Inspection Check List
JSA / SJA Completed with Contractor Sign-in Sheet
Ground Disturbance Permit Completed
Hot Work Permit Completed
Confined Space Permit Completed and Posted
All Crew Members Wearing Proper PPE & FRC's
H2S Monitors Being Utilized
Fall Protection Being Utilized
First Aid Kit Available on Location
Fire Extinguishers On Location with Current Inspection
Crew Utilizing Proper Tools for Job
Crew Using Proper Lifting Techniques
Tools with Safety Guards in Place
Good Housekeeping with Work Area Clean and Organized
Crew Utilizing Proper Lockout / Tag Out
Are Pipe Thread Cuttings be Collected
Spotter Be Utilized while Equipment is in Operations
Backup Alarms on Equipment Working Properly
Roll Over Protection in Place with No Obvious Defects
Equipment on Location in Good Working Condition (No Fluid Leaks)
Does Contractor Equipment on Location Have Seat Belts (Being Utilized by Operator)
Rigging Equipment (Side Boom Pulleys, Pins, and Wire Rope) Appears to be in Good Working Condition
Inspected Tag Lines are Being Utilized when Lifting Loads
Proper Rigging Techniques are Being Utilized while Lifting Loads
Fire Watch Being Utilized
Utilizing Safety Glasses/Grinding Shields while Grinding
Are Compressed Cylinder Tanks (Oxygen/Acetylene) Labeled, Secured Upright, and Valve Caps in Place
Caution Tape / Barriers Fencing Off Around Open Pits and Trenches
All Bell Holes are Properly Sloped and/or Benched
Ladders, Steps, or Ramps Located in Bell Hole so No More than 25ft of Lateral Travel is Required
Excavated Soil, Other Material, Or Equipment are Stored at Least 2ft from the Edge of the Excavation
Is Operator Exposing Charged Line in Safe Manner (Potholing, Positive ID, Probing Etc..)
Are Warning Signs Being Utilized and Safe Distance Being Maintained for Hydro-Testing Area
Are Warning Signs Being Utilized and Safe Distance Being Maintained for X-Ray Area
Proper Respirators Being Utilized
All Material Contained (No Spills on Location)
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Approval
Statoil Safety Representative:
Contractor Supervisor / Foreman:
Person In Charge (PIC):