  1

  0

  X

  T

  N/A

• G2 - Steps, handrails, guardrails, toe boards on the work floor are in place, secured, and in good condition? (chains in place to guard openings)

  1

  0

  X

  T

  N/A

• G3 - V-door opening guard rails in place or protected with chains?

  1

  0

  X

  T

  N/A

• G4 - Work floor suspension cable/chains tagged, in place, and properly secured?

  1

  0

  X

  T

  N/A

• G5 - Work floors stored in the vertical or up position, are secured on both sides?

  1

  0

  X

  T

  N/A

• G6 - Work floor sliding section has stops to prevent sliding closed when floor is stored in the vertical position?

  1

  0

  X

  T

  N/A

• G7 - Work floor sliding section secured from sliding out of the floor?

  1

  0

  X

  T

  N/A

H - TOOLS AND EQUIPMENT

• H1 - Tubing and rod tongs in good condition?

  1

  0

  X

  T

  N/A

• H2 - Stiff arm, tong safety sling, and/or snub lines are properly installed and of proper length?

  1

  0

  X

  T

  N/A

• H3 - Tong safety gate/door in place?

  1

  0

  X

  T

  N/A

• H4 - Tong back ups are OEM and in good condition?

  1

  0

  X

  T

  N/A

• H5 - Tongs are properly suspended with secured, tagged, and rated cables/chains?

  1

  0

  X

  T

  N/A

• H6 - Hand tools have not been modified and in good condition?

  1

  0

  X

  T

  N/A

• H7 - Lifting slings in good condition, tagged, and have documented annual inspection?

  1

  0

  X

  T

  N/A

• H8 - Traveling block assembly is guarded and in good condition?

  1

  0

  X

  T

  N/A

• H9 - Rod/tubing elevators in good condition?

  1

  0

  X

  T

  N/A

• H10 - Air slips in good condition, above work floor, and not chained to the working floor?

  1

  0

  X

  T

  N/A

• H11 - Air slips door bolt in place?

  1

  0

  X

  T

  N/A

• H12 - Rod hook in good condition?

  1

  0

  X

  T

  N/A

• H13 - Rod transfers & other tools not left in derrick?

  1

  0

  X

  T

  N/A

• H14 - Rod transfer in good condition with safety latch?

  1

  0

  X

  T

  N/A

• H15 - Elevator link arm bolt secured with castle nut and cotter pin/diaper pin?

  1

  0

  X

  T

  N/A

• H16 - Elevator link skirts in place, secure, and free of damage?

  1

  0

  X

  T

  N/A

• H17 - Lay down dolly in good condition?

  1

  0

  X

  T

  N/A

I - WELL CONTROL EQUIPMENT

• I1 - BOP's installed, tested as necessary, and operating properly?

  1

  0

  X

  T

  N/A

• I2 - BOP sling tagged, in good condition, and annually inspection?

  1

  0

  X

  T

  N/A

• I3 - BOP has all nuts and bolts properly installed?

  1

  0

  X

  T

  N/A

• I4 - Safety valve with wrench handle on floor?

  1

  0

  X

  T

  N/A

• I5 - Accumulator valves are in the open or closed position?

  1

  0

  X

  T

  N/A

• I6 - Accumulators engine exhaust is a minimum 50 feet away from the well head?

  1

  0

  X

  T

  N/A

• I7 - Blind and pipe ram manual BOP closing handles properly installed?

  1

  0

  X

  T

  N/A

• I8 - Blow down lines are properly staked or hobbled?

  1

  0

  X

  T

  N/A

• I9 - BOP closed sign is available and being used?

  1

  0

  X

  T

  N/A

• I10 - Well control drills performed weekly and documentation available on site?

  1

  0

  X

  T

  N/A

• I11 - Current well control certification for Operator & Supervisor?

  1

  0

  X

  T

  N/A

• I12 - All choke manifold valve handles in place?

  1

  0

  X

  T

  N/A

• I13 - All choke-kill manifold connections welded not threaded?

  1

  0

  X

  T

  N/A

• I14 - Manufacturer's API BOP certification documents or current test charts available?

  1

  0

  X

  T

  N/A

• I15 - Choke-kill manifold pressure rating =>BOP stack/wellhead rating?

  1

  0

  X

  T

  N/A

J - SAFETY EQUIPMENT/PRACTICES

• J1 - Full-body harness has trauma straps and is in good condition?

  1

  0

  X

  T

  N/A

• J2 - Positioning lanyards are provided at rod basket and tubing board?

