Validus Energy SIMOPS
Pad Specific Safety Plan
This form identifies the activities and/or procedures specific to multiple high-risk operations occurring on the same well pad or location.
Pad Name of SIMOPS Activity
*
Beginning Date of SIMOPS Activity
*
-
Month
-
Day
Year
Date
Ending Date of SIMOPS Activity
*
-
Month
-
Day
Year
Date
Activity being conducted (Select All)
*
Drilling
Completions
Construction
Drill Out
Well Servicing
Pad Construction
Other
Specify Other
Describe the scope of each activity taking place and the person in charge of each activity.
*
SIMOPS Lead
*
Specify Lead for Each Activity
*
Work Permits Needed (List All)
*
Muster Point(s)
*
Alarms
*
Emergency Services Contacts (Name and Phone #)
*
Nearest Hospital Driving Directions
*
Communication Methods between Crews
*
Is there a potential language barrier?
*
Yes
No
How will the language barrier be overcome? (Describe)
Is there H2S anticipated on Site?
*
Yes
No
What are the H2S mitigation activities? (Monitoring...etc.)
Are there controlled access zones? (High Pressure, Fall Hazard...etc.)
*
Yes
No
How are the controlled access zones marked and managed?
List all contract companies and # of personnel for each
*
Additional Activities or potential hazards not covered above.
Conducted by:
*
First Name
Last Name
Email
*
example@example.com
Signature
*
Completed on:
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: