Information

  • Service Rig Number

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Rig Operator

  • Service Rig Number

General

  • Adequate distance from overhead power lines?

  • Is the service rig hazard sign displayed?

  • Is a first aid kit available on the rig location?

  • Are the service rig guy wires flagged?

  • Is the fall lane of the derrick clear?

  • Are vehicles out of the fall lane?

  • Is the overall housekeeping on the service rig satisfactory?

  • Are pipe racks and catwalks satisfactory?

  • Are fire hazards controlled?

  • Is the latitude and longitude board displayed on the service rig? Is it updated with current well location coordinates?

Guying

  • Are there wind guys?

  • Are the condition of the guy lines acceptable?

  • Is the diameter of the guy line correct per manufacturers recommendations?

  • Is there a minimum of three wire rope clamps on each guy wire?

  • Are the ground anchors in good condition and pull tested to 18,600 lbs. Is there a tag attached to the ground anchors?

  • Are the tubing board guys strung and crossed for racking?

  • Is there a minimum of three wire rope clamps on tubing guy wires?

  • Are the internal guys adjusted for tension?

Foundation

  • Is adequate supplemental flooring available?

Hand Tools

  • Are hand tools in good condition?

  • Are hand tools clean condition?

  • Are hand tools properly stored away?

Mast & Derrick

  • Is the manufacturers specifications plate on the Derrick?

  • Is the mast/ derrick free of excess corrosion and damage?

  • Is the ladder in good condition?

  • Is the racking platform walk around in satisfactory condition?

  • Is the rod basket in good working order?

  • Is the crows nest in good working order?

  • Is the manual latch dog extension and retraction mechanism satisfactory?

  • Are the latch dogs satisfactory?

  • Is the scoping ram stabilizer in good working order?

  • Are the crown sheave guards in good working order?

  • Is the finger board safety cable operational?

  • Is there any cracks or signs of metal failure at hinge points?

  • Are the derrick locking pins in place?

  • Are hinge point dowel pins provided with a safety retainer?

  • Is the derrick hydraulic system free of leaks?

  • Is there a lighting system on the service rig?

  • Is the hydraulic raising cylinder free of purging air?

Vehicles

  • Is the vehicle glass and mirrors intact and free of cracks?

  • Are the road gear, lights and reflectors intact and in working order?

  • Is the cab free of clutter?

  • Is the doghouse free of housekeeping issues?

  • Is the stove condition acceptable?

  • Are the lights in the doghouse free of hazards?

  • Are the hitch and safety chains free of defects?

  • Are flammable liquid storage cans satisfactory?

Carrier

  • Are handrails in place on elevated walkways and steps?

  • Are the headlights, taillights and signal lights working properly?

  • Are the wheels chocked?

  • Are the tires and wheels in good working order? Are they free from cuts, gouges. Is the wheel showing any defects?

  • Are the fuel tanks labeled?

  • Is the carrier free of any leaking fuel?

  • Are there any fuel or flammable materials stored in the cab?

  • Are the glass and mirrors intact and free of cracks?

  • Do the windshield wipers operate correctly?

  • Are the hydraulic leveling jacks secured by mechanical lock nuts?

Drawworks Condition

  • Are the draw works free of guarding hazards?

  • Is the tubing line and sandline free of defects? Is there any kinking or crushing on the wire rope?

  • Is there sufficient wraps left on the drum with the blocks in the down position?

  • Is the dead line anchor retainer free of defects?

  • Is the road gear lockout satisfactory?

  • Is the handling winch satisfactory,

Operator Station/Work Platform/Floor

  • Are all operator controls labeled?

  • Is the work floor free of hazards(i.e slip, trip and fall)?

  • Are the steps and handrails in place?

Tools and Equipment

  • Is the the safety gate on the tongs satisfactory?

  • Is the backup satisfactory?

  • Is the stiff arm and snub line satisfactory?

  • Are the head guards in good condition?

  • Are the hoses and fittings securely connected and free of defects?

  • Is the tong in good working order?

  • Are the traveling blocks in good condition and free of defects?

  • Are the sheave guards in good working order?

  • Are the bales/links free of defects?

  • Are the elevators operational and in good working order?

  • Is the rod hook operational and free of defects?

  • Are the transfer elevators free of defects?

  • Is the standpipe secure on the mud circulating system?

  • Is the rotary hose secured to the gooseneck and swivel with safety hobbles?

  • Is there high pressure fittings in the high pressure system?

  • Is there safety pressure relief valves?

  • Is the discharge line from the relief valves anchored?

  • Is there any machine guarding hazards with the pumps?

  • Are the mud pit/tank walkways free of tripping hazards?

  • Is the mud mixing area satisfactory?

  • Are the BOP's installed, tested and functional?

Safety Equipment

  • Is there a safety harness and restraint lanyard provided at the tubing board, rod basket and stabbing board?

  • Is the derrick ladder climbing device operational and free of hazards?

  • Is there an emergency derrick escape equipment on the service rig or nearby? Is it operational and easily accessible?

  • Is there 2 - 20 lb Class A, B, C Extinguishers on the service rig? Are they charged and free of defects?

  • Is PPE being worn by the service rig crew?

  • Is PPE being worn by contractors on location?

  • Is the self retracting lifeline in good working order and free of defects?

  • What is the serial # on the self retracting lifeline? <br>

  • SRL Information

  • What is the model #, lot # on the fall protection harnesses that were inspected?

  • Fall Protection Harness Information

  • Notes

  • Note Pictures

Safety Specialist

  • Safety Specialist

Date/Time

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