Working In Hot Environments - Camp Move

• File Name

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

TRAINING

• All personnel have attended heat stress training

• Compliance level

  Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

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• Additional awareness training is conducted during hotter months

• Compliance level

  Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

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PROCEDURES

• Risk register captures heat stress

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

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• Emergency response plan identifies how to manage heat stress medical incidents

• Compliance level

  Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

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• Heat Stress Management Plan developed, known by crew and available on site

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

  Media

• Procedures identify heat stress as a risk when task is being conducted

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

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• Hydration form used during heat stress months to monitor fluid intake and loss during heat stress months

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

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HEATSTRESS CONTROL STRATEGIES

• Rig moves are conducted during the cooler part of the day

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

  Media

• Truck drivers and Electricians are monitored on location when loading/unloading and rigging up/down camp

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

  Media

• Heat Stress is discussed and documented in the safety meeting prior to rig move

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

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• Adequate supply of drinking water is available including drink containers, personal drink bottles etc.

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

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• Electrolyte supplements available and used

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

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• Sufficient crew available to assist with camp move

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

  Media

• Hydration charts available on location to assist with assessing hydration levels

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

  Media

• Medical conditions are known by camp manager that may have an impact on heat stress management

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

  Media

• Staff can identify and know what signs are associated with the initial onset stages of heat stress

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

  Media

• Shade and refuge is available for crew during rig move operations

• Select 0 - Critically non-compliant 1 - Largely non-compliant 2 - Partially compliant 3 - Substantially compliant 4 - Fully compliant N/A

  • 0 - Critically non-compliant
  • 1 - Largely non-compliant
  • 2 - Partially compliant
  • 3 - Substantially compliant
  • 4 - Fully compliant
  • N/A

• Add media

  Media

Corrective Actions

• Corrective action 1

• Corrective action 2

• Corrective action 3

• Corrective action 4

• Corrective action 5

• Signatures

  Drawing