Workover Audit

• Location Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Contractors Present

• Company Man/Foreman/Super Responsible for the Job

Location Safety & Safety Equipment

• Signs in place at location entrance I.E. No Smoking, PPE, 1910.145

  Safe

  At Risk

  N/A

• Visitor tracking system in place. Std. 1910.38

  Safe

  At Risk

  N/A

• Clearance from all energized power lines 10 ft. Std. RP54 10.1.1

  Safe

  At Risk

  N/A

• Geronimo on-line and ready for immediate access and use when racking tubulars. Std. RP54 6.10.1

  Safe

  At Risk

  N/A

• All guy wires flagged & up. Std. RP4G 7.6.F

  Safe

  At Risk

  N/A

• Fire extinguishers at each anchor min (2-30#) Std.1910.157

  Safe

  At Risk

  N/A

• No vehicles inside of anchor pattern when possible or within 100FT of well/fall path of mast. Std. RP545.1.15

  Safe

  At Risk

  N/A

• First aid kit in place, full, clean, and good condition. Std. 1910.151

  Safe

  At Risk

  N/A

• Blood borne pathogen kit. Std. 1910.151 (b)

  Safe

  At Risk

  N/A

• Hearing protection provided. Std. 1910.95

  Safe

  At Risk

  N/A

• Fall protection to assure 100% tie off 100% of the time. Std. 1910.66

  Safe

  At Risk

  N/A

• Full body harness w/double climbing hook or y-lanyard. Std. 1910.66

  Safe

  At Risk

  N/A

• Self retracting life line attachment in good condition. Std. 1910.66

  Safe

  At Risk

  N/A

• Self retracting line used at tubing board. Std 1910.132

  Safe

  At Risk

  N/A

• Double latch hooks on all lanyards & lifting rigging. Std 1910.66

  Safe

  At Risk

  N/A

• Breathing packs in place @ anchors. Std. RP55 3.3

  Safe

  At Risk

  N/A

• H2S sensors in place and calibrated, checked daily. Std. 1910.1000.E

  Safe

  At Risk

  N/A

• Wind sock or flag in place. Std. RP55 4.5

  Safe

  At Risk

  N/A

• Designated smoking area posted. Std. 1910.145.C.2.i

  Safe

  At Risk

  N/A

• Emergency phone list. Std. RP54 4.2.1

  Safe

  At Risk

  N/A

• OSHA poster in the tool house. Std. 1903.2 (A)(II)

  Safe

  At Risk

  N/A

Guy Lines

• Minimum 4 crown guys anchored. Std. RP4G 6. 1-8

  Safe

  At Risk

  N/A

• Tubing board guys crossed and anchored properly. Std. RP4G7. 1-8

  Safe

  At Risk

  N/A

• Tubing board guy lines proper size - 9/16" min. - with factory eye's at board and crossed with appropriate sag (10/12). Std. RP9B3.7

  Safe

  At Risk

  N/A

• All guy lines in good condition- free of kinks, wickers, & corrosion. Std. RP4G 5.1.C

  Safe

  At Risk

  N/A

• Ground anchors with weatherproof tag permanently attached to each anchor installed & pull tested every 2 years w/ documentation. Std. RP4G 14.5

  Safe

  At Risk

  N/A

• All anchors inspected w/ tag and visible markers. Std. RP4G14.5

  Safe

  At Risk

  N/A

• All chains secured. Std. RP4G 7.1-8

  Safe

  At Risk

  N/A

• All non-factory ends fitted with min. 3 clamps of proper size or 4 clamps if through sheaves. Std. RP4G13.3 & RP9B 3.7.4

  Safe

  At Risk

  N/A

Foundation

• Check location for solid footing under unit. Std. RP4G15.1

  Safe

  At Risk

  N/A

• mat under load bearing portion of rig and jacks where foundation is questionable. Std. RP4G15.1

