Well Servicing Unit Inspection v.1.2

• Document No.

• Rig Company / Rig Number

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Location

• 1. Hard Hat/Safety Glasses/Steel Toed Shoes/Authorized Personnel Sign posted at entrance to prominent locations on site? 1910.145(c)(2)(i)/( c) (3)

  Yes

  No

• 2. Distance from overhead power lines minimum 10 feet? RP54 10.1.1

  Yes

  No

• 3. Outhouse clean and sanitary? 1910.142 (d) (10)

  Yes

  No

• 4. Housekeeping(General) 1910.22 (a) (1) / RP54 6.5.1

  Yes

  No

• 5. Muster Area Designated and posted? 1910.38 (c) (4) / 1910.145 (c) (3)

  Yes

  No

• 6. Wind direction indicator available? RP49 8.2.3 / RP68 6.8, 8.2.4

  Yes

  No

• 7. Supply/Crew Change House Clean? 1910.22 (a) (1) / RP54 6.5.1

  Yes

  No

• 8. Hazardous Areas Identified? 1910.1200 (f) (5-6)

  Yes

  No

• 9. Carrier, Mast and all other Electrical Equipment Grounded to prevent the build up of Static Charge? RP54 6.1.16

  Yes

  No

• 10. Visitors being Signed in? 1910.38 (c) (4)

  Yes

  No

• 11. Ignition sources 35' from wellhead?

  Yes

  No

• 12. Back-in parking observed?

  Yes

  No

• 13. Any evidence of spills or releases on location?

  Yes

  No

Guying

• 14. Escape and guy wires flagged with visible material? RP4G 14.5.f

  Yes

  No

• 15. Non-essential vehicles parked a reasonable distance from the rig? RP54 6.1.15 / RP49 8.1 / RP68 8.1

  Yes

  No

• 16. Crown to ground guy wires/appropriate number? RP4G 13.1 / RP54 9.2.10f

  Yes

  No

• 17. Visual inspection of guy wires adequate? RP4G 13.1.1

  Yes

  No

• 18. Proper number of clamps (3 minimum) installed correctly? RP9B 3.7.4

  Yes

  No

• 19. Tubing board guys: strung and crossed for racking? Recommended - XTO

  Yes

  No

• 20. Internal belly guys: properly adjusted for tension? Recommended - XTO

  Yes

  No

• 21. Fall Lane of Derrick Clear? Recommended - XTO

  Yes

  No

Derrick/Foundation

• 22. Derrick in good condition: damage and/or corrosion? RP54 9.16.1 / RP4G 6.1

  Yes

  No

• 23. Manufacturers specification plate attached to rig? RP54 9.2.2

  Yes

  No

• 24. Tubing/rod boards in good condition? RP54 9.2.12 / RP4G App A-B

  Yes

  No

• 25. Tubing/Rod boards equipped with secondary drop devices? XTO recommended

  Yes

  No

• 26. Derrick ladder in good condition? RP54 9.3.1-5 / RP4G App A

  Yes

  No

• 27. Fall protection required warning signs erected? 1910.145 (c) (2) (i)

  Yes

  No

• 28. Derrick assembly pins in place/secured with keepers? RP54 9.2.8

  Yes

  No

• 29. Scoping ram stabilizers in good condition? RP54 9.2.4 / RP4G App A-G (consult with rig crew)

  Yes

  No

• 30. Crown sheave guards in place? RP54 9.7.5

  Yes

  No

• 31. Tubing/rod board fingers in good shape/safety cables? RP54 9.3.16 / RP4G App A-B

  Yes

  No

• 32. Upper latch mechanism in good condition/flagged? RP4G App A-B

  Yes

  No

• 33. Crown saver device installed and operational(if derrick is over 102')? RP54 9.2.16 / RP54 9.4.8

  Yes

  No

• 34. Crown painted a contrasting color? Recommended - XTO

  Yes

  No

• 35. Jack pad/jack stands in good condition used properly? Recommended - XTO

  Yes

  No

• 36. Base beam in good condition/adequate footing provided? Recommended - XTO

  Yes

  No

Carrier/Work Platform

• 37. Carrier is clean and orderly/free of trip hazards? 1910.22 (a) (1)

  Yes

  No

• 38. Guardrails/handrails in place/good condition? 1910.24 (h) / 1910.23 (c) (1)

  Yes

  No

• 39. Are guardrails/ handrails pinned in place? XTO recommended

  Yes

  No

• 40. Wheel chocks in place? RP54 11.1.2

  Yes

  No

• 41. Emergency brakes set? RP54 11.1.2

  Yes

  No

• 42. Work floor in good condition? Recommended - XTO

  Yes

  No

• 43. Safety signage posted? IADC

  Yes

  No

• 44. Is V-door opening guarded? 1910.23 (c) (1)

  Yes

  No

Draw works

• 45. Guards are in place? RP54 9.4.2

  Yes

  No

• 46. Drill line in good condition? RP9B 3.3.3 / RP9B 3.3.10

  Yes

  No

• 47. When was drill line last changed?

• 48. Winch line in good condition? (Cat Line) RP9B 3.2.7

  Yes

  No

• 49. Dead end of drilling line anchored? RP9B 3.3.9

  Yes

  No

• 50. Are all brake linkage pins & cotter pins properly placed?

  Yes

  No

• 51. Tubing/sand line brake latch in good condition? Recommended - XTO

  Yes

  No

• 52. Sufficient wraps on drum with blocks down? (5 wraps at ground) RP54 9.6.4 / RP9B 3.3.10(b)

  Yes

  No

• 53. Sand line/clutch throttle guarded? 1910.212 (a) / 1910.219 (i) (2)

  Yes

  No

• 54. Are engine emergency kill switches properly working? RP54 9.4.5

  Yes

  No

Tools and Equipment

• 55. Tubing/Rod tongs in good condition/snub lines? RP54 9.9.7 / IADC

  Yes

  No

• 56. Stiff arm/tong safety sling in good condition? RP 54 9.9.4

  Yes

  No

• 57. Block assembly in good condition? RP54 9.7.5

  Yes

  No

• 58. Rod/tubing elevators in good condition? RP54 9.7.1 / RP54 9.7.8

  Yes

  No

• 59. Slips in good condition? RP54 9.9.2

  Yes

  No

• 60. Rod hook in good condition? RP54 9.7.1

  Yes

  No

• 61. Rod transfer in good condition with safety latch? RP54 9.7.1

  Yes

  No

• 62. Bales in good condition? RP54 9.7.1

  Yes

  No

• 63. Condition of hand tools? RP54 6.8.6

  Yes

  No

Well Control Equipment

• 64. TIW valve and wrench on rig floor? (in open position)

  Yes

  No

• 65. BOP Sling in good condition? Recommended - XTO

  Yes

  No

• 66. BOP installed with all nuts/bolts in place? RP54 6.4.1

  Yes

  No

• 67. Accumulator valves in open/closed position? RP54 7.2.2

  Yes

  No

• 68. Accumulator at least 50 feet from well? RP54 7.2.2

  Yes

  No

• 69. Accumulator operational warning signs posted? 1910.145 (c) (2) (i)

  Yes

  No

• 70. All unused hydraulic lines capped and secured? RP54 6.4.18 / RP53 10.2.li

  Yes

  No

• 71. Accumulator bottles labeled with contents? 1910.1200 (f) (5-6)

  Yes

  No

• 72. Gauges properly installed and located? RP53 8.2i

  Yes

  No

• 73. Metal clad lines equipped with whip checks? “General Duty Clause” OSHA

  Yes

  No

Safety/General

• 74. Safety harnesses in good condition? 1910.132 (c) / RP54 5.5.1

  Yes

  No

• 75. Shock absorbing lanyards in use? 1910.132 (c) / RP54 5.5.1

  Yes

  No

• 76. SRL/Climbing device in good condition? 1910.132 (c) / RP54 5.5.1 / 1910.27 (d) (5)

  Yes

  No

• 77. Adequate number of fire extinguishers/inspected? (4 minimum) 1910.157 (d) (2-6) / 1910.157 (e) (1-5)

  Yes

  No

• 78. Are fire extinguishers adequately elevated off of ground?

  Yes

  No

• 79. LOTO kit available? RP54 6.9.1 / RP54 9.14.9

  Yes

  No

• 80. First aid kit/Blood borne pathogen available? 1910.151 (b) / RP54 4.3.2

  Yes

  No

• 81. SDS manual available? 1910.1200 (g) (1) / 1910.38 (b) / 1910.120 (q) (1-2) / RP49 7.3-8 / RP68 7.3-9

  Yes

  No

• 82. Safety meetings held and documented properly? RP54 6.1.7

  Yes

  No

• 83. Geronimo installed and in good condition? RP54 6.10.1

  Yes

  No

• 84. Geronimo line properly anchored/clear path? RP54 6.10.1

  Yes

  No

• 85. Proper clothing worn by crew(no loose clothing)? 1910.132 (a) / RP54 5.2.5 / RP54 5.2.6

  Yes

  No

• 86. Hard Hats/Safety Glasses used by crew? RP54 5.2.1 / 1910.135 (a) (1-2) / RP54 5.2.2 / 1910.133 (a) (1-5)

  Yes

  No

• 87. Steel toed shoes worn by crew? 1910.136 (a) / RP54 5.2.3

  Yes

  No

• 88. Hazardous jewelry not worn by crew? RP54 5.2.7

  Yes

  No

• 89. No smoking rules observed? RP54 7.1.3

  Yes

  No

• 90. First aid/CRP training provided? 1910.151 (b)

  Yes

  No

• 91. Emergency numbers posted? RP54 4.2.1 / RP49 7.6-7 / RP68 7.7-8

  Yes

  No

• 92. Boatswains chair available for hoisting personnel? Recommended -XTO

  Yes

  No

• XTO Comments/Concerns

• Rig Company Comments/Concerns

Personnel

• Rig Operators Name

• Derrick Man Name

• Floor hand Name

• Floor hand Name

• Rig Company Representative

  Sign

• XTO Representative

  Sign