Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Service Rig #

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?

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 there any purging of air from the hydraulic raising cylinder?

Vehicles

  • Are 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 there any fuel leakage?

  • Is 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 there any guarding hazards on the drawworks?

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

  • What is the serial # on the self retracting lifeline?

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

Notes

Safety Specialist

  • Safety Specialist

Date/Time

  • Select date

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.