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
- BR006
- BR007
- BR009
- BR110
- BR111
- BR112
- BR113
- BR114
- BR115
- BR116
- BR117
- BR118
- BR119
- BR120
- Shop
-
Preparing Person Signature
-
Rig Supervisor Signature (If different than preparer)