Well Services Pumping Operation ~ Site Safety Audit

Date :
Inspection team members :
Well Site visited :
A site inspection is to be conducted as per published inspection schedule. The inspection team should have a minimum of three people, one team member is
to be at Supervisory level or from the HSE support group. The team should inspect the entire operations area, inspecting housekeeping standards and
identifying safety discrepancies at the operations site with a view to rectify them in such a way that HSE standards are complied with. Non conformances are to
be recorded and must be closed out with the relevant closure form. Responsible action parties are to be clearly identified within the action point summary.

WORK SITE GENERAL COMMENTS

Site entrance warning sign erected at location entrance No

Yes
Has a temporary Emergency Muster point been identified ? No
Work area barriered off. No
Permit to Work correctly approved, work permit holder on location. Yes
Are safety requirements listed on PTW being adhered to. Note any deficiencies. Yes
Evidence available that site specific Tool Box Safety meeting has been held. Yes
Approved programme and JHA available. Yes
All potential ignition sources positioned at least 15 from wellhead. Yes
Is the work site neat and tidy in appearance ? Yes
Are there any oils, chemicals, open containers stored outside uncontained area's. Yes
All fluid containers clearly labelled and stored neatly. Yes
MSDS available for all oils and chemicals. Yes
Appropriate PPE available. Yes
Is there evidence of oil spills in work site area, includes equipment oil leaks ? No
Are all hand tools safe for use? Yes
Is the area free from trip hazards ? Yes
Comments:-

PUMP UNIT COMMENTS

Pump discharge lines, secured by approved restraint system (not whip checks) Yes
No threaded connection on pump discharge line, includes wellhead interface. No N/A
Yes
NRV and POV fitted to high pressure discharge line. Yes
All items within high presure discharge line, banded with test date and WP. Yes
Appropriate safety signage in place. Yes
Pump unit correctly earthed. Yes
Pumping unit air receiver in test with POV fitted. Yes
Lifting equipment in test, correctly marked and in acceptable condition. No N/A

Fire extinguisher available, appropriately positioned and in test. Yes

Guards in place for all rotating equipment. Yes
Mechanical data gathering and recording devices, functioning and calibrated. Yes
Electronic data gathering and recording devices, functioning and calibrated. No N/A

Adequate safe access to operator console. Yes

Comments:-

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FLUID TANK ~ 1 COMMENTS

Evidence of leaks on tank and/or low pressure lines. Yes No leaks

Lifting equipment in test, correctly marked and in acceptable condition. Yes

Correct PPE available to access top of tank ~ fall arrestor. Yes
Tank clearly marked with fluid capacity. Yes
External level indicator with volume indicator. No N/A

Fluid tank correctly earthed. Yes

Comments:-

FLUID TANK ~ 2 COMMENTS

Evidence of leaks on tank and/or low pressure lines.

Lifting equipment in test, correctly marked and in acceptable condition.

Correct PPE available to access top of tank ~ fall arrestor.

Tank marked with fluid capacity.

External level indicator with volume indicator.

Fluid tank correctly earthed.

Comments:-

FLUID TANK ~ 3 COMMENTS

Evidence of leaks on tank and/or low pressure lines.

Lifting equipment in test, correctly marked and in acceptable condition.

Correct PPE available to access top of tank ~ fall arrestor.

Tank marked with fluid capacity.

External level indicator with volume indicator.

Fluid tank correctly earthed.

Comments:-

VEHICLES ON LOCATION COMMENTS

Are all vehicles correctly reversed parked, 5m from flow line, 15m from wellhead ? Yes
Check vehicles have Drive Rights fitted. Yes
Confirm First Aid kit is available and maintained. Yes
Fire extinguisher available, correctly secured and in test. Yes
Is vehicle cab is free from unsecured items. Yes
Check tyres for wear and cuts ~ is tyre condition acceptable. Yes
List ID numbers of Vehicles inspected. EJ-706-AA

Comments:-

EMS COMMENTS

The bund wall of the well is in good condition

THINK PROCESS SAFETY COMMENTS

The team can enumerate the Think Process Safety elements involved in their job

Action Points Priority Responsible Party Closure Date

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