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Workover HSE Audit - - master
Workover HSE Audit - - master
JJ Yaakov

Workover HSE Audit - - master

ND Energy Services HSE Audit Rigs

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Free Workover HSE Audit - - master Checklist

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Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

  • Personnel

  • Rig Number:

  • Well Name:

  • Customer:

  • County/State:

  • Operator:

  • Crew Members:

  • Tool Pusher:

  • Current Operations:

General Location

  • A. Distance from overhead power lines 150’ [GT 10ft..........API RP54 10.1.1]

  • B. Hazard signs displayed [1910.1200(f) 1910.145 (c)(2)(I)(3)/1910.14(c)c(3)

  • C. Fall lane of derrick clear

  • D. Vehicle out of guy pattern API RP 49 8.1 / RP 68 8.1 / RP54 6.1.15

  • E. No Smoking Area Designated API RP54 7.1.2-3, 1910.145 (c)(2)(I)

  • F. Location Housekeeping 1910.22(a)(1), API RP54 6.5.1

  • G. Pump Unit secured

  • H. Lock-Out/Tag-Out used 1910.147(c)(6)

Guying

B. Tubing board guys

  • 1. Strung and Crossed API RP9B 3.7.4

  • 2. Three clamps minimum 4 with sheave

  • 3. Internal guys adjusted for tension

A. Crown to ground guy

  • 1. Guy wires flagged RP 4G 14.5(f)

  • 2. Number of wind guys API RP 54 9.2.10 / RP 46 13.1

  • 3. Condition of guy lines API RP4G 13.1

  • 4. Three clamps minimum 4 with sheave API RP9B 3.7.4, RP9B 3.7.4

  • 5. Ground anchors tested API RP4G 14.4 / RP 4G 14.1-5

  • 6. Ground Anchors @ Manufacture spec. API RP4G 14.1-4, RP4G 13.1. RP54 9.2.10

  • 7. Crown to Ground Guy Lines API RP54 9.2.10, RP4G 13.1

  • 8. Condition of guy lines

Mast/Derrick

  • A. Manufacturer's specification/operation plate API RP5 4 9.2.2 / RP 4G 9.2

  • D. Weight Indicator installed & Visible API RP54.9.10.3

  • B. Damage and excessive corrosion API RP54 9.16.1, RP4G 6.1

  • C. Derrick Stand & Ladder condition API RP54 9.2.12, RP4G App C

  • D. Climb Assist Device 1910.27(d)(5)

  • D. Tubing board condition [hinge, diving board, rails, fingers, frame, wind walls]

  • E. Rod Basket API RP 4G / App - A-B

  • F. Crown railing

  • G. Visual inspection of latch dogs API RP 4G / App - A-B

  • H. Scoping ram stabilizers API RP54 9.2.4, RP4G App A-B

  • I. Crown sheave guards API RP54 9.7.5

  • J. Finger board safety cables API RP 4G / App - was A-B

  • 1. Pipe Fingers in Good Condition

  • K. Cracks, metal failure or wear at hinge points API RP54 9.2.4.16.1 / RP 4G 6.1

  • L. Safety retainers on hinge pins

  • M. Derrick locking pins in place API RP54 9.2.8

  • N. Derrick hydraulic system free of leaks API RP4G App A-B

  • O. Air purged from hydraulic raising cylinder

  • P. Adequate footing

  • Q. Approved Lighting Available if needed 1910.307(b)(1), RP500 10.1-16, RP54 9.14.7

Crew Truck

  • Unit Number

  • Mileage

  • A. Head, tail, signal light

  • B. Glass, mirrors, wipers

  • C. Seat belt used

  • D. Tires/Wheels

  • E. Brakes

  • F. Housekeeping in cab

Doghouse

  • A. Housekeeping

  • B. Stove condition

  • C. Electrical/Lights

  • D. Hitch & safety chains

  • E. Wheels chocked

Tool Trailer

  • A. Lights

  • B. Wheels chocked

  • C. Hitch/Safety chains

  • D. Tires/Wheels

  • E. Overall condition

Rig

  • A. Seat belt

  • B. Head, tail, signal light

  • C. Glass, mirrors, wipers

  • D. Flares or reflectors

  • E. Housekeeping in cab

  • 1. Clean Exterior

  • F. Tires/wheels

  • G. Mileage

  • DOT required papers

  • 1. Date of DOT inspection

  • I. Low air buzzer

  • Gauges

Carriers

  • A. Handrails/guard rails on elevated walkway/non skid stairs 1910.24(b)(h), 1910.23(d)(1), 1910.23(c)(1)

  • B. Walkway free of slip trip hazards 1910.23(e)(1), 1910.22(a)(1)

  • C. Wheels chocked API RP54 11.1.2

  • D. Tanks labeled API RP54 8.4.1d, 1910.1200(f)(4-5)

  • E. Fuel or other fluid leaks

  • F. Hydraulic leveling jacks secured by mechanical lock nuts

Draw works/Winch

  • A. Guards API RP54 9.4.2

  • B. Drill line

  • 1. Date installed

  • C. Sand line

  • 1. Date installed

  • 2. Feet

  • D. Sufficient wraps left on drum with blocks down API RP54 9.6.4, RP9B 3.3.10(b)

  • E. Dead-line anchor and retainer API RP54 9.6.5, RP9B 3.3.9

  • F. Hydromatic brake API RP54 9.4.7

  • Crown Saver Device installed & operation API RP54 9.2.16, RP54 9.4.8

  • G. Brake lineage

  • H. Drill/sand line brakes

  • I. Road gear lockout

  • J. Handling winch

Traveling Assembly

  • A. Blocks

  • B. Sheave guards/lock

  • C. Bales/links

  • D. Elevators

  • E. Rod hook

  • F. Transfers with D-ring

Operator Station

  • A. Controls labeled

  • B. Kill switch functional

  • C. BOP closed reminder

  • D. Weight indicator and pads

  • 1. Model

Work Floor

  • A. Level/even surfaces

  • B. Work floor secured in up positive position

  • C. Sliding section has stops and pins

  • D. Suspension cables chains grade 8

  • E. Support suspension pins with keepers/clevis positive chain hooks

  • F. Steps/handrails

Tools and Equipment

  • A. Power tongs condition

  • B. Safety gates

  • C. Backup

  • D. Stiff arm, snub line

  • E. Hoses/Fittings

  • F. Tong/positioner

Well Control Equipment

  • A.BOP's installed, tested, and functional

  • B. Training

  • C. Safety valves in open or closed position

  • D. Accumulator valves in open or closed position

Hand Tools

  • A. Condition

  • B. Cleanliness

  • C. Stored

Safety

  • A. PPE

  • B. Fall protection

  • C. JSA

  • D. Smoking designated area

  • E. First aid training

  • F. Fire extinguishers

  • G. Lockout/Tagout

  • H. SDS

  • I. Emergency #'s

  • J. SCBA's

  • K. H2S monitors

  • L. Briefing area

  • M. Line charts

  • N. Derrick escape equipment

  • O. Lifting chains tagged

  • P. Rig grounded to well head

  • Q. First aid kit

  • R. Fire blankets

  • S. Splints

  • T. Eye wash

  • Inspected By:

  • Inspection Date:

  • Select date

Workover HSE Audit - - master
JJ Yaakov

Workover HSE Audit - - master

ND Energy Services HSE Audit Rigs

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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