Tesla - Field Crew Safety Audit - V 1.2

• Document No.

• Crew visited:

• Job number:

• Project:

• Conducted on

  Date
• Location
  Address

• Add media

  Media

• Client / Client representative:

  Sign

• Party manager:

  Sign

• Field administrator:

  Sign

• Operational supervisor:

  Sign

• Prepared by:

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• 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

Office

• Pictures:

  Media
• Location:
  Address

• Field office exhibits professional standards ?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Corporate safety policies are posted as required?

  Yes

  No

  N/A

• BU policies are posted and up to date?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• ERP procedures have been explaines to all employees?

  Yes

  No

  N/A

• ERP documents have been distributed as required?

  Yes

  No

  N/A

• Labour posters are located inside the office as requires?

  Yes

  No

  N/A

• Continuous hazard reporting system are up to date?

  Yes

  No

  N/A

• Employee training spread sheets are current and accurate?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Near miss reporting systems are utilized, and encouraged?

  Yes

  No

  N/A

• Employees are issued reliable communication system?

  Yes

  No

  N/A

• Safety manuals and MSDS binders are available?

  Yes

  No

  N/A

Legislation

• Pictures:

  Media

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Mandatory legislative posters are located as required?

  Yes

  No

  N/A

Training and communication: new employee orientation

• Pictures:

  Media

• New hire employee training is complete and documented?

  Yes

  No

  N/A

• Policies and procedures are explained to new employees?

  Yes

  No

  N/A

• All new hire orientation are documented?

  Yes

  No

  N/A

• Training awareness follow up initiatives are conducted?

  Yes

  No

  N/A

Job specific training

• Job specific training is conducted?

  Yes

  No

  N/A

• Job specific (competency) training is conducted?

  Yes

  No

  N/A

• Qualified personnel are used to conduct job training?

  Yes

  No

  N/A

Sub-Contractors

• Company:

• Add media

  Media

• Sub contractor' signature:

  Sign

• Company:

• Add media

  Media

• Sub contractor' signature:

  Sign

• Company:

• Add media

  Media

• Sub contractor' signature:

  Sign

• Add media

  Media

• Company:

• Add media

  Media

• Sub contractor' signature:

  Sign

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Crew training

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

  Yes

  No

  N/A

• First aid certified employees are distributed thought crew operations?

  Yes

  No

  N/A

• First aid qualification standards. Are maintained?

  Yes

  No

  N/A

• First aid certified employees are aware of their responsibilities?

  Yes

  No

  N/A

Off road

• All off road operators are certified machines?

  Yes

  No

  N/A

• All off road operators are aware of their responsibilities?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

WHMIS, HM2, MSDS training or equivalent.

• All Tesla crew members are WHMIS & H2S trained?

  Yes

  No

  N/A

• Training is completed on a current basis?

  Yes

  No

  N/A

• Crew members are periodically questioned on MSDS?

  Yes

  No

  N/A

• MSDS binders are available on crew as required?

  Yes

  No

  N/A

• MSDS availability notices are posted as required?

  Yes

  No

  N/A

T.D.G. / HAzMat training

• All designated crew members are trained as required?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Add media

  Media

• Bills of lading are documented and correct?

  Yes

  No

  N/A

Explosive handling

• All blisters are certified for legislated followed?

  Yes

  No

  N/A

• Boasters permits are with the blisters?

  Yes

  No

  N/A

• Blasters regulations are adhered to?

  Yes

  No

  N/A

• Blasted are aware of their responsibilities?

  Yes

  No

  N/A

New hire orientation

• New hire guidelines are being followed?

  Yes

  No

  N/A

• New hire orientation are documented?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Vehicle inspection

• Pictures:

  Media

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Vehicle inspection results are completed?

  Yes

  No

  N/A

• Ensure all Tesla drivers complete log boom as required?

  Yes

  No

  N/A

Vibrator inspection

• Pictures:

  Media

• Inspections are being conducted as per schedule ?

  Yes

  No

  N/A

• Inspections results are documentd?

  Yes

  No

  N/A

• Inspection results are corrected?

  Yes

  No

  N/A

Heavy equipment inspection

• Pictures:

  Media

• Inspections are conducted as per scheduled?

  Yes

  No

  N/A

• Inspection results are documented?

  Yes

  No

  N/A

• Inspection results are being corrected?

  Yes

  No

  N/A

Reports on file

• First aid records are maintained on file?

  Yes

  No

  N/A

• Accident / Incident reports are on file ?

  Yes

  No

  N/A

• Inspection reports are on file?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Training records are on file?

  Yes

  No

  N/A

• Follow-up records are on file?

  Yes

  No

  N/A

• Housekeeping records are on file?

  Yes

  No

  N/A

Safety meetings

• Picture:

  Media

• Regular safety meetings are conducted and documented?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Safety meeting held are site specifics?

