Information
General Information
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Well Site Name
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Location
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Prepared by
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Document No.
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Conducted on
Location
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Northern Operation
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CNX
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Rice
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Chief
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Williams
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HESS
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Statoil
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Triad
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Transenergy
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Seneca
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Talisman
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Other
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Southern Operation
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Marathon
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Halcon
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Sabine
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Statoil
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Talisman
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Other
Personnel and Equipment
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Perf #
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Trailer #
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Engineer
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Lead Operator
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Operators
Job Type
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Pump Down Operation
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TCP Operation
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Are all AHWS employees staying clear of area until ready for TCP Operations?
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Are feet and limbs clear from under the gun when rigging down guns from coil tubing?
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When breaking off the gun carrier, are heads down shielding their face from trapped pressure?
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Due to the breaking down of guns in the vertical position; are employees aware of the swing radius of the pipe wrenches?
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Are employees transporting guns safely and using lifting caps at all times?
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Vertical Operation
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Logging Operation
Client Specific SOP
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Does each AHWS employee have correct and current orientation sticker or card for the location that they are on?
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Are all employees aware of O-ring removal SOP and following correctly?
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Does each AHWS employee have their proper fit test card along with their H2S Performance training card?
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Are all personnel wearing AHWS issued H2S monitors (properly, that are in working order, and have been bump tested before shift)?
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Are all AHWS employees aware of using Axiom Medical Consulting for their HSE first aid or greater incidents?
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Are all fire extinguishers currently inspected, charged and tagged (yellow and metal)?
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Is hard hat with face shield and bracket being used when bleeding off the setting tool and/or when disassembling a tool that may contain trapped pressure?
General Safety
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Is location cleared and proper housekeeping practices in place?
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Are all tools in working condition to eliminate too slippage?
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Are employees using proper lifting techniques?
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Are employees aware and avoid pinch points?
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Is the electrical in the pump down trailer current with policy (conduit for external wires, proper junctions boxes for wired connections, etc.)
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No Cheater Pipes or Torque extenders being used on location?
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Is this location considered an H2S location?
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Is the perforator parked so the windsock can be seen?
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Are all personnel wearing AHWS issued H2S monitors (properly, that are in working order, and have been bump tested before shift)?
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Are all HWS personnel on location clean shaven?
PPE
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PPE- are all personnel wearing ANSI z87.1 eye protection?
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PPE- are all personnel wearing face shield with glasses when using grinder or abrasive wheel?
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PPE- are all personnel wearing FR clothing with reflective tape clearly visible?
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PPE- do all personnel have standard F2413-05 steel toe boots? Metatarsal Boots for Victoria Operations?
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PPE - are personnel wearing ANSI standard hard hats
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PPE - is all jewelry removed from fingers and wrist. Any long hair or loose clothing secured when working in PPE required areas?
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PPE - are gloves being used when required?
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PPE - is fall protection being used when employee is at risk of falling above 4 feet?
Pressure Control
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Is AHWS Pressure Control Gear on Location
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Trailer Number
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Are all hydraulic hoses marked with burst and working pressures?
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Is the Grease used for the wireline pressure control systems rated for current weather conditions?
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Does the Pressure Control gear have a rig up dolly and is it used during rig up/down of lubricator?
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Has each piece of pressure control equipment been inspected and certified for use according to industry standard?
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Are Wheels Chocked?
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Does the Trailer have a current inspection?
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Is the current pressure control package rated for the maximum expected wellhead pressure?
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Does the trailer have a current registration?
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Does the trailer have a fire extinguisher that is serviceable?
Explosives
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Are all employees following RP 67 guidelines when handling explosives?
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Does someone on location have a current explosives license for the state they are working in? (PA, OH)
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Does each employee know the difference between the megohmmeter and the intrinsically safe meter used with explosives?
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Are the grounding cables connected to the wellhead and crane... Is stray voltage low enough to continue operations?
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Is the pump down trailer grounded?
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Is the blast tube for detonators being used?
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Are we using RF safe explosives?
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Are explosives signs out and cell phones and RF transmitters turned off?
SDS
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SDS- current legible copy for chemicals used on location?
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SDS- Are all containers labeled for the contents?
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HMIS-Are all containers properly labeled with the HMIS labels?
Rig Up
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Has a per-job safety brief (M3) occurred before the start of any work?
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Picture of the M3
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Is the signal person listed on the M3?
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Signal Person:
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Is there a current copy of the Explosive Usage Tracker?
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Take picture of Explosive Usage Tracker
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Do all sheaves have safety pins in the Clevis to prevent the nut from backing off?
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Has the wireline crews work area been isolated with warning tape?
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Is the crew using bolt type anchor shackle with cotter pin?
Lifting Gear
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Are we utilizing our lifting gear on this job?
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Has Owners lifting certs been checked for compliance?
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Which AHWS Employee physically checked these Certificates?
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Who Owns the lifting gear?
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Does the bottom sheave have a current cert?
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S/N:
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Expiration Date:
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Does the top sheave have a current cert?
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S/N:
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Expiration Date:
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Does chain one have a current cert?
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S/N:
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Expiration Date:
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Does chain two have a current cert?
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S/N:
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Expiration Date:
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Does the 12 T shackle have a current cert?
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Expiration Date:
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S/N:
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Does the 6 T shackle have a current cert?
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S/N:
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Expiration Date:
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Is the dog bone being used?
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Does it have a current certification?
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S/N:
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Expiration Date:
Crane
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Is the crane operated by AHWS Personnel?
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Crane Number
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Does the crane have a current insurance card?
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Does the crane have current Federal/State inspection?
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Does the crane operator have his NCCCO and state licenses on him?
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Are the outriggers set on a firm lever surface?
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Is the crane inspected as per AHWS policy?
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Does the crane have a current registration?
Truck and Trailer information
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Perforator
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Perf Number
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Does the Truck have a current state/federal inspection?
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Does the Truck have a current registration?
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Does the Truck have a current insurance card?
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Does the Truck have a current IFTA sticker and license?
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Is there a current HUT permit in the truck?
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Does the truck have a current copy of the ERG, Hazardous materials compliance and safety regulation books?
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Does the truck have a fire extinguisher that is serviceable?
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Are the wheels chocked?
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Pumpdown or TCP Trailer
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Trailer Number
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Is the trailer equipped with bench bumper/roll off guards?
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Does the trailer have a current federal/state inspection?
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Do the lights in trailer have the proper cages or covers?
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Does the trailer have a current registration?
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Does the trailer have a fire extinguisher that is serviceable?
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Are the Wheels Chocked?
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Pickup
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Pickup Number
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Does the Truck have a current state/federal inspection?<br>
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Does the Truck have a current insurance card?
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Does the truck have a current copy of the ERG, Hazardous materials compliance and safety regulation books?
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Does the truck have a fire extinguisher that is serviceable?
Notes
Pictures
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