Supervisor/Manager Location Audit

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by:

• Location
  Address

• Supervisor in charge

Location Layout and Safety Observation

• Equipment placement/layout acceptable?

  Yes

  No

  N/A

• High pressure area identified and taped off with yellow or red tape?

  Yes

  No

  N/A

• ALL personnel on location restricted from walking through or working in high pressure area?

  Yes

  No

  N/A

• Red endless loop whip checks on iron?

  Yes

  No

  N/A

• Wheel chocks in place?

  Yes

  No

  N/A

• 20# Fire extinguisher placed at the front of each pice of equipment?

  Yes

  No

  N/A

• Is all PPE being utilized and worn properly? (FRC's, Safety Glasses, Hard Hat's, Safest Toed Boots, Gloves, etc.)

  Yes

  No

  N/A

• Is well head bolted properly with threads showing on both ends of the bolts?

  Yes

  No

  N/A

• Injector head / BOP's are secured properly?

  Yes

  No

  N/A

• Toolboxes organized and free of clutter?

  Yes

  No

  N/A

• Tractor cabs and sleepers free of parts and tools?

  Yes

  No

  N/A

• Are all handrails installed and pinned?

  Yes

  No

  N/A

• Is housekeeping of equipment satisfactory?

  Yes

  No

  N/A

• Is location policed and kept tidy?

  Yes

  No

  N/A

• Was a crane inspection conducted and documented?

  Yes

  No

  N/A

• All supervisor paperwork completed?

  Yes

  No

  N/A

• Is the treatment report being recorded correctly?

  Yes

  No

  N/A

• Iron certification current?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A