Information
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Document No.
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Rig No:
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Site
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Conducted on
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Prepared by
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Location
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Personnel on site at time of Inspection
***NOTE*** this inspection report is to be considered uncontrolled unless printed out and original signatures of all participants are next to iPad signatures
Before entering site
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Is a Emergency Evacuation Point sign visible?
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Are access tracks clear of obstructions?
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Are vehicles parked within drill site boundaries?
Site Housekeeping
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Worksite is free from obstructions? (Slips, trips, fall hazards & rubbish)
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Walkways & Platforms clean & free of oil, grease & tools?
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Tools & Equipment are being stored correctly?
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Hydrocarbons & Hazardous wastes are stored separately to general rubbish?
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Bunding is in place around stored hydrocarbons?
Fluid Leaks
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Are there any obvious fluid leaks from engine, hydraulic hoses, CDS tool.
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Spill kit is on-site and readily accessible?
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Spill kit is adequately stocked?
Fire Fighting Equipment
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Does the rig have a fire suppression system fitted?
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Portable fire extinguishers placed appropriately around site?
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Fire extinguishers in current test & tag
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Fire extinguisher test tags are fitted and legible?
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All persons on site have an understanding of how to use all the fire fighting equipment?
First Aid Equipment
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Are first aid kits easily accessible?
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Kits are stocked and clean?
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Are there trained first aiders on site?
Lighting arrangements
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Is there lighting provided for night shift?
Equipment Tag out & Isolation
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Do all the isolation/lock-out points have an identification sticker?
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Are correct procedures being followed when equipment needs to be isolated and/or tagged out?
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Do the isolation switches work?
Equipment Inspections
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Daily checks on all equipment are being performed
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Power unit oil level at sufficient operating level
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Power unit fuel level checked and sufficient level for shift
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All lifting equipment in date and visually inspected prior to use
Visual Inspection
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Walkway railings are secure and in a serviceable condition?
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Walkway steps/rungs have non-slip treads?
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Walkways have securing pins and are being used?
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Slips table is in good operating condition?
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Work platforms are secured and free from obstructions?
Gauges and Controls
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All gauges are working?
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All gauges are easily readable?
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All controls are in good working order?
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All controls are easily identifiable?
Power/Hand tools
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Equipment seems to be in good working order when visually inspected?
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Power cords/plugs are in good condition?
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Electrical tools have a current test & tag sticker/certificate?
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Tools are stored correctly when not in use?
Documentation
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Have all workers been inducted & the correct paperwork has been completed for the site?
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Are all contractors, visitors or client representatives inducted for the site?
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Are toolbox meetings held as required?
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Are the company policies, procedures on-site?
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Are MSDS documents available for all products on-site?
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Are MSDS documents current?
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Are all persons on-site aware of where to find all the documentation?
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Workers are competent in filling out the required paperwork?
Personal Hygiene
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Fresh, clean and cool drinking water is available?
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Food is being stored in a hygienic manner?
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Hand cleaning products are available?
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Waste food products are being disposed of in the correct manner?
Personal Protective Equipment (PPE)
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Site has adequate supplies of company issued PPE?
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Is further PPE required to ensure safety on this site?
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Workers are using the supplied PPE?
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When not in use, is PPE being stored correctly?
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Disposable PPE is being discarded correctly? (gloves, earplugs, etc in bins)
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Is UV protection being used? (hats, sunscreen, long sleeve shirt/pants)
Personnel Attitudes
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All personnel on-site are displaying a positive attitude towards Health, Safety & Environmental protocols?
Comments
Site Supervisors comments
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Add comments:
- yes
- no
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Comments:
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Name & Sign
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Name & Sign
Client Representative comments:
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Add comments:
- yes
- no
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Comments:
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Name & Sign
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Name & Sign
Company Safety Manager comments:
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Add comments:
- yes
- no
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Comments:
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Name & Sign
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Name & Sign
Company Management comments:
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Add comments:
- yes
- no
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Comments:
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Name & Sign
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Name & Sign
Actions
Issues Raised
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Issues raised that need actioning:
Issue:
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Issue status:
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Assigned to:
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Completion date:
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Issue has been closed out appropriately:
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Time and date action closed out
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ID of person closing out action