  Safe

  At Risk

  N/A

Mast / Derrick

• Manufacturer name and specs. Plate in place and legible. Std. RP4G52.1

  Safe

  At Risk

  N/A

• Guying data plate on Derrick. Std. RP54-9.9.2

  Safe

  At Risk

  N/A

• Derrick/mast certification 5yr. Std. RP54/ RP4G

  Safe

  At Risk

  N/A

• Derrick/mast load path certification 2 yr. Std. RP54/RP4G

  Safe

  At Risk

  N/A

• No visible damage to legs, braces. Std. RP54 9.16.1

  Safe

  At Risk

  N/A

• All welds in good condition. Std. RP54 9.2.4

  Safe

  At Risk

  N/A

• Ladders in good condition and properly positioned. Std. RP54 9.3.1-2

  Safe

  At Risk

  N/A

• Board properly mounted and in good condition. Std. RP54 9.2.17

  Safe

  At Risk

  N/A

• Board fingers in good condition and snubbed. Std. RP54 9.2.17

  Safe

  At Risk

  N/A

• Board rails in good condition and snubbed. Std. RP54 9.2.17

  Safe

  At Risk

  N/A

• Rod board properly mounted and in good condition. Std. RP54 9.2.17

  Safe

  At Risk

  N/A

• Rob board fingers in good condition and snubbed. Std. RP54 9.2.17

  Safe

  At Risk

  N/A

• Rob board rails in good condition and snubbed. Std. RP54 9.2.17

  Safe

  At Risk

  N/A

• Derrick climber and counter weight installed & properly anchored. Std. 1910.132<br>

  Safe

  At Risk

  N/A

• Derrick climber available at floor when Derrick is raised. Std. 1910.27(d)(5)

  Safe

  At Risk

  N/A

• Derrick free of loose objects. Std. RP54.8.2.5

  Safe

  At Risk

  N/A

• All board hinge points free traveling and lubricated. Std. RP54 9.2.4

  Safe

  At Risk

  N/A

• Derrick stabilizer on scoping cylinder in good condition. Std. RP54 9.2.4

  Safe

  At Risk

  N/A

• Insure Derrick latch dogs are in place and flagged.

  Safe

  At Risk

  N/A

• Crown sheaves guards in place and in good condition. Std. RP54 9.7.5

  Safe

  At Risk

  N/A

• All pins in place W/ safety pins in place. Std. RP54 9.2.8

  Safe

  At Risk

  N/A

• Tail pin screws not screwed out over 6 inches of threads

  Safe

  At Risk

  N/A

• Check all hydraulic cylinders for leaks.

  Safe

  At Risk

  N/A

• No loose objects left in Derrick; transfers, rod shucks, chains, etc. inventory tools taken into Derrick. Std. RP54 8.2.5

  Safe

  At Risk

  N/A

• All light fixtures class 1-zone 2 rating. Std. 1910.307.b.1

  Safe

  At Risk

  N/A

• All lights secured with safety cables. Std. RP54 9.3.1

  Safe

  At Risk

  N/A

• CGB's (cord grip bushing) in place on all lights and electrical connections. Std. 1926.403<br>

  Safe

  At Risk

  N/A

Carrier

• Handrails and steps installed, secured with pins, and in good condition. Std. 1910.23

  Safe

  At Risk

  N/A

• Toe boards in place on hand rails. Std 1910.23

  Safe

  At Risk

  N/A

• All belts and fans guarded. Std. 1910.212

  Safe

  At Risk

  N/A

• Wheels chocked. Std. RP54 11.1.2

  Safe

  At Risk

  N/A

• Fuel tanks labeled- no smoking, flammable. Std. 1910.145(c)(2)(I)

