• Document No.

  • Crew visited:

  • Job number:

  • Project:

  • Conducted on

  • Location
  • Add media

  • Client / Client representative:

  • Party manager:

  • Field administrator:

  • Operational supervisor:

  • Prepared by:

  • The Safety department will be conducting a formal audit of your crew.
    You will be given ample notice to prepare for your pending Crew Safety Audit, a copy of the audit form is directed to your attention to provide an overview of the area we intended to cover and to assist your document preparation requirement


  • Pictures:

  • Location:
  • Field office exhibits professional standards ?

  • Regular crew safety committee meeting are heald, meeting minutes recorded and directed to Head Office?

  • Corporate safety policies are posted as required?

  • BU policies are posted and up to date?

  • Emergency Response Plan (ERP) is complete and accurate?

  • ERP procedures have been explaines to all employees?

  • ERP documents have been distributed as required?

  • Labour posters are located inside the office as requires?

  • Continuous hazard reporting system are up to date?

  • Employee training spread sheets are current and accurate?

  • Safety package contain all the requires information, including contractor safety information?

  • Near miss reporting systems are utilized, and encouraged?

  • Employees are issued reliable communication system?

  • Safety manuals and MSDS binders are available?


  • Pictures:

  • Copy of the required legislation readily available at the field office and respective worksite?

  • Management regularly refers to legislation and regulation during planning initiatives?

  • Management personnel have copies of the required legislative safety acts and regulations?

  • Workers are made aware of their legislative rights and responsibilities ?

  • Mandatory legislative posters are located as required?

Training and communication: new employee orientation

  • Pictures:

  • New hire employee training is complete and documented?

  • Policies and procedures are explained to new employees?

  • All new hire orientation are documented?

  • Training awareness follow up initiatives are conducted?

Job specific training

  • Job specific training is conducted?

  • Job specific (competency) training is conducted?

  • Qualified personnel are used to conduct job training?


  • Company:

  • Add media

  • Sub contractor' signature:

  • Company:

  • Add media

  • Sub contractor' signature:

  • Company:

  • Add media

  • Sub contractor' signature:

  • Add media

  • Company:

  • Add media

  • Sub contractor' signature:

  • Copies of contractors' Safety management programs are available on site / Signed off on Tesla's manual?

  • Copies of contractors' personnel training certifications are obtained and available on site?

  • Contractors are aware of our ERP and copies were issued?

  • Are theses procedures to ensure contractors have effective communication system in place?

  • Contractor liability and vehicle insurance coverage complies with tesla exploration requirements?

Crew training

  • Adequate first aid certified employees are on site (51% minimum) as required?

  • First aid certified employees are distributed thought crew operations?

  • First aid qualification standards. Are maintained?

  • First aid certified employees are aware of their responsibilities?

Off road

  • All off road operators are certified machines?

  • All off road operators are aware of their responsibilities?

  • Off road operator field activities are monitored by field supervisor personnel?

WHMIS, HM2, MSDS training or equivalent.

  • All Tesla crew members are WHMIS & H2S trained?

  • Training is completed on a current basis?

  • Crew members are periodically questioned on MSDS?

  • MSDS binders are available on crew as required?

  • MSDS availability notices are posted as required?

T.D.G. / HAzMat training

  • All designated crew members are trained as required?

  • All vehicle placards are attached as required (4 sides)?

  • Add media

  • Bills of lading are documented and correct?

Explosive handling

  • All blisters are certified for legislated followed?

  • Boasters permits are with the blisters?

  • Blasters regulations are adhered to?

  • Blasted are aware of their responsibilities?

New hire orientation

  • New hire guidelines are being followed?

  • New hire orientation are documented?

  • Policies and procedures are discussed and distributed to the safety advisor?

Vehicle inspection

  • Pictures:

  • Per-use vehicle inspection are conducted as per scheduled?

  • Pre-use vehicle inspection are documented on our form?

  • Vehicle inspection results are completed?

  • Ensure all Tesla drivers complete log boom as required?

Vibrator inspection

  • Pictures:

  • Inspections are being conducted as per schedule ?

  • Inspections results are documentd?

  • Inspection results are corrected?

Heavy equipment inspection

  • Pictures:

  • Inspections are conducted as per scheduled?

  • Inspection results are documented?

  • Inspection results are being corrected?

Reports on file

  • First aid records are maintained on file?

  • Accident / Incident reports are on file ?

  • Inspection reports are on file?

  • Near miss / tailgate and safety meeting are on file?

  • Training records are on file?

  • Follow-up records are on file?

  • Housekeeping records are on file?

Safety meetings

  • Picture:

  • Regular safety meetings are conducted and documented?

  • Safety meeting minutes are reviews by the party manager, supervisor, and safety advisor?

  • Feedback is received from the party manager, supervisor, and safety advisor after safety meeting minutes are reviewed, comments and recommendations are documented?

