TCP/Drillout/Cleanout Safety Audit

• Audit Title

• Pad

• CHK Rep

• Location
  Address

• Conducted on

  Date

• Prepared by

• Contractors Onsite

• TCP

• Drillout

• Cleanout

EHS POLICY 101: HAZCOM

• SDS'S available and accessible at all times

  Yes

  No

  N/A

• All containers in work area properly labeled with NFPA or HMIS labels

  Yes

  No

  N/A

• Windsock deployed on Flowback tank and muster point

  Yes

  No

  N/A

EHS POLICY 102: PPE

• FR clothing worn properly by crew, buttoned, zipped and sleeves down

  Yes

  No

  N/A

• Hard hats used by crew

  Yes

  No

  N/A

• Safety glasses with side shields used by crew

  Yes

  No

  N/A

• Hard toed shoes used by crew

  Yes

  No

  N/A

• Hand protection worn when necessary

  Yes

  No

  N/A

• Hazardous jewelry not worn by crew

  Yes

  No

  N/A

• Personal gas monitor worn by at least one member of each crew

  Yes

  No

  N/A

• Long hair contained

  Yes

  No

  N/A

• Proper PPE worn while handling chemicals, based on SDS/HMIS

  Yes

  No

  N/A

EHS POLICY 104: HEARING PROTECTION

• High noise areas present and marked

  Yes

  No

  N/A

• Proper hearing protection available

  Yes

  No

  N/A

EHS POLICY 105: LOTO

• LOTO being used

  Yes

  No

  N/A

• Locks and tags available to crew

  Yes

  No

  N/A

EHS POLICY 106: HOT WORK MANAGEMENT

• No smoking rules observed

  Yes

  No

  N/A

• Hot work qualified individual onsite

  Yes

  No

  N/A

• Hot work permit available

  Yes

  No

  N/A

EHS POLICY 107: CONFINED SPACE

• Site evaluated to determine the presence of confined spaces/permit required confined spaces

  Yes

  No

  N/A

• Confined space permit available

  Yes

  No

  N/A

• Atmospheric testing of confined space prior to entry

  Yes

  No

  N/A

• Confined space warning signs erected

  Yes

  No

  N/A

• Emergency rescue equipment readily available

  Yes

  No

  N/A

EHS POLICY 109: FIRST AID AND CARDIOPULMONARY RESUSCITATION

• First aid training provided

  Yes

  No

  N/A

• First aid supplies available onsite

  Yes

  No

  N/A

• Adequate 2-way radio or cell phone communication available

  Yes

  No

  N/A

• Emergency phone numbers posted

  Yes

  No

  N/A

• Provisions made for known workers allergies

  Yes

  No

  N/A

• Provisions made for prompt medical attention for serious injuries

  Yes

  No

  N/A

EHS POLICY 110: H2S

• H2S training provided, if applicable

  Yes

  No

  N/A

• Certification cards available

  Yes

  No

  N/A

• Onsite H2S safety review conducted

  Yes

  No

  N/A

• H2S training drills conducted on a regular basis

  Yes

  No

  N/A

• Hazard specific safety meeting conducted when H2S or SO2 present

  Yes

  No

  N/A

EHS POLICY 111: CHEMICAL, FLAMMABLE AND COMBUSTABLE LIQUIDS AND MATERIALS

• Spill trailer on location and inventoried

  Yes

  No

  N/A

• When not in use, flammables and combustibles are stored in designed area or flammable/combustible cabinets

  Yes

  No

  N/A

• All containers are grounded and bonded, conforming to manufacturers specifications when dispensing flammable or combustable liquids

  Yes

  No

  N/A

• Flammable liquids not stored within 50' of wellbore

  Yes

  No

  N/A

EHS POLICY 112: HEAT AND COLD STRESS

• All workers taking proper precautions for heat and cold

  Yes

  No

  N/A

• Heat and cold stress training provided

  Yes

  No

  N/A

EHS POLICY 113: FIRE PROTECTION

• Fire extinguisher available in each work area, trailer and vehicle

  Yes

  No

  N/A

• Annual inspections tags present

  Yes

  No

  N/A

• Monthly inspection tag on each fire extinguisher

  Yes

  No

  N/A

EHS POLICY 114: ELECTRICAL SAFETY

• Electrical equipment operating at a voltage of 600V or greater labeled as HIGH VOLTAGE

  Yes

  No

  N/A

• Work clearance of at least 36 inches maintained in front of electrical equipment

  Yes

  No

  N/A

• Fixed equipment and portable equipment connected by cord is grounded

  Yes

  No

  N/A

• Only 3 wire cords in good condition used onsite

  Yes

  No

  N/A

• No cords running through windows or doorways

  Yes

  No

  N/A

EHS POLICY 115: POWERED INDUSTRIAL TRUCKS (FORKLIFTS AND TELEHANDLERS)

• Forklift operator certified and certificate available

  Yes

  No

  N/A

• Seatbelt provided (per manufacturer)

  Yes

  No

  N/A

• Back up alarm working

  Yes

  No

  N/A

• Auxiliary lighting working

  Yes

  No

  N/A

• Horn working

  Yes

  No

  N/A

• Rated lifting capacity posted

  Yes

  No

  N/A

• Pre-use inspection checklist completed

  Yes

  No

  N/A

• Tires in good condition

  Yes

  No

  N/A

• Refueling and hydraulic lines are inspected while engine is off

  Yes

  No

  N/A

• No damage to windows or mirrors

  Yes

  No

  N/A

• Loads moved low to the ground

  Yes

  No

  N/A

• Parked with brake on, key removed and forks grounded

  Yes

  No

  N/A

EHS POLICY 118: LIFTING AND CARRYING SAFETY

• Proper lifting techniques being used

  Yes

  No

  N/A

EHS POLICY 119: WALKING ANS WORKING SURFACES

• Any working surfaces above 4' from the ground must be protected by a work platform with guardrails at least 42" inches above the platform and have a mid-rail, toe-boards or personal fall arrest system

  Yes

  No

  N/A

• Grates placed around well heads to cover cellar

  Yes

  No

  N/A

• Fall arrest system must have a full body harness, deceleration device, and a lifeline and inspected prior to each use

  Yes

  No

  N/A

• Anchorage used for fall arrest equipment must be capable of supporting at least 5,000lbs

  Yes

  No

  N/A

• All walking and working surfaces are clear of debris and tripping hazards and/or hazards have been identified

  Yes

  No

  N/A

EHS POLICY 120: LADDER SAFETY

• No wooden ladders allowed onsite

  Yes

  No

  N/A

• Metal ladders must have a warning label for electrical caution

  Yes

  No

  N/A

• Ends/feet of ladder must be fitted with insulated non-slip material

  Yes

  No

  N/A

• Extension ladders must extend 3' past the landing if used to access another working surface and be secured

  Yes

  No

  N/A

• 3 points of contact utilized by workers while on ladders

  Yes

  No

  N/A

• Fixed ladders and cellar ladders are inspected and in good condition

  Yes

  No

  N/A

• Portable ladders inspected monthly and noted on monthly ladder inspection

  Yes

  No

  N/A

EHS POLICY 122: PRE-JOB SAFETY ASSESSMENT

• Pre PJSA site tour conducted for each shift

  Yes

  No

  N/A

• Daily safety meeting being conducted

  Yes

  No

  N/A

• Safety meetings properly documented (PJSA)

  Yes

  No

  N/A

• Accidents, if any, are discussed during safety meetings

  Yes

  No

  N/A

• Physical address of site is discussed

  Yes

  No

  N/A

• Emergency route to nearest hospital discussed

  Yes

  No

  N/A

• PJSA filled out completely and properly

  Yes

  No

  N/A

• Individual contractors conducting Job Safety Analysis (JSA) to identify task-specific hazards