  Yes

  No

  N/A

• Crew members directly participate in safety meeting?

  Yes

  No

  N/A

Crew safety performance statistics

• Daily safety statistics are calculated?

  Yes

  No

  N/A

• Monthly safely statistics are calculated?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Accidents

• Accidents are being reported and investigated?

  Yes

  No

  N/A

• Accidents are documented?

  Yes

  No

  N/A

• Crew is advised of accidents investigation results?

  Yes

  No

  N/A

Near miss and Tail gate meeting

• Near misses are reported, investigated, and resolved?

  Yes

  No

  N/A

• Near misses are documented?

  Yes

  No

  N/A

• Crew members are informed of reported near miss results?

  Yes

  No

  N/A

• Tailgate safety meetings are holds on regular basis?

  Yes

  No

  N/A

• Tailgate safety meetings are documented?

  Yes

  No

  N/A

Recording truck / Dog house

• Observer's name:

• Select date

  Date
• Add location
  Address

• Add media

  Media

• Observer's Signature:

  Drawing

• The Recording Truck is clean and organized?

  Yes

  No

  N/A

• The Recording Truck conveys a professional image?

  Yes

  No

  N/A

• Government approval has been posted?

  Yes

  No

  N/A

• Parameter sheet has been signed off?

  Yes

  No

  N/A

• The ERP is in place?

  Yes

  No

  N/A

• Rare there any apparent safety violations?

  Yes

  No

  N/A

• Fire extinguishers?

  Yes

  No

  N/A

• First aid kit?

  Yes

  No

  N/A

• Flare kit?

  Yes

  No

  N/A

• Carbon monoxide detector?

  Yes

  No

  N/A

• The vehicle cab is clean and organized?

  Yes

  No

  N/A

• Safety manual is inside the recorder?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Observer log are legible and comply with standards?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Indicators:

• Pictures:

  Media

Staging

• Select date

  Date
• Add location
  Address

• Coordinator' signature::

  Drawing

• Clean and organized?

  Yes

  No

  N/A

• Professional image?

  Yes

  No

  N/A

• Coordinator and helpers using the required PPE?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Regulation fire fighting equipment is available?

  Yes

  No

  N/A

• Coordinator conveys confidence and control?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Indicators:

• Pictures:

  Media

Helicopter

• Contractor:

• Picture:

  Media
• Add location
  Address

• Select date

  Date

• Pilot's signature:

  Sign

• License details:

• Pilot's signature:

  Sign

• License details:

• Pilot's signature:

  Sign

• License details:

• Mechanic's signature:

  Sign

• Mechanic's signature:

  Sign

• Mechanic's signature:

  Sign

• Proper signage at staging with defined landing zones?

  Yes

  No

  N/A

• Pilot and engineer are using regulation PPE?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Regulation fire fighting equipment in place?

  Yes

  No

  N/A

• Did you observe the pilot flying?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Indicators:

• Pictures:

  Media

• 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.

Shooters

• 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.

Security

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

Surveyors:

• Company:

• Add media

  Media

• Select date

  Date
• Add location
  Address

• ERP in place?

  Yes

  No

  N/A

• PPE being used?

  Yes

  No

  N/A

• Unit safety equipment inspection documented?

  Yes

  No

  N/A

• Map quality & accessing?

  Yes

  No

  N/A

• Quality communication with crew Party Manager?

  Yes

  No

  N/A

Cats / Slashers

• Company:

• Add location
  Address

• Add media

  Media

• Cat push:

• Add location
  Address

• Add media

  Media

• ERP in place?

  Yes

  No

  N/A

• PPE being used?

  Yes

  No

  N/A

• Units with safety equipment / inspection documented?

  Yes

  No

  N/A

• Quality of line being produced?

  Yes

  No

  N/A

Drills

• Company:

• Add location
  Address

• Add media

  Media

• Drill push:

• Add location
  Address

• Add media

  Media

• ERP in place:

  Yes

  No

  N/A

• PPE being used:

  Yes

  No

  N/A

• Units with Safety Equipment / inspections documented?

  Yes

  No

  N/A

First Aid Services

• An emergency conveyance vehicle is located on site?

  Yes

  No

  N/A

• Add media

  Media

• There are adequate fist aid supplies?

  Yes

  No

  N/A

• First aid services meet legislative regulations?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Fire fighting

• Fire extinguishers are inspected on a regular basis?

  Yes

  No

  N/A

• Personnel are trained in correct use of fire extinguishers?

  Yes

  No

  N/A

• Fire extinguishers are the correct class?

  Yes

  No

  N/A

• Add media

  Media

• Fire extinguishers are readily available?

  Yes

  No

  N/A

• Add media

  Media

• Fire extinguishers are clearly marked and secure?

  Yes

  No

  N/A

• Add media

  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: searbrook@teslaexploration.com