  1

  0

  X

  T

  N/A

• J3 - Climbing lanyard with soft stop available and in good condition?

  1

  0

  X

  T

  N/A

• J4 - SRL is in good condition and retracted when not in use?

  1

  0

  X

  T

  N/A

• J5 - SRL has been inspected by a manufacture representative within past two years?

  1

  0

  X

  T

  N/A

• J6 - Climbing assist is in good condition and properly secured?

  1

  0

  X

  T

  N/A

• J7 - Emergency derrick escape equipment installed, functional, and anchor approved?

  1

  0

  X

  T

  N/A

• J8 - Fire extinguishers current and in good condition? (60lbs. for rig carrier plus 20lbs. per engine unit)

  1

  0

  X

  T

  N/A

• J9 - Static line (ground/bonding wire) installed from carrier to well head and in good condition?

  1

  0

  X

  T

  N/A

• J10 - Stored energy locked out with lock and tag: dated/signed?

  1

  0

  X

  T

  N/A

• J11 - Pumping unit weights secured or located on bottom?

  1

  0

  X

  T

  N/A

• J12 - SDS/EAP/SCP or SPCC books on site?

  1

  0

  X

  T

  N/A

• J13 - First aid kit, blood borne pathogen kit, and eye wash are stocked, available, and not expired?

  1

  0

  X

  T

  N/A

• J14 - Emergency derrick rescue equipment immediately available and in good condition?

  1

  0

  X

  T

  N/A

• J15 - JSA is current, complete, reviewed with all affected, and COG's set out for task?

  1

  0

  X

  T

  N/A

• J16 - Rig recently inspected by Rig Supervisor (monthly) & HSE Advisor (quarterly)?

  1

  0

  X

  T

  N/A

• J17 - Proof of crew and supervisors training is available and current?

  1

  0

  X

  T

  N/A

K - H2S EQUIPMENT

• K1 - Two 30-Minute SCBA's inspected and logged/dated monthly? (Clean and 2216+ psi)

  1

  0

  X

  T

  N/A

• K2 - Rig H2S monitor(s) functional, calibrated monthly with dated tag, and sensor located downwind?

  1

  0

  X

  T

  N/A

• K3 - Personal H2S monitor(s) calibrated monthly with dated tag?

  1

  0

  X

  T

  N/A

• K4 - Crew has performed H2S drill scenario?

  1

  0

  X

  T

  N/A

L - DOG HOUSE/CREW TRAILER

• ENTER ASSET NUBMER

• L1 - Trailer hitch is in good condition (safety chains, trailer lights and brake plug, hitch tongue not damaged, etc)?

  1

  0

  X

  T

  N/A

• L2 - Trailer is equipped with brakes and are functional?

  1

  0

  X

  T

  N/A

• L3 - Trailer tires have at least 2/32 inch tread and chocked?

  1

  0

  X

  T

  N/A

• L4 - LPG tanks are secured, labeled, and in good condition?

  1

  0

  X

  T

  N/A

• L5 - UL approved regulator is attached to LPG tank?

  1

  0

  X

  T

  N/A

• L6 - LPG hose from regulator to heater is LPG rated, protected where it passes through a wall and in good condition?

  1

  0

  X

  T

  N/A

• L7 - Heater has a UL approved thermo-couple and is in safe operating condition?

  1

  0

  X

  T

  N/A

• L8 - Trailer is clean, neat and orderly (general housekeeping)?

  1

  0

  X

  T

  N/A

• L9 - Trailer registration current?

  1

  0

  X

  T

  N/A

• L10 - Trash can available and being used (not overflowing)?

  1

  0

  X

  T

  N/A

• L11 - Minimum 5 lb. fire extinguisher securely mounted and in good condition with a current inspection?

  1

  0

  X

  T

  N/A

• L12 - Vent mounted on dog house trailer door?

  1

  0

  X

  T

  N/A

• L13 - Carbon monoxide monitor present and working?

  1

  0

  X

  T

  N/A

M - CREW TRUCK

• ENTER ASSET NUMBER

• M1 - Registration, inspection sticker, and insurance card current?

  1

  0

  X

  T

  N/A

• M2 - Vehicle numbers and company logo signs are in good condition and visible?

  1

  0

  X

  T

  N/A

• M3 - Seat belts are readily available and in good condition?

  1

  0

  X

  T

  N/A

• M4 - Truck overall appearance is clean, neat, orderly and load secured (general house keeping)?

  1

  0

  X

  T

  N/A

• M5 - Auxiliary fuel tanks have correct labels (gas, diesel, LPG, etc)?

  1

  0

  X

  T

  N/A

• M6 - Windshield, wipers, mirrors, and heater are in good working condition?

  1

  0

  X

  T

  N/A

• M7 - All lights are working properly (tail, stop, turn, flashers, markers, etc.)?

  1

  0

  X

  T

  N/A

• M8 - Minimum 10 lb. fire extinguisher securely mounted and in good condition with a current inspection?

  1

  0

  X

  T

  N/A

• M9 - Steering tires have a minimum 4/32 tread and other tires a minimum 2/32 tread?

  1

  0

  X

  T

  N/A

N - HYDRAWALK

• ENTER ASSET NUMBER

• N1 - Are all hydraulic hoses in good condition and free of leaks?

  1

  0

  X

  T

  N/A

• N2 - Are steps and handrails installed and in good condition?

  1

  0

  X

  T

  N/A

• N3 - Are all controls labeled and gauges in proper working order?

  1

  0

  X

  T

  N/A

• N4 - Are the kill switches on the machine labeled, painted a contrasting color, and working properly?

  1

  0

  X

  T

  N/A

• N5 - Is the kill switch on the remote labeled and painted a contrasting color and working properly?

  1

  0

  X

  T

  N/A

• N6 - Is the fire extinguisher inspection tag current and fire extinguisher in good condition?

  1

  0

  X

  T

  N/A

• N7 - Is the battery cover in place?

  1

  0

  X

  T

  N/A

• N8 - Is the spark arrestor in place behind the muffler, maintained, & the exhaust system in good condition?

  1

  0

  X

  T

  N/A

• N9 - Are all moving parts guarded including pulleys, shafts and belts?

  1

  0

  X

  T

  N/A

• N10 - Is the hose reel in good condition and without leaks?

  1

  0

  X

  T

  N/A

• N11 - Are all grease points checked and properly greased?

  1

  0

  X

  T

  N/A

• N12 - No damaged wiring or broken wiring visible?

  1

  0

  X

  T

  N/A

• N13 - Hydraulic cylinders show no signs of damage or leaks?

  1

  0

  X

  T

  N/A

• N14 - Lay down linkage in proper working condition? (check for bent linkage)

  1

  0

  X

  T

  N/A

• N15 - Is the spring loaded push foot in good working condition? (wheels turning freely)

  1

  0

  X

  T

  N/A

• N16 - Are the laydown arms in good working condition free from damage?

  1

  0

  X

  T

  N/A

• N17 - Is the lifting arm in proper working condition and free of damage?

  1

  0

  X

  T

  N/A

• N18 - Is the frame structure free of damage?

  1

  0

  X

  T

  N/A

• N19 - Are the pipe racks free from bent tubing, cracks or broken welds?

  1

  0

  X

  T

  N/A

• N20 - Are the safety roll off pins installed/attached at the end of each rack?

  1

  0

  X

  T

  N/A

• N21 - Is the static line in good condition and installed properly?

  1

  0

  X

  T

  N/A

• N22 - Key's signs in good condition?

  1

  0

  X

  T

  N/A

O - MUD PUMP/TANKS/HIGH PRESSURE IRON

• ENTER ASSET NUMBERS

• O1 - Power end & chain case fluid level? (contamination)

  1

  0

  X

  T

  N/A

• O2 - Lubrication pump drive belt, pulleys, and/or chain condition?

  1

  0

  X

  T

  N/A

• O3 - Line Lubricator fluid level and contamination?

  1

  0

  X

  T

  N/A

• O4 - Breathers in good condition and clean?

  1

  0

  X

  T

  N/A

• O5 - Relief valve & shut off valve functional? (Manufacturer's shear pins only)

  1

  0

  X

  T

  N/A

• O6 - Relief valve discharge line routed to tank or pit? (not plumbed to suction)

  1

  0

  X

  T

  N/A

• O7 - Pump gauge in view of operator?

  1

  0

  X

  T

  N/A

• O8 - Charge pump greased and packing in good condition?

  1

  0

  X

  T

  N/A

• O9 - Guard over pony rod? Is the lubricating system working (pony rods)?

  1

  0

  X

  T

  N/A

• O10 - Fluid end and valve caps free of missing bolts, nuts, and leaks?