  Yes

  No

  N/A

• Simultaneous operation hazards assessed and discussed at each safety meeting

  Yes

  No

  N/A

GENERAL

• Stop program or equivalent in use

  Yes

  No

  N/A

• Adequate communication with other contractors on site

  Yes

  No

  N/A

• Emergency response plan understood

  Yes

  No

  N/A

• BOP training provided

  Yes

  No

  N/A

• Cages over all wellheads

  Yes

  No

  N/A

• BOP accumulator equipped with backup power source

  Yes

  No

  N/A

• Smoke point identified outside of the gate

  Yes

  No

  N/A

CARRIER

• Adequate supplemental footing for jacks provided

  Yes

  No

  N/A

• Handrails/guardrails installed on elevated walkways and steps

  Yes

  No

  N/A

• Tires and wheels in good condition

  Yes

  No

  N/A

• Fuel, hydraulic and other tanks properly labeled

  Yes

  No

  N/A

• Hydraulic leveling jacks in good condition

  Yes

  No

  N/A

• Hydraulic leveling jacks secured by lock nuts

  Yes

  No

  N/A

• Brakes set and secured

  Yes

  No

  N/A

• No fuel or other leaks evident

  Yes

  No

  N/A

• Outriggers used

  Yes

  No

  N/A

• Data plates for guying, draw works and vehicle installed

  Yes

  No

  N/A

OTHER TRANSPORTED VEHICLES/COMPONENTS

• Brakes set

  Yes

  No

  N/A

• Tires chocked

  Yes

  No

  N/A

• Hitches and safety chains in good condition

  Yes

  No

  N/A

STRIPPING AND SNUBBING

• Emergency space line rigged and available for each person on snubbing unit

  Yes

  No

  N/A

• Only minimum employees allowed in the basket

  Yes

  No

  N/A

• Snubbing work platform guyed, unless otherwise supported

  Yes

  No

  N/A

• Pumps, power packs, tool boxes, doghouses, etc, located away from flow and/or bleed off lines

  Yes

  No

  N/A

• Pump units located so snubbing operator can see pump operator

  Yes

  No

  N/A

• Well pressure monitored at all times

  Yes

  No

  N/A

• Back pressure valve or blanking plug installed in pipe string

  Yes

  No

  N/A

• Snubbing operations not conducted at the same time as welding operations in the vicinity

  Yes

  No

  N/A

• Snubbing operations conducted during daylight hours only

  Yes

  No

  N/A

• All hand rails secured to rig and floor by cotter pins

  Yes

  No

  N/A

• Slips are secured to wellhead

  Yes

  No

  N/A

• Double chain system in place, securing each side of rig floor

  Yes

  No

  N/A

CONTINUOUS REELED (COILED) TUBING OPERATIONS

• Proper material of tubing used in H2S environment

  Yes

  No

  N/A

• If H2S present, coiled tubing placed upwind from well

  Yes

  No

  N/A

• Reel unit and it's conveyance should be adequately secured from movement

  Yes

  No

  N/A

• Flanged type connection used on bottom connection of the coiled tubing BOP

  Yes

  No

  N/A

• Dedicated pump cross and a second set of tubing ram preventers located below the pump cross

  Yes

  No

  N/A

WIRELINE SERVICE, SWABBING

• Wireline unit located as far away as possible from fracturing and/or hot oil units

  Yes

  No

  N/A

• Mobile, portable or skid mounted wireline service units cocked or secured to prevent movement

  Yes

  No

  N/A

• Gin pole attached to wellhead or Christmas tree with chain and ratchet load binder or equivalent

  Yes

  No

  N/A

• Ropes and blocks of the correct size and strength

  Yes

  No

  N/A

• Rope inspected at the beginning of the job

  Yes

  No

  N/A

• Blocks inspected at the beginning of the job

  Yes

  No

  N/A

• Lower wireline sheave secured

  Yes

  No

  N/A

• Splices not used in the entire length of rope

  Yes

  No

  N/A

• Periodic drill (not to exceed 12mo.), visual and pressure test of all sections on the lubricator

  Yes

  No

  N/A

• Wireline BOP tested in open and closed position

  Yes

  No

  N/A

• High pressure lubricators have 2 or more bleed valves installed

  Yes

  No

  N/A

• Minimum equipment available onsite includes: wireline valve(BOP), lubricator (riser) sections, pressure bleed valve, stuffing box or control head

  Yes

  No

  N/A

• High pressure lubricators, stuffing boxes, valves, connections and adapters inspected at intervals not to exceed 12 months

  Yes

  No

  N/A

• Lubricator sections marked with permanent serial number

  Yes

  No

  N/A

• Non-essential engines, motors and other sources of ignition are shut down during swabbing operations

  Yes

  No

  N/A

• Swabbing unit placed upwind from well bore, tanks and pits

  Yes

  No

  N/A

• Hydrostatic bailers secured prior to dumping

  Yes

  No

  N/A

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