  • Safety meeting held are site specifics?

  • Crew members directly participate in safety meeting?

Crew safety performance statistics

  • Daily safety statistics are calculated?

  • Monthly safely statistics are calculated?

  • Monthly safety statistics are reported to Head Office on time?


  • Accidents are being reported and investigated?

  • Accidents are documented?

  • Crew is advised of accidents investigation results?

Near miss and Tail gate meeting

  • Near misses are reported, investigated, and resolved?

  • Near misses are documented?

  • Crew members are informed of reported near miss results?

  • Tailgate safety meetings are holds on regular basis?

  • Tailgate safety meetings are documented?

Recording truck / Dog house

  • Observer's name:

  • Select date

  • Add location
  • Add media

  • Observer's Signature:

  • The Recording Truck is clean and organized?

  • The Recording Truck conveys a professional image?

  • Government approval has been posted?

  • Parameter sheet has been signed off?

  • The ERP is in place?

  • Rare there any apparent safety violations?

  • Fire extinguishers?

  • First aid kit?

  • Flare kit?

  • Carbon monoxide detector?

  • The vehicle cab is clean and organized?

  • Safety manual is inside the recorder?

  • MSDS I binder is inside the recorder and notice posted?

  • Observer log are legible and comply with standards?

  • Are there indicators that the observer is stressed or fatigued?

  • Indicators:

  • Pictures:


  • Select date

  • Add location
  • Coordinator' signature::

  • Clean and organized?

  • Professional image?

  • Coordinator and helpers using the required PPE?

  • Regulation fire extinguishers, first aid kits, eye wash station, stretchers, ERP, and road signs are available?

  • Regulation fire fighting equipment is available?

  • Coordinator conveys confidence and control?

  • Are there indicators that the coordinator is stressed or fatigued?

  • Indicators:

  • Pictures:


  • Contractor:

  • Picture:

  • Add location
  • Select date

  • Pilot's signature:

  • License details:

  • Pilot's signature:

  • License details:

  • Pilot's signature:

  • License details:

  • Mechanic's signature:

  • Mechanic's signature:

  • Mechanic's signature:

  • Proper signage at staging with defined landing zones?

  • Pilot and engineer are using regulation PPE?

  • ERP in place / Qualification documentation in place / copied?

  • Regulation fire fighting equipment in place?

  • Did you observe the pilot flying?

  • Are there indicators that the pilot is stressed or fatigued?

  • Indicators:

  • Pictures:

  • Comments:

Vehicles and off road:

  • Comment on a unit & driver basis of your observations regarding vehicles and quads, including general condition and safety equipment.

  • Provide comments regarding your general observations of the vibrator units, include conversations with vibrator operators or technicians. Comment on the general conditions of each vibrator, cleanliness, and safety equipment.


  • Comment on your observations while observing or auditing shooters in action, note the length of the firing, PPE used, and shooters compliance with approved safety procedures.


  • Comment on site security: this would include visitor orientation and control, explosive storage, working alone situations, equipment, fuel, and vehicle storage, ...


  • Company:

  • Add media

  • Select date

  • Add location
  • ERP in place?

  • PPE being used?

  • Unit safety equipment inspection documented?

  • Map quality & accessing?

  • Quality communication with crew Party Manager?

Cats / Slashers

  • Company:

  • Add location
  • Add media

  • Cat push:

  • Add location
  • Add media

  • ERP in place?

  • PPE being used?

  • Units with safety equipment / inspection documented?

  • Quality of line being produced?


  • Company:

  • Add location
  • Add media

  • Drill push:

  • Add location
  • Add media

  • ERP in place:

  • PPE being used:

  • Units with Safety Equipment / inspections documented?

First Aid Services

  • An emergency conveyance vehicle is located on site?

  • Add media

  • There are adequate fist aid supplies?

  • First aid services meet legislative regulations?

  • Are the appropriate number of first aides on site ?<br>Minimum requirement = 51% of crew.

  • All crew members are aware of first aid services on site?

Fire fighting

  • Fire extinguishers are inspected on a regular basis?

  • Personnel are trained in correct use of fire extinguishers?

  • Fire extinguishers are the correct class?

  • Add media

  • Fire extinguishers are readily available?

  • Add media

  • Fire extinguishers are clearly marked and secure?

  • Add media

Meetings / General comments

  • Please provide a general overview of your observations of any significant formal or tailgate safety meeting you attended or participated in during your visit to this crew.
    If a client representative accompanied you during the crew visit, please provide a synopsis of the client representative general impressions.

Action items required

If you require any additional information concerning your field crew safety audit, please contact your Area HSE Manager, or: Ron Seabrook Vice President HSE&S Tel: + 403 697 62 82 Tel: + 403 923 15 16 Email:

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.