  1

  0

  X

  T

  N/A

• O11 - Manifold valve greased, turns freely, and left in open position when not in use?

  1

  0

  X

  T

  N/A

• O12 - Rotary Hose using safety cable or chains at end?

  1

  0

  X

  T

  N/A

• O13 - Guards in place? (alternator, fan oiler, etc.)

  1

  0

  X

  T

  N/A

• O14 - Maximum pump pressure posted and controls properly labeled?

  1

  0

  X

  T

  N/A

• O15 - Are all controls working properly?

  1

  0

  X

  T

  N/A

• O16 - 5/8" cable hobble with clevis covering each union from manifold to well-head; discharge & return lines?

  1

  0

  X

  T

  N/A

• O17 - Environmental issues addressed? (leaks and spills controlled)

  1

  0

  X

  T

  N/A

• O18 - Lock Out/ Tag Out disconnect functional? (battery disconnect)

  1

  0

  X

  T

  N/A

• O19 - Battery covered, cables in good condition?

  1

  0

  X

  T

  N/A

• O20 - Hoses: suction & discharge in good condition, rated for pump maximum working pressure?

  1

  0

  X

  T

  N/A

• O21 - Unions alike: same figure number, same pressure rating, and same make and model? (go-no go gauge available)

  1

  0

  X

  T

  N/A

• O22 - Are all kill switches painted contrasting color and functional?

  1

  0

  X

  T

  N/A

• O23 - Are tank valves free of leaks and in good working condition?

  1

  0

  X

  T

  N/A

• O24 - During pump operation operator present at pump controls at all times?

  1

  0

  X

  T

  N/A

• O25 - Are ladders, hand rails, and walk ways installed and in good condition?

  1

  0

  X

  T

  N/A

• O26 - Guard over belt on shale shaker?

  1

  0

  X

  T

  N/A

• O27 - Shale shaker general maintenance?

  1

  0

  X

  T

  N/A

• O28 - Mud hopper general condition?

  1

  0

  X

  T

  N/A

• O29 - PPE available and being used if mixing caustic? (eye, hearing, face, hands, body, goggles, etc.)

  1

  0

  X

  T

  N/A

• O30 - Where caustic soda is mixed, is an approved mixing barrel with baffles and overflow installed?

  1

  0

  X

  T

  N/A

• O31 - Hard line/threads or body damaged, corroded, wing condition?

  1

  0

  X

  T

  N/A

• O32 - Is the fire extinguisher inspection tag current and fire extinguisher in good condition?

  1

  0

  X

  T

  N/A

• O33 - Is the spark arrestor in place behind the muffler, maintained, & the exhaust system in good condition?

  1

  0

  X

  T

  N/A

• O34 - Date pop-off valve last tested and documented?<br>

  1

  0

  X

  T

  N/A

• O35 - Key's signs in good condition?

  1

  0

  X

  T

  N/A

• O36 - Tank mounting brackets in good condition?

  1

  0

  X

  T

  N/A

P - POWER SWIVEL

• ENTER ASSET NUMBER

• P1 - Hoses not worn or weathered?

  1

  0

  X

  T

  N/A

• P2 - Hoses routed through derrick safely?

  1

  0

  X

  T

  N/A

• P3 - Hydraulic connections secured with hobble assembly?

  1

  0

  X

  T

  N/A

• P4 - Swivel packing greased and not leaking?

  1

  0

  X

  T

  N/A

• P5 - 3/4" or 7/8" deadline? (2.5 or larger swivel)

  1

  0

  X

  T

  N/A

• P6 - Emergency kill functional?

  1

  0

  X

  T

  N/A

• P7 - Lock out/Tag out power disconnect functional?

  1

  0

  X

  T

  N/A

• P8 - Guards over all exposed sheaves, pulleys, shafts, belts, and plungers?

  1

  0

  X

  T

  N/A

• P9 - Swivel properly secured when not in use and stored as suspended load?

  1

  0

  X

  T

  N/A

• P10 - Are the power swivel hose reel spokes covered?

  1

  0

  X

  T

  N/A

• P11 - Is the fire extinguisher inspection tag current and fire extinguisher in good condition?

  1

  0

  X

  T

  N/A

• P12 - Is the spark arrestor in place behind the muffler, maintained, & the exhaust system in good condition?

  1

  0

  X

  T

  N/A

• P13 - Wheel chocks in place and in good condition? <br>

  1

  0

  X

  T

  N/A

• P14 - Tires, wheels & lug nuts in good operating condition?<br>

  1

  0

  X

  T

  N/A

• P15 - Key’s signs in good conditions? <br>

  1

  0

  X

  T

  N/A

• P16 - Trailer safety slings in place?<br>

  1

  0

  X

  T

  N/A

Q - FORK LIFT OPERATIONS

• ENTER ASSET NUMBER

• Q1 - Tires in good condition?

  1

  0

  X

  T

  N/A

• Q2 - Backup alarm and/or horn functioning?

  1

  0

  X

  T

  N/A

• Q3 - Condition of mirrors & glass?

  1

  0

  X

  T

  N/A

• Q4 - Operations manual in unit?

  1

  0

  X

  T

  N/A

• Q5 - Daily inspection document complete?

  1

  0

  X

  T

  N/A

• Q6 - Seat belt present and is operator using it?

  1

  0

  X

  T

  N/A

• Q7 - Fire extinguisher in place with current inspection tag?

  1

  0

  X

  T

  N/A

• Q8 - Condition of attachments?

  1

  0

  X

  T

  N/A

• Q9 - Hydraulic leaks present?

  1

  0

  X

  T

  N/A

• Q10 - Operator training current?

  1

  0

  X

  T

  N/A

• Q11 - Key’s signs in good conditions?

  1

  0

  X

  T

  N/A

R - BULK FUEL TANK

• ENTER ASSET NUMBER

• R1 - Tank grounded properly?

  1

  0

  X

  T

  N/A

• R2 - Adequate containment for spill control?

  1

  0

  X

  T

  N/A

• R3 - Hoses rated for fuel service and marked?

  1

  0

  X

  T

  N/A

• R4 - Tank fill line marked?

  1

  0

  X

  T

  N/A

• R5 - Static charge - bonding line present and used?

  1

  0

  X

  T

  N/A

• R6 - Drain or unload valve bull plugged or valve locked and secured?

  1

  0

  X

  T

  N/A

S - GENERATOR HOUSE/SHED

• ENTER ASSET NUMBER

• S1 - Generator grounded?

  1

  0

  X

  T

  N/A

• S2 - All breakers in panel labeled correctly?

  1

  0

  X

  T

  N/A

• S3 - Breaker panel door functional?

  1

  0

  X

  T

  N/A

• S4 - Good housekeeping?

  1

  0

  X

  T

  N/A

• S5 - Rubber matting under breaker panels?

  1

  0

  X

  T

  N/A

• S6 - Lighting adequate and functional?

  1

  0

  X

  T

  N/A

• S7 - LO/TO capability on breaker panel?

  1

  0

  X

  T

  N/A

T - TOP DRIVE

• ENTER ASSET NUMBER

• T1 - Grabber dies & blocks are in good condition?

  1

  0

  X

  T

  N/A

• T2 - Hydraulic rams in good condition, no leaks present?

  1

  0

  X

  T

  N/A

• T3 - Hoses and cables hobbled to top drive?

  1

  0

  X

  T

  N/A

• T4 - Torque bushings and keepers in good condition?

  1

  0

  X

  T

  N/A

• T5 - Swivel link pins and locking plate in good condition?

  1

  0

  X

  T

  N/A

• T6 - Hydraulic leaks present?

  1

  0

  X

  T

  N/A

• T7 - Wash pipe spare available?

  1

  0

  X

  T

  N/A

• T8 - Track and torque-bar straight?

  1

  0

  X

  T

  N/A

• T9 - Torque-bar bracket tight?

  1

  0

  X

  T

  N/A

• T10 - Torque track turnbuckles properly installed and secured?

  1

  0

  X

  T

  N/A

• T11 - Saver sub threads good?

  1

  0

  X

  T

  N/A

• T12 - Saver sub & mud-saver actuator valve clamps tight and in good condition?

  1

  0

  X

  T

  N/A

• T13 - Chain pinned to grabber assembly and pipe guide?

  1

  0

  X

  T

  N/A

• T14 - Power supply in good condition with no leaks and grounded?

  1

  0

  X

  T

  N/A

• NOTE 1

• Add media

  Media

• NOTE 2

• Add media

  Media

• NOTE 3

• Add media

  Media

• NOTE 4

• Add media

  Media

• NOTE 5

• Add media

  Media

• NOTE 6

• Add media

  Media

• NOTE 7

• Add media

  Media

• NOTE 8

• Add media

  Media

• NOTE 9

• Add media

  Media

• NOTE 10

• Add media

  Media