Information

  • Client / Contractor

  • Conducted on

  • Prepared by

  • Location
  • Current Crew:

Documentation

  • Do you have a weeks worth of blank JSAs?

  • Do you have a weeks worth of blank BBS cards?

  • Do you have a weeks worth of blank Good Catch Cards?

  • One BBS card per working day completed?

  • At least one Good Catch card completed for the week?

  • At least one JSA per working day completed?

  • An employee wellness form per working day completed?

Audit

  • All PPE is stocked and worn at all times on the ROW?

  • Propane is contained and in one location while not in use?

  • Acetylene & oxygen are stored at least 25 feet apart and are upright?

  • Calipers in good working order, with no damage and are not worn out?

  • All slings have legible tags and are free of frays and tears?

  • All cables/stranded wire has legible tags and is free of frays?

  • Pick & Chains are tagged and there are no broken or stretched links or hooks?

  • Hand Rails are in proper working condition and in place in all appropriate locations?

  • Cat walks are properly installed with no major rust or missing parts?

  • Ladders have no cracks or missing pieces and are OSHA approved?

  • Stairways are in working condition with no major rust on them or their handrails?

  • Grounding rods are in use on all equipment and vehicles as needed?

  • No exposed wires anywhere and a properly working electrical panel?

  • All electrical cords have all of their prongs and no exposed wires?

  • All generators are grounded, locked at all times, and wired correctly?

  • All lighting is in proper working condition with no broken or missing bulbs?

  • All portable lighting has had a daily inspection and is in proper working condition?

  • All equipment has no exposed wires and proper latching panels?

  • All hand tools are in one piece with no missing parts and have a color tag on them?

  • All tongs are in proper working condition?

  • All power tools have guards installed, no exposed wires, and are in proper working condition?

  • All welding tools have no rust, leaks, or missing parts?

  • All housekeeping is done daily, leaving no debris and all slips trips and fall risks are eliminated?

  • Waste management is maintained with proper disposal of all flammables, oil rags, and filters?

  • All required signage required by SEDD, contractor, and government are posted?

  • All fencing is in place around excavated holes, trenches, and pits and is in proper working condition?

  • The fire extinguisher location is marked and there is a sign?

  • The AED is marked clearly, is accessible, has all parts with it, and all employees know where the location is?

  • The first aid kit is clearly marked and all employees know where it is?

  • The SDS binder is easily accessible and all employees know its location?

  • The evacuation plan is clearly posted with point A and point B shown?

  • Mat hooks are self latching, latch properly, and have the proper rating?

  • Mats are cleaned?

  • Mat holes are filled?

  • Mats are free of hazards?

  • Mats are level with no environmental hazards such as shifting ground or muddy conditions?

Comments

  • Comments:

Completion

  • Rig Number

  • Preparing Person Signature

  • Rig Supervisor Signature (If different than preparer)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.