Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
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Type of Job in Progress
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Rig Number
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Warning Signs / labels in place/legible
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PPE available and in use
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Geronimo (line,anchor,position,flagged)
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SCBA/Fire Extinguisher (location and inspection)
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Guy Wire (flagged,clamps,condition) & Anchor Compliance
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Fall Protection equipment condition
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LO/TO in place and complete
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Grounding cable in place and condition
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H2S Equipment calibrated and proper positioned
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Snub Line/Stiff arm properly rigged
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Hoisting equipment available and in place
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BOP equipment available and in place
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Rig floor and floor support condition/tagged
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Ladders, hand/guard rails, walkways
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Guards available, in place and condition
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SOP equipment available in use/condition
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Housekeeping-well area and carrier
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Kill Switch at crew chief panel works
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Overall rig condition (cab,horn,cup holder,etc)
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Pickup condition (fire extinguisher,First aid kit,etc.)
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Dog House (labels,lights, chains,etc)
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Redbook review-in use up to date
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JSA Review-in use/up to date
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Auxiliary Equipment
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Unsafe Acts-found/observed/corrected
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Additional Comments
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Supervisor
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Auditor
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Auditor
