hse management visit checklist template final

HSE MANAGEMENT VISIT CHECKLISTRev. 00 Date: 09/06/12

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Well Site: Rig Number: Management Representative (s) Date:

Item Nr.

ITEMS VERIFIED Yes No Remedial actionsDue Date

1. Visible Safety and Induction

1.1Is there a welcome board with key safety information posted in high visibility location?

1.2Did you receive a safety/security induction briefing on arrival on site?

1.3 If there is POB control, did you receive a T-card?

2. Tool Pusher / Rig Manager Office

2.1Are the updated HSE policies (Corporate, Company and Project) posted (in English, Arabic and other user language)?

2.2

Is the HSE documentation available?1. HSE Onshore procedures Manual2. Emergency Procedures Manual3. HSE Plan and Appendices4. Health Plan5. Bridging Document 6. Safety Case

2.3 Are all the folders well organized?

2.4Is the updated telephone numbers list (including emergency numbers) posted?

2.5 Is the updated MEDEVAC flowchart posted?

2.6

Is Well Control procedure current? Is there a kick control work sheet, indicating local well maximum working pressures, and circulating rates?

2.7 Is the BOP stack drawing posted?

2.8Are the records of the BOP test updated and available?

2.9Is all certification for rig equipment (mast, substructure, BOP’s, etc) available on site

2.10Is the technical documentation covering all the equipment on site?

2.11Is the Preventive Maintenance System available and updated?

2.12Are the Rig layout and the Safety equipment lay out posted?

2.13

Is there a register of weights for all standard rig inventory heavy items which may be lifted or winched? Are critical or tandem lift procedures / lift plans available and followed?

2.14Is the tubular material Rotation Hours Tally available?


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2.15

Are the minimum of 2 x 2 SCBA sets are available? Are they functional, and ready to be deployed?Are they located in opposite corners of the location so wind direction will not restrict the rescue capability?

2.16

Does this well require more H2S equipment than basic minimum, including H2S detection/ alarm systems as well as air supply for workforce to carry out operations in a toxic environment?Is the reserve, resupply or supplied air rescue and work breathing equipment package available? Correctly installed on the Rig?Is it fully supplied with air and equipment functional?

2.17 Is the updated POB posted?

2.18Is the Work Permit notice board updated with the Work Permits currently opened?

2.18 Is the Tag out / Lock out key panel available?

2.19Do mobile cranes have valid certificates of inspection/acceptance from competent authority by Int’l Standards [LOLER, LEEA equivalent?

2.20Are lifting accessories … slings [soft, wire rope, chain], shackles, hooks, in good shape?

2.21Is there a bin/container/ process to quarantine or destroy, damaged lifting accessories?

2.22Is the general housekeeping to an acceptable standard?

3. HSE Supervisor Office3.1

Are the updated HSE policies posted (in English and Arabic)?

3.2 Is the Safety Induction folder up to date?

3.3 Are the folders well organized?

3.4

Are all the practicably valuably HSE documentation available?1. Hazard Risk Register for work scope 2. JHA / JSA 3. HSE Onshore procedures Manual / Method

statements / Checklists4. Emergency Procedures Manual 5. Incident Investigation Reporting 6. UA/UC observation tools [Safety Observation cards,

and register]7. Drills Reports8. Training Plan and Register9. Bridging Document10. HSE Plan and Appendices11. Health Plan

3.5 Is the housekeeping to an acceptable standard?

3.6

Is there an HSE store with supplies of basic PPE and tools, [Toolbox talk cards, checklists, PTW system supplies, LOTO materials, atmosphere testers]?Is it well organized?

3.7Is the safety equipment well maintained and ready to be used?


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3.8Does the HSE engineer have connection to email or intranet / internet for contact with Client?

3.9Are meetings for analysis of the UA/UC Tracking Log, Event Report Log, and Lessons Learned Log held on regular basis? [weekly? bi weekly?]

3.10

Are the Event Investigation Reports received from the Contractors primary support Base available and presented in the weekly safety meetings with the rig crew?

3.11

Is there any evidence Contractor has a program of safety campaigns, and that these campaigns are communicated to the rig crew if formal presentation meetings, posted and the presence of personnel to the presentation of these recorded?

3.12Is the Daily HSE Tour performed properly, and distributed to the Contractors Base and/or client on a daily basis?

3.13Is the Monthly Rig Inspection check list available and completed as per the HSE Procedures?

3.14

4. Dog House4.1 Is the current well shut-in procedure posted?

4.2 Is the Kill sheet updated and available?

4.3 Are the (SCR1) recorded?

4.4 Is the current (MAASP2) posted beside the

Choke/Kill Control Panel?

4.5 Is the trip sheet updated?

4.6Is the BHA Tally Book (including drawings, sizes, type of threads) updated?

4.7 Is the Handovers Register available?

4.8Are charts / technical data regarding tubulars available?

4.9Is the BOP drawing posted and showing the pipe rams sizes?

4.10Are all the gauges and pump stroke counter showing correct values on the Power choke control panel?

4.11 Is the First Aid Box available and completed?

4.12Is the Crown-O-Matic procedure posted and the tests carried out as per procedure?

4.13 Is the derrick climbing procedure posted?

4.14 Is racking board rescue procedures posted?

4.15Has a simulated derrick rescue been performed and documented once a year?

4.16Is the condition of harnesses and other fall protection devices acceptable?

4.17 Is the housekeeping to an acceptable standard?


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1SCR - Slow Circulating Rate 2 MAASP – Maximum Allowable Annular Shut-in Pressure

5. Rig Floor

5.1Is the inside BOP [Hydraulic] located in easy to access location, and is valve handle located nearby in secure location?

5.2 Are all the gauges properly functioning?

53 Is the PVT working properly?

5.4Is the Kelly hose – properly set up with safety lines & clamps?

5.5 Is the torque indicator working properly?

5.6 Is the RPM indicator working properly?

5.7 Is the Weight Indicator working properly?

5.8Are draw works controls clearly and correctly identified, guarded, with provision for locking devices?

5.9 Are the air winches clearly labeled with the SWL?

5.10Are the air winches air supply valves functioning properly?

5.9Are the air winches controls working properly? (operating lever must revert to off position when not operated)

5.10Are the braided wire rope cables correctly coiled on all air winches drums?

5.11Are rotary tongs correctly anchored to prevent uncontrolled movement

5.12Are cat heads in place, if so are they covered? There should be a plan to remove them / replace them with air tuggers.

5.13 Are all the drilling tools in good shape?

5.14Are the drilling tongs back up line attaching points secured with safety pins?

5.15

Are all the gauges showing the correct values on the remote BOP panel?Shear rams = 3000 psi; Pipe rams = 1500 psi; Annular = 1200 psi for drill string or 1500 psi for casing (cover values)

5.16Are the lights functioning properly on the remote BOP panel?

5.17Are all the pipe rams type and sizes clearly labeled on the remote BOP panel?

5.18Are the blind/shear rams properly protected against accidental operating on the remote BOP panel?

5.19Is the MATHEY Unit [Wireline] properly functioning and the meter counter having correct indications?

5.20Are protective guards in place on all rotating wire drums? (Hoists & Winches)

5.21Does the V Door have a barrier chain or gate deployed across the opening?


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5.22Is the Basket type stretcher available and in good condition?

5.23 Is the general housekeeping at an acceptable level?

6. Rig Power Supply, Pump House, Mud Mixing Area6.1

Are all engine exhausts equipped with spark arrestor and / or water spray?

6.2

Are all electric feeds from main electric control panel clearly identified and labeled in language of responsible users?Are unused electric outlets covered?

6.3Are all rig power main electric switches capable of being locked out? Multiple lockout?

6.4Are High Voltage signs posted in easily visible locations?

6.5Is the mixing area organised, clean, & with appropriate PPE available?

6.6Is all rotating machinery equipped with proper guards?

6.7Are there any stairs with more than 4 risers, that do not have hand rails?

6.8 Is there an exhaust fan in mud mixing room?

6.9

Are sufficient fire extinguishers in place on the rig? [4 x 40 or 8 x 20], [ABC or BC]

Securely mounted to protect from damage, and indicated with high visibility signs?

6.10Are high pressure mud lines, shock hoses, equipped with clamps and properly secured?

6.11Are the mud pits & trip tanks provided with electric devices that are intrinsically safe as sources of ignition?

6.12Are the eye wash stations & showers in good working order, and easy to access?

6.13Are all noise hazard areas identified, signs in place, and PPE available? Used by workforce?

6.14Is the rig configured to allow one generator to be designated as an emergency generator?

6.15 Is an emergency lighting system in place?

6.16

Do all alarms, Gas/kick, fire alarm & abandon rig alarm exist on the rig? Do they all function?Can they be heard everywhere? [SCR room, Mud Pump area, Generator Area, in sub base & BOP area]

7. Clinic

7.1Is the housekeeping of the clinic to an acceptable standard?

7.2Are the updated Medevac procedures and Contractor Health Plan available?

7.3Are SCBA inspection and maintenance records available?

7.4 Is the updated MEDEVAC flowchart posted?

7.5Are the emergency telephone numbers posted beside the MEDEVAC flowchart?


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7.6Is the register of employees treated in the Clinic available and kept inside the locked drawer?

7.7Are the personnel medical fitness certificates still valid?

7.8 Is the Treatment Room access free of obstruction?

7.9Is the date of last check posted on the Medical Oxygen Cylinder?

7.10Is the medical equipment (inclusive stretcher) in good condition and ready to be used?

7.11Are copies of water analysis available and up to date?

7.12 Are copies of weekly camp inspection properly filled?

7.13 Are the First Aid Boxes checked and kept full?

7.14 Are the MEDEVAC drills performed and recorded?

7.15

8. Camp issues8.1

Are offices and accommodation are located at least 25 meters from well bore?

8.2Are power cables to trailers from energy supply suspended or otherwise protected from damage by machinery?

8.3

All electrical outlets are in good shape and weather proofed? Connectors and cables are not damaged, structures properly grounded?

8.4Are smoke and fire detectors in each room and office?

For simple evaluation of the hygiene aspects of the camp, managers and others without specific competence or qualifications to make the assessment, can use good judgment . . based on humanity . . the basic criteria would be … would I accept to eat and live here? If it is not good enough for us, then we should be critical of its acceptability for any person who must work under such extreme adverse conditions as exist in this environment.

8.5 Showers, sinks, toilets?

8.6 Camp dining room?

8.7 Food storage?

8.8 Bedrooms, and bedding?

8.9 Waste disposal, including sewage?

8.10

General comments:

Note: The Tool Pusher shall ensure that the remedial actions (if any) will be carried out and that the due dates given for closing the remedial actions are respected. Also, the updated check list shall be provided to the Base Management.


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hse management visit checklist template final

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