Title Page

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by:

  • Location
  • Supervisor in charge

Location Layout and Safety Observation

  • Equipment placement/layout acceptable?

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

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

  • Red endless loop whip checks on iron?

  • Wheel chocks in place?

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

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

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

  • Injector head / BOP's are secured properly?

  • Toolboxes organized and free of clutter?

  • Tractor cabs and sleepers free of parts and tools?

  • Are all handrails installed and pinned?

  • Is housekeeping of equipment satisfactory?

  • Is location policed and kept tidy?

  • Was a crane inspection conducted and documented?

  • All supervisor paperwork completed?

  • Is the treatment report being recorded correctly?

  • Iron certification current?

  • Other?

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.