Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Type of Job in Progress

  • Rig Number

  • Warning Signs / labels in place/legible

  • PPE available and in use

  • Geronimo (line,anchor,position,flagged)

  • SCBA/Fire Extinguisher (location and inspection)

  • Guy Wire (flagged,clamps,condition) & Anchor Compliance

  • Fall Protection equipment condition

  • LO/TO in place and complete

  • Grounding cable in place and condition

  • H2S Equipment calibrated and proper positioned

  • Snub Line/Stiff arm properly rigged

  • Hoisting equipment available and in place

  • BOP equipment available and in place

  • Rig floor and floor support condition/tagged

  • Ladders, hand/guard rails, walkways

  • Guards available, in place and condition

  • SOP equipment available in use/condition

  • Housekeeping-well area and carrier

  • Kill Switch at crew chief panel works

  • Overall rig condition (cab,horn,cup holder,etc)

  • Pickup condition (fire extinguisher,First aid kit,etc.)

  • Dog House (labels,lights, chains,etc)

  • Redbook review-in use up to date

  • JSA Review-in use/up to date

  • Auxiliary Equipment

  • Unsafe Acts-found/observed/corrected

  • Additional Comments

  • Supervisor

  • Auditor

  • Auditor

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.