  Safe

  At Risk

  N/A

• No fuel leakage. Std. OSHA 14.2J

  Yes

  No

  N/A

• Tires and wheels in good condition. Std. OSHA 14.2E

  Safe

  At Risk

  N/A

• Hydraulic leveling jacks in use. Std. OSHA 14.2G

  Safe

  At Risk

  N/A

• Hydraulic leveling jacks secured with lock nuts. Std. OSHA 14.2H

  Safe

  At Risk

  N/A

• Good foundation under jacks

  Safe

  At Risk

  N/A

• No loose or flammable material stored in cab, no starting fluid. Std. OSHA 14.1A

  Safe

  At Risk

  N/A

• Glass and mirrors in good condition. Std. 1926.50A/R

  Safe

  At Risk

  N/A

• All vessels labeled as to their contents. Std. 1910.1200

  Safe

  At Risk

  N/A

• Yes

  No

  N/A

Draw works

• All guards in place. Std. RP54 9.4.2

  Safe

  At Risk

  N/A

• Drum guard in place to protect employees, their clothing & equipment from fouling in drum. Std. RP54 9.4.2

  Safe

  At Risk

  N/A

• Tubing line is in good condition. Std. 1910.184

  Safe

  At Risk

  N/A

• Wire rope management system in place on tubing line etc. Std. API RP4G

  Safe

  At Risk

  N/A

• Swab line in good condition. Std. 1910.184

  Safe

  At Risk

  N/A

• Brake assembly parts meet or exceed OEM specs.

  Safe

  At Risk

  N/A

• Assure road gear lockout. Std. RP54 11.1.2

  Safe

  At Risk

  N/A

• Winch line in good condition. Std. 1910.184

  Safe

  At Risk

  N/A

• Grade 8 chain in use for all lifting operations & rigged properly & tagged correctly. Std. 1910.184

  Safe

  At Risk

  N/A

• Proper hooks on all lifting chains. Std. 1910.184

  Safe

  At Risk

  N/A

• Crown-o-matic inspected and tested

  Safe

  At Risk

  N/A

Operator station/work platform/floor

• All controls labeled properly

  Safe

  At Risk

  N/A

• Kill switch available, functional, and protected.

  Safe

  At Risk

  N/A

• Work floor level and properly supported

  Safe

  At Risk

  N/A

• All guard rails and hand rails in place and secure. Std. 1910.23(c)(1)

  Safe

  At Risk

  N/A

• Support/suspension pins installed w/ keepers (no bolts) Std. OSHA Insp.

  Safe

  At Risk

  N/A

• Minimum of two stairways to floor. Std. RP54 9.3.10

  Safe

  At Risk

  N/A

• All stairs secured. Std. 1910.36

  Safe

  At Risk

  N/A

Racking Board & Diving Board

• Guard rails in good condition and pinned, when in use. Std. 1910.23(c)(1

  Safe

  At Risk

  N/A

• Holes in floor covered. Std. 1910.23(a)(8-9)

  Safe

  At Risk

  N/A

• Good foundation under racking boards 3x12's. Std. RP4G 15.1

  Safe

  At Risk

  N/A

Power Tongs

• Safety gate in place and functional. Std. RP54 6.8.3

  Safe

  At Risk

  N/A

• Back up-proper type in place. Std. RP54 9.9.4

  Safe

  At Risk

  N/A

• Stiff arm & snub line, clamps in place and in good condition. Std. RP54 9.9.4

  Safe

  At Risk

  N/A

• Tong head guard in place and in good condition. Std. RP54 6.8.3

  Safe

  At Risk

  N/A

• Hoses and fittings in good condition, no leaks. Std. RP54 9.9.9

  Safe

  At Risk

  N/A

• Tong support line in good condition. Std. 1910.184

  Safe

  At Risk

  N/A

• Tong safety hanger in good condition. Std. 1910.184

  Safe

  At Risk

  N/A

Traveling Assembly

• Blocks in good condition. Std. RP54 9.7.1

  Safe

  At Risk

  N/A

• Sheave guards in place. Std. RP54 9.7.4

  Safe

  At Risk

  N/A

• Hook in good condition, lock in good condition. Std. RP54 9.7.1

  Safe

  At Risk

  N/A

• Elevator links in good condition. Std. RP8B

  Safe

  At Risk

  N/A

• Elevators in good condition. Std. RP8B

  Safe

  At Risk

  N/A

• Rod hooks-latching and spring mechanism wear. Std. RP8B CAT. IV

  Safe

  At Risk

  N/A

• Transfer elevators in good condition-safety latches & transfer line in good condition.<br>Std. RP54 9.7.1<br>

  Safe

  At Risk

  N/A

• Transfer pickup eye in good condition, nut lock pin in place. Std. RP54 9.7.1

  Safe

  At Risk

  N/A

• All bolts in place in side covers on blocks. Std. RP54 9.7.1

  Safe

  At Risk

  N/A

• All bolts in place on all traveling equipment & tight. Std. RP54 9.7.1<br>

  Safe

  At Risk

  N/A

Circulating systems

• Standpipe secured to Derrick. Std. RP54 8.a

  Safe

  At Risk

  N/A

• High pressure fittings on all connections. Std. 1910.169

  Safe

  At Risk

  N/A

• Safety relief valve in place and set properly. Std. 1910.169

  Safe

  At Risk

  N/A

• Relief line properly anchored. Std. 1910.169

  Safe

  At Risk

  N/A

• Pump guards in place. Std. 1910.212

  Safe

  At Risk

  N/A

• Mud pit walkways and stairs in good condition & anchored. Std. 1910.22-23

  Safe

  At Risk

  N/A

• Mud mixing area, all ppe in place. Std. 1910.132

  Safe

  At Risk

  N/A

Well Control Equipment

• Assure test chart for all BOPE. Std. RP54 6.4.1

  Safe

  At Risk

  N/A

• All bolts in place in all flanges. Std. RP54 6.4.1

  Safe

  At Risk

  N/A

• Floor valve in place w/ proper x-over. Std. RP54 6.4.2

  Safe

  At Risk

  N/A

• Accumulator properly installed-no leaks. RP54 6.4.1

  Safe

  At Risk

  N/A

• Cover over blind/shear ram control handle. Std. RP53 12.5.3.f

  Yes

  No

  N/A

• Hydraulic system charged. Std. RP54 6.4.1

  Safe

  At Risk

  N/A

• Controls labeled. Std. RP54 6,4,1

  Safe

  At Risk

  N/A

• All BOPE tested and functional. Std. RP54 6.4.1

  Safe

  At Risk

  N/A

• All unused accumulator lines capped. Std. RP54 6.4.18

  Safe

  At Risk

  N/A

• BOP control lines and valves identified. Std. RP54 6.4.11

  Safe

  At Risk

  N/A

• Accumulator lines in open/closed position. Std. BP S.M. 5 1-2

  Safe

  At Risk

  N/A

Safety Equipment

• Fire extinguishers minimum 30 lb. min. 2, located at guy line anchors. Std. 1910.157

  Safe

  At Risk

  N/A

• Personal protective equipment in use, std. RP54 5.2.3

  Safe

  At Risk

  N/A

Procedures In Place

• Crews trained in JSA Program. Std. RP54 6.1.7

  Safe

  At Risk

  N/A

• JSA program in use w/ written JSA's in place. Std. RP546.1.7

  Safe

  At Risk

  N/A

• Emergency plan in place and understood by all employees. Std. 1910.38.b

  Safe

  At Risk

  N/A

• LOTO in place and utilized. Std. 1910.417

  Safe

  At Risk

  N/A

• SDS/SPCC plan in place and current

  Safe

  At Risk

  N/A

• First aid/CPR 2 per crew w/ cert. card. Std. RP54 4.3.1

  Safe

  At Risk

  N/A

• Full body harness available. Std. 1910.66

  Safe

  At Risk

  N/A

• Auxiliary lifting equipment register on-site ( wire rope, chains, hooks, chuckles).

  Safe

  At Risk

  N/A

• Yes

  No

  N/A

• Add signature

  Sign