• Conducted on

  • Location:

  • Well #:

  • AFE #:

  • Statoil Site Representative:

  • Statoil Safety Representative:

  • Contractors Working on Location:

  • Status of Operations:

Inspection Checklist

Applicable Permits:

  • JSA / SJA Completed with Contractor with Contractor Sign-In Sheet?

  • Hot Work Permit Completed?

  • Confined Space Permit Completed and Posted?

  • Critical Lift Permit Completed?

  • Ground Disturbance Permit Completed?

General Drilling Site Inspection:

  • Authorized Personnel Sign Posted at entrance of site?

  • Rig signage erected at entrance to the site and at all directional changes in route to the site?

  • Proper PPE Signage posted at entrance?

  • No Smoking Signs and Designated Smoking Areas Signs posted?

  • Is there parking within 100ft of well bore?

  • Is a Clean and Sanitary Portable Restroom Facility provided in close proximity to the location?

  • Muster area Designated?

  • Visitor Signage (directing them to Toolpusher) upon entry to location?

  • Supply Storage House Clean and Orderly?

  • Sign-In Sheet (required upon arrival) is Available?

  • Warning Signs Clean and Visable?

  • Hazardous Locations Identified?

  • All Vessels Labeled as to their Contents?

  • Adequate Lighting Provided?

  • There are No Trip Hazards?

  • Proper PPE/FRC being worn by all personnel on Location?

  • Erected Windsock Visable?

  • OSHA Poster Posted?

  • Safety Equipment Available on Location?

  • Fall Protection being utilized when Required?

  • First Aid Kit and Blood Born Pathogen Kit available on Location?

  • Emergency Phone Posted on Location?

Stairs / Ladders / Handrails / Gaurdrails:

  • Adequate Stairs provided off Rig Floor?

  • All stairs on Location are Level?

  • Are there a minimum of 2 Stairways available to Drilling Floor?

  • Are the Stairs on Location Secured?

  • There are No Trip Hazards on Stairs?

  • Stairs have Non-Skid Steps and are uniform size?

  • Adequate Handrails provided on stairs with 4 or more Risers?

  • Guardrails, Mid-Rails, and Toe-Boards Installed along all open side edges of Floors, Platforms, Etc...

  • Ladders on Location are Extended No More than 3.5ft above Platform?

  • All Fixed and Portable Ladders are in Good Condition and Free of Defects?

Rig Floor:

  • Rotary Floor in Good Woking Condition?

  • All Unused Floor Holes Covered?

  • Weight Indicator Installed and Visible to Driller?

  • Driller's Controls Properly Labeled?

  • Slips and Dies in Good Working Condition?

  • Racking Area in Good Working Condition?

  • V-Door Gate / Chain (Provided) In Place?

  • Air-Hoist Cable in Good Working Condition?

  • Pipe Handling Tools in Good Working Condition?

  • All Straps and Slings in Good Working Condition?

  • Housekeeping on Rig Floor is Adequate?

  • Eye Wash Station Provided?

  • Keepers and Pins Properly Installed?

Fuel / Storage Tanks:

  • Fuel Storage Tanks Properly Located and Labeled as to their Contents?

  • Discharge Valves, Nozzles and Hoses in Good Working Condition?

  • "Flammable" Warning Signs Properly Posted on All Sides of Storage Tanks?

  • LPG Storage Tanks and Compress Gas Cylinders are Properly Labeled and in Good Working Condiition?

  • Safety Caps / Bull Plugs are Properly Installed to Prevent Spills?

Generator Area / Electrical Systems:

  • Safeguards Properly Installed over all Moving Parts?

  • All Electrical Equipment and Generators are Properly Grounded?

  • All Electrical Equipment Properly Marked as to its Function?

  • "High Voltage" Warning Signs Properly Posted?

  • LOTO Devices Provided and Available?

  • "Hearing Protection Required" Warning Signs are Properly Poseted?

  • Hearing Protection Provided and Available?

  • All Electrical Wiring is off the Ground?

  • All Electrical Cords, Receptacles, and Plugs in Good Working Condition?

  • All Light Fixtures are Properly Protected from Damage?

Fire Protection:

  • All Fire Extinguishers (B&C Class) are Properly Charged and in Good Working Condition?

  • All Fire Extinguishers (B&C Class) Have had their Monthly/Annual Inspection and Properly Tagged?

  • Flare Area is Clear of any Combustable Material?

  • Employees Have been Properly Trained to Operate Fire Extinguishers on Location?

Mud Mixing Area / Tanks and Pit:

  • Bagged Material Properly Stacked?

  • Are Material Safety Data Sheets (MSDS) Available?

  • Has Adequate Ventilation been Provided in the Mud Mixing Area?

  • Has an Emergency Shower and Eye Wash Station been Provided in the Area?

  • Are there Chemical Hazard Warning Signs Posted and Visable?

  • Is Safety Cabinet well stocked with Proper PPE (Respirators, Face Shields, Aprons, Rubber Boots Etc.)?

  • All Warning Signs Posted and Visable?

  • Adequate Stairs, Handrails and Guardrails Provided for Crossovers?

  • Housekeeping is Adequate in Mud Mixing Area?

Mud Pump Area:

  • All Drive Belts and Shafts have Guards Properly Installed?

  • All Rotating Parts have Guards Properly Installed?

  • Have Shear Pin Pop-Off Valves been Properly Covered?

  • Have Vibrator Hoses and High Pressure Lines been Properly Secured?

  • Have High Pressure Fittings been Used where Applicalbe?

  • Have All Discharge Lines from Relief Valves been Properly Anchored?

  • Are All Pumps, Pipes, Hoses, Valves, and Fittings have been Well Maintained and Are In Good Working Condition?

  • Are All Pumps, Pipes, Hoses, Valves and Fittings Being Operated at Pressures In Which they are Rated?

Blow Out Preventer / Accumulator / Choke Area:

  • Has the Blow Out Preventer (BOP) been tested to Function Properly?

  • Is the Blow Out Preventer (BOP) Properly Stabilzed?

  • Are All Hydraulic Lines Properly Connected?

  • Are All Unused Hydraulic LInes Capped and Properly Secured?

  • Has there been a Check Valve Installed On Kill LIne Side?

  • Have Safety Cables been Installed On the Kill Line and Choke Line?

  • Have Pollution Pans been Properly Installed?

  • Accumulator Vales have been Properly Identified as to their Purpose and Position?

  • All Gauges are Installed Properly and Located in the Correct Position?

  • Accumulator Bottles Properly Labeled with their Contents?

  • Are the Accumulator Operational Warning Signs Visible?

  • Is the Choke Manifold Accessible?

  • Are the Choke Manifold Gauges Visible and Working Properly?

Pipe Rack Area:

  • Are the Ends of the Pipe Racks Properly Chocked?

  • Are Spacers being Utilized to Separate Layers of Pipe?

  • Are Pipe Racks Stable / Level and In Good Working Condition?

  • Is the V-Door Slide and Pipe-Stops In Good Working Condition?

Material Handling Equipment:

  • Has the Forklift Operator been Certified and Properly Trained?

  • Are all Equipment Certification Documents Available for Inspection on Location?

  • Is the Proper Type of Equipment being Utilized for Handling of Material on Location?

  • Is Proper Inspection of Equipment (Forklift) Being Done Prior to Daily Use?

  • All Safety Devices on Equipment (Seat-belts, BackUp Alarms, Etc.) In Good Working Condition?

Additional Findings:

Additional Findings / Issues or Concerns:

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  • Statoil Safety Representative:

  • Company Man:

  • Tool Pusher:

  • Other (Contractor):

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.