1. Field Inspection Report Example

DC International, In. DC International, Inc. Drilling Rig HSE Manager Drilling Rig Superintendent Drilling Rig.Toolpusher Client Name

Drilling Rig Company Man Personnel 701 Robley Dr Lafayette, LA 70503 United States Location DC International, Inc. Prepared by 8:00 AM 11/7/12 Conducted on Inspection report

DC International Rig Inspection Form DCInt000018DLR

Document No.

Drilling Land Inspection Form

conducted for

In order to maintain the integrity and credibility of the inspection assessment processes and to protect the parties involved, it is understood that the assessors will not divulge to unauthorized persons any information obtained during this risk assessment unless legally obligated to do so.

Confidentiality Statement

The assessors believe the information contained within this inspection report to be correct at the time of printing. The assessors do not accept responsibility for any consequences arising from the use of the information herein. The report is based on matters which were observed or came to the attention of the assessors during the day of the assessment and should not be relied upon as an exhaustive record of all possible risks or hazards that may exist or potential improvements that can be made.

Information on the latest workers compensation and OHS / WHS laws can be found at the relevant State WorkCover / WorkSafe Authority.

DRILLING LAND INSPECTION FORM 1

Disclaimer 2

Confidentiality Statement 2

RIG INSPECTION CHECKLIST 4

DRILLING / LOCATION 4

TRAINING, PPE & GENERAL SAFETY 5

MUD PUMP AREA 8

MUD MIXING AREA 9

MUD TANKS & PITS 10

MATERIAL HANDLING EQUIPMENT 11

ELECTRICAL SPECIFIC INSPECTION 12

GENERATOR AREA 12

FIRE PROTECTION 14

FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS 15

PIPE RACK AREA 16

BLOW-OUT PREVENTERS 17

All additional questions (1-51) in Section 9 will be used at the discretion of the DCI customer and their individual needs.

18

DERRICK & SUBSTRUCTURE 22

DRILL FLOOR AREA 23

Top Drive 26

Iron Roughneck 27

HOISTING TOOLS, HOOKS, BAILS, ELEVATORS… 27

HOTWORK AND CONFINED SPACES 28

ENVIRONMENTAL 29

STAIRS, LADDERS, HANDRAILS & GUARDRAILS 29

ADDITIONAL FINDINGS 30

Question Response Details

DRILLING / LOCATION

Authorized Personnel Sign posted at entrance to site identifying requirements for hard hat, safety glasses, safety toe

footwear.

non-compliant

No signs at entrance.

No Smoking Area?s Designated & Posted.

non-compliant Need signs for designated areