General Drilling Rig EHS Assessment
Validus Energy
Date
-
Month
-
Day
Year
Date
Rig
H&P 649
Operations
Pre-Spud
Drilling
Logging
Running Casing
Cementing
Rig Move
Drilling Supervisor on Duty
Person Performing Assessment
First Name
Last Name
Assessors Email
example@example.com
Section 1: General Site Safety, Training & PPE
1. Litter present along location entrance road.
2. Walkways and stairs are not secure or free of debris.
3. Trash and debris not disposed of in trash trailer or trash cans.
4. Muster area not marked.
5. Rig entrance signs not visible.
6. Parking not adequate.
7. Additional lighting is needed
8. Safety Data Sheets not available on Validus.Energy.
9. PPE not available.
10. PPE not used as required.
11. Crew members have not attended Validus Energy Safety Orientation.
12. Emergency Information not posted
13. OSHA posters not posted.
14. Drinking water not readily available
15. First aid supplies not available or out of date.
16. Start of shift safety meetings are not conducted as required
17. BOP drills are not conducted/documented as required.
18. Lifting equipment not inspected or stored properly.
19. Workers observed at height without proper fall protection.
20. Fall protection not inspected or stored properly.
21. Workers observed walking on pipe
22. Fire Extinguishers not charged or have damage.
23. Smoking rules are not enforced.
24. Flammable materials not stored properly.
25. Hot work being conducted in unsafe manner.
26. Electrical or grounding not in place where needed on location
27. Long hair or loose clothing is not contained.
28. Rotating shafts and moving equipment is not fully guarded.
29. Spills observed around the location
30. Stairs/railings not pinned or secured
31. Holes in the floor or gaps in grating cause a trip hazard.
32. Pipe Stops not in place at pipe racks
33. Whip Checks or safety cables are not in place or secured
34. Proper signage not placed in the chemical storage area
35. Eyewash and showers are damaged, dirty or insufficient
36. Alarms are not functioning properly.
37. V door guarding is damaged
38. Mobile equipment is damaged or leaking.
39. Equipment operators driving unsafely.
40. Damaged/Defective/homemade tools used
41. Unsafe acts by workers observed
Number of Items Identified
Note the count for the total number of deficiencies for this section (this includes multiples of like violations)
Section 1 Notes:
Photos Section 1
Browse Files
Cancel
of
Does this site require H2S provisions?
Yes
No
Section 2: H2S Operations
1. H2S warning signs not in place.
2. H2S training not adequate for workers or visitors
3. H2S Management or Contingency Plan not available to workers
4. H2S or evacuation drills are not conducted as required
5. Evacuation/All-clear alarms not operable or understood
6. Air monitoring equipment not in place or calibrated properly.
7. Emergency escape PPE and breathing equipment not in place and fully chargedr
8. Wind indicators not visible from all areas of the wellsite.
9. Other
10. Section 2 'H2S Operations' no items of non-compliance discovered!
Number of Deficiencies in This Section
Note the count for the total number of deficiencies for this section (this includes multiples of like violations)
Section 2 Notes:
Photos Section 2
Browse Files
Cancel
of
Additional comments:
Submit
Should be Empty: