Sheridan Production work over rig inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Location/site

• Location entrance sign legible/ in place. 1910.151

  Yes

  No

  N/A

• Are H2S warning signs erected, if applicable to site? 1910.145, 1910.1000, 1910.1200

  Yes

  No

  N/A

• Did the crew perform a "Meet and Greet"?<br>

  Yes

  No

  N/A

• Is there a properly completed Sheridan JSEA?

  Yes

  No

  N/A

• What is your opinion of the Sheridan JSEA.

  Select Needs Improvement Acceptable Good Excellent

  • Needs Improvement
  • Acceptable
  • Good
  • Excellent

• Is the consultant or Sheridan representative on site?

  Yes

  No

  N/A

• Are there no smoking signs posted and visible? 1910.145

  Yes

  No

  N/A

• No vehicles parked inside the guy wire perimeter.

  Yes

  No

  N/A

• Are there self contained breathing apparatus available to the crew?

  Yes

  No

  N/A

• Is there a designated muster area?

  Yes

  No

  N/A

• Do all personnel on site have H2S cards?

  Yes

  No

  N/A

• Attach photos of the H2S cards. (All personnel on location including the consultant.)

  Media

• Are all personnel on location wearing the proper PPE? (Hard hat, Safety Glasses, Steel Toe Boots or shoes, H2S Personal Monitor.) 1910.145

  Yes

  No

  N/A

• Is FRC clothing being worn by the crew and worn correctly?

  Yes

  No

  N/A

• Is there access to first aid and blood borne pathogen kits on location? 1910.151

  Yes

  No

  N/A

• Is there an Eye Wash Station and is it in date?

  Yes

  No

  N/A

• Are there MSDS sheets on location?

  Yes

  No

  N/A

• Is there an Emergency Response Guide Book on location?

  Yes

  No

  N/A

• Are all personnel clean shaven as per Sheridan policy?

  Yes

  No

  N/A

• Are lock out tag out procedures being used?

  Yes

  No

  N/A

• Is there hearing protection being used as required in areas needed? 1910.95

  Yes

  No

  N/A

• Is there a ground cable in use?

  Yes

  No

  N/A

Fire Protection

• Is there access to an ABC fire extinguisher?

  Yes

  No

  N/A

• Are the extinguishers properly charged?

  Yes

  No

  N/A

• Are there an adequate number of extinguishers available? (Minimum 3) 1910.157

  Yes

  No

  N/A

• Rate the general housekeeping around the pipe racks.

  Needs Improvement

  Acceptable

  Good

  Excellent

Derrick and Sub-Structure

• Are the Derrick pins in place with keepers?

  Yes

  No

  N/A

• Is the Derrick properly guyed?

  Yes

  No

  N/A

• Are the guy wires properly tensioned?

  Yes

  No

  N/A

• Are the guy wires correctly clamped?

  Yes

  No

  N/A

• Are the guy wire turnbuckles properly installed with pins?

  Yes

  No

  N/A

• Are the guy wires properly flagged?

  Yes

  No

  N/A

• What is the condition of the Derrick ladder and climbing assist device?

  Safe

  At Risk

  N/A

• Is the Derrick tubing board in good condition?

  Yes

  No

  N/A

• Are there guard rails installed on the tubing board and rod basket?

  Yes

  No

  N/A

• Are the pipe fingers in good condition and a safety cable/chain attached?

  Yes

  No

  N/A

• Are the crown guard rails installed?

  Yes

  No

  N/A

• Are the scoping ram stabilizers in good condition?

  Yes

  No

  N/A

• Is the Derrick emergency escape device (Geronimo Line) installed, anchored and ready for immediate access and use?

  Yes

  No

  N/A

• Rate the general cleanliness of the Derrick and Substructure.

  Needs Improvement

  Acceptable

  Good

  Excellent

Rig Floor

• Is the rig floor in good condition, level and secured?

  Yes

  No

  N/A

• Are all unused floor holes covered?

  Yes

  No

  N/A

• Is the operator control panel properly labeled/identified?

  Yes

  No

  N/A

• Is the air/hydraulic hoist line in good condition and functioning properly?

  Yes

  No

  N/A

• Are there guard rails installed on the rig floor?

  Yes

  No

  N/A

• Is there a kill switch at the operators control panel?

  Yes

  No

  N/A

• Is the break handle, chain and linkage in working condition?

  Yes

  No

  N/A

• Rate the overall cleanliness of the rig floor?

  Needs Improvement

  Acceptable

  Good

  Excellent

Power and Hand Tools

• Are the hydraulic tongs in good condition?

  Yes

  No

  N/A

• Is the snubbing line installed, secured and in good condition?

  Yes

  No

  N/A

• Is the tong lift cylinder installed and free of leaks?

  Yes

  No

  N/A

• Are all hand tools in good condition and stored properly?

  Yes

  No

  N/A

• Are the air slips installed and working properly?

  Yes

  No

  N/A

• Are the slips, dies and tong dies in good condition?

  Yes

  No

  N/A

Hoisting Tools, Hooks, Elevators and Other Related Equipment

• Are the traveling blocks in good condition?

  Yes

  No

  N/A

• Are the blocks properly guarded?

  Yes

  No

  N/A

• Are the elevators in good condition?

  Yes

  No

  N/A

• Is the hoisting hook equipped with a safety latch?

  Yes

  No

  N/A

• Do the bolts in the traveling blocks side plate have keepers?

  Yes

  No

  N/A

Stairs Ladders Hand Rails & Guard Rails.

• Are the stairs in good condition and secured to the rig floor?

  Yes

  No

  N/A

• Are the stair treads and handrails free of damage?

  Yes

  No

  N/A

• Are there guard rails, mid rails and toe boards installed on and along any open side edges of platforms or floors above four feet high?

  Yes

  No

  N/A

• Do all stairs and ladders have non-skid treads?

  Yes

  No

  N/A

Work Over Rig Carrier and Dog House Trailer & Other Vehicles

• Rate the cleanliness of the rig cab.

  Needs Improvement

  Acceptable

  Good

  Excellent

• Are there seat belts in the cab?

  Yes

  No

  N/A

• Are the rig carrier jacks in good condition? (Free of leaks and the jam nuts in good condition)

  Yes

  No

  N/A

• Are there handrails/guard rails installed on all elevated walkways and steps?

  Yes

  No

  N/A

• Are the wheels chocked?

  Yes

  No

  N/A

• Rate the condition of the tires on the carrier.

  Needs Improvement

  Acceptable

  Good

  Excellent

• Does the doghouse trailer have safety chains and is the hitch in good condition?

  Yes

  No

  N/A

• Rate the tires on the doghouse trailer.

  Needs Improvement

  Acceptable

  Good

  Excellent

• Rate the cleanliness and housekeeping of the doghouse.

  Needs Improvement

  Acceptable

  Good

  Excellent

• Inspector

  Sign

• Rig Operator/ Consultant

  Sign