Tools: Pneumatic Tools and Compressed Tools

Inspection Report Form

Project IFMS-Integrated Field Management Services

Originating Company Anton Oilfield Services DMCC Iraq Branch

Tools: Pneumatic Tools and Compressed Tools

Document Title
Inspection Report Form

Document Number No Doc No.

Document Revision 001

Document Status AFU

Document type
Senior Ops HSE & ER Lead
Originator / Author

Security Classification Restricted

Issue Date 24 Oct 2018

Revision History is shown next

page
 Tools: Focus Worksite Inspection Report Form
Pneumatic Tools and Compressed Tools

REVISION HISTORY

Date of
Rev # Status Code Originator Owner Approver
Issue
Snr Ops HSE BOC BOC HSSE Manager
001 24-Oct-18 IFR
& ER Lead

REVISION STATUS

Rev # Reason for Issue / Change

001 AFU

Doc. No.: No Doc No. Rev. No. 001 2 of 4

 Tools: Focus Worksite Inspection Report Form
Pneumatic Tools and Compressed Tools

N/
Pneumatic Tools and Compressed Tools Y N
A
1 Are pneumatic tools operated and maintained in accordance with manufacturer’s specifications?
Are compressed air hoses secured with wire or pins (whip checks) to prevent them from coming
2 undone and whipping around?
3 Are automatic excess flow valves installed on all airlines at the compressor?
Have shut off valves (indicating whether open or closed) been installed directly at the header for each
4 airline?
5 Are airlines tagged at the header if in use with the date, name of person using the airline?
6 Are individual hose whip checks installed at all hose connections, including headers?
Are non-manufactured headers / manifolds designed, constructed and approved in accordance with
7 the specifications of a professional engineer?
8 Are anti-vibration gloves worn when using all tools that create excessive vibration?
9 Are mono goggles and face shields used with pneumatic tools such as chippers?
10 Are air tools stored properly in cases and in correct manner?

Inspection Team
PRINT SIGNATURE

Code (see Date

List of Deficiencies Person Responsible Sign as Complete
below) Completed

Doc. No.: No Doc No. Rev. No. 001 3 of 4

 Tools: Focus Worksite Inspection Report Form
Pneumatic Tools and Compressed Tools

A = Immediate action B = 24 Hours C = 48 Hours D = One Week

REVIEWED BY:

HSE Supervisor ( Print ) HSE Supervisor (signature)

HSE Lead ( Print) HSE Lead (signature)

Instructions after Completion:

▪ Send a copy of the reviewed report of all deficiencies to those listed on Inspection Team and to those
listed on the Action Log as the Person Responsible.
▪ Give a copy to Administrator for filing.

Doc. No.: No Doc No. Rev. No. 001 4 of 4