Well Site Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Supervisor in Charge

• Customer

• Well Name

• State

• Home Terminal

Pre-Trip Safety

• Vehicle Pre-trip inspections complete?

  Yes

  No

  N/A

• Convoy Briefing Complete?

  Yes

  No

  N/A

• Equipment Secured?

  Yes

  No

  N/A

• Tractor and trailer paperwork Present and Current?

  Yes

  No

  N/A

• Drivers logs Up to date?

  Yes

  No

  N/A

Pre-job Safety Meeting

• JSA Completed?

  Yes

  No

  N/A

• Everyone Present?

  Yes

  No

  N/A

• Job hazards Identified?

  Yes

  No

  N/A

• Out line of services being performed?

  Yes

  No

  N/A

• Job responsibilities outlined?

  Yes

  No

  N/A

• Restricted work areas identified?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Safety Equipment being used

• Hard hats

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Gas detectors

  Yes

  No

  N/A

• Breathing apparatus

  Yes

  No

  N/A

• Safety harness

  Yes

  No

  N/A

• Fire extinguishers annual and monthly inspection current?

  Yes

  No

  N/A

• Fire extinguishers in front of trucks

  Yes

  No

  N/A

• SLP being used and current

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Rig up

• Equipment layout satisfactory

  Yes

  No

  N/A

• Iron certification current

  Yes

  No

  N/A

• Whip checks on iron

  Yes

  No

  N/A

• Injector and lubricator secured properly

  Yes

  No

  N/A

• Crane inspection complete

  Yes

  No

  N/A

• Does crane have an anemometer to check wind speed

  Yes

  No

  N/A

• Crane set up

  Safe

  At Risk

  N/A

• Guard rails and ladders pinned

  Yes

  No

  N/A

• Slings and straps condition

  Safe

  At Risk

  N/A

• Injector goose neck pinned

  Yes

  No

  N/A

• Well head bolted properly

  Yes

  No

  N/A

• Hydraulic line placement

  Safe

  At Risk

  N/A

• Slobber hose draining into containment or basin

  Yes

  No

  N/A

Job Execution

• Job started on time

  Yes

  No

  N/A

• Supervisor in control

  Yes

  No

  N/A

• Employees working as a team

  Yes

  No

  N/A

• Any equipment failures

  Yes

  No

  N/A

• Regular checks of equipment being performed

  Yes

  No

  N/A

• Tools in good working order

  Yes

  No

  N/A

• Have all tools required to perform the job

  Yes

  No

  N/A

• Trash cleaned regularly

  Yes

  No

  N/A

• Leaks on equipment contained

  Yes

  No

  N/A

• Spill kits available and stocked

  Yes

  No

  N/A

• Spill containment in place

  Yes

  No

  N/A

• High pressure areas flagged or taped

  Yes

  No

  N/A

Outside of equipment

• Is equipment clean

  Yes

  No

  N/A

• Condition of paint

  Yes

  No

  N/A

• Unit numbered

  Yes

  No

  N/A

• GVW# on vehicle

  Yes

  No

  N/A

• IFTA Sticker on vehicle

  Yes

  No

  N/A

• Company logo

  Yes

  No

  N/A

• Condition of wiper blades

  Safe

  At Risk

  N/A

• Condition of all glass and mirrors

  Safe

  At Risk

  N/A

• Lights and reflectors

  Safe

  At Risk

  N/A

• Turn and emergency signals

  Safe

  At Risk

  N/A

• Fuel tank mounts, caps

  Safe

  At Risk

  N/A

• Placards and holders

  Yes

  No

  N/A

• Chocks blocks

  Yes

  No

  N/A

• Tire chains

  Yes

  No

  N/A

• Mud flaps

  Yes

  No

  N/A

• Trailer plugs and hitch

  Safe

  At Risk

  N/A

• Trailer brakes system

  Safe

  At Risk

  N/A

• Tool boxes uncluttered

  Yes

  No

  N/A

• 2-20LBS fire extinguishers stored on equipment

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Driving cab

• Current registration and insurance

  Yes

  No

  N/A

• Current annual inspection

  Yes

  No

  N/A

• Overall condition in cab and sleeper Clean

  Yes

  No

  N/A

• Up to date haz paper work

  Yes

  No

  N/A

• First aid kit on site

  Yes

  No

  N/A

• 1-2 1/2LBS fire extinguisher in cab and secured

  Yes

  No

  N/A

• Addition vehicle issues

  Yes

  No

  N/A

CT Unit operators cab

• Emergency phone numbers posted

  Yes

  No

  N/A

• Copy of field safety manual

  Yes

  No

  N/A

• Copy of emergency response plan

  Yes

  No

  N/A

• Up to date line log book

  Yes

  No

  N/A

• 1- 2 1/2LBS fire extinguisher in cab

  Yes

  No

  N/A

Post job

• Job performance review with client

  Yes

  No

  N/A

• Required paperwork left with client

  Yes

  No

  N/A

• Area policed

  Yes

  No

  N/A

• Spills cleaned up before leaving location

  Yes

  No

  N/A

• Location left clean

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Comments from supervisor

• Comments from client

• Supervisor signature

  Sign

• Field inspector signature

  Sign