Well Site Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• District

• Well number

• Name of Supervisor

• GPS Coordinates

• Well site Photo

  Media

Area Description

• Facility identified at entrance to access road?

  Yes

  No

• Access to well facility suitably maintained?

  Yes

  No

• Well facility suitably identified?

  Yes

  No

• Approximate size of location?

• Type of adjacent land usage?

• Single well or cluster?

  Single

  Cluster

• Amount of wells in cluster?

• Well site fenced?

  Yes

  No

• Well site area flood prone?

  Yes

  No

• Well site area shows sign of recent flooding?

  Yes

  No

• Well site area shows signs of recent erosion?

  Yes

  No

• Well site area shows signs of public trespassing?

  Yes

  No

• Are there frequent complaints from neighboring communities / establishments about this facility?

  Yes

  No

Pollution Prevention / Safety Protection (Well Infrastructure)

• Well operating status?

  Pumping

  Suspended

  Swabbed

  PCP

  Gas Lift

• Condition of stuffing box acceptable?

  Yes

  No

• Condition of well head acceptable?

  Yes

  No

• Condition of site tank acceptable?

  Yes

  No

• Is casing venting to atmosphere?

  Yes

  No

• Pumping unit properly installed?

  Yes

  No

• Belt guard suitably maintained?

  Yes

  No

• Fan/motor guard suitably maintained?

  Yes

  No

• Pipes and fittings rated for safe operation?

  Yes

  No

• Flow lines properly identified?

  Yes

  No

• Electrical cable to motor suitably insulated/protected?

  Yes

  No

• Electrical switch box suitably maintained?

  Yes

  No

• All applicable safety/warning signs prominently displayed?

  Yes

  No

Oil Saver / Earthen Pit

• Oil saver / earthen pits present?

  Yes

  No

• Oil saver fenced or covered?

  Yes

  No

• Infrastructure of oil saver/sump?

  Concrete

  Earthen

  Oil sand

• Approximate size of oil saver?

• Is there an inflow of storm water into the oil saver?

  Yes

  No

• Is there a storm water bypass?

  Yes

  No

• Are there doglegs present?

  Yes

  No

• Are the doglegs suitably maintained?

  Yes

  No

• What is the color and quality of effluent?

  oil free

  rainbow sheen

  oil globules

• Condition of effluent drain acceptable?

  Yes

  No

• Oil saver pumped down frequently?

  Yes

  No

• Are there evidence that the saver has overflowed or leaked?

  Yes

  No

Solid Waste Management

• Facility free of litter?

  Yes

  No

• Waste and other miscellaneous trash adequately disposed?

  Yes

  No

Drilling and Effluent Pits

• Are there any abandoned drilling / effluent pits present?

  Yes

  No

• Dimension of drilling pits?

• Surface pit contents

HSE Management

• As there procedures for the operation and maintenance of this facility?

  Yes

  No

• Are these procedures technically sound to ensure regulatory compliance?

  Yes

  No

• Is ERP readily available?

  Yes

  No

• Is Risk Register available?

  Yes

  No

Non Conformance Photographs

• Add media

  Media

• Audit conducted by Perry Jagdeo HSE Specialist

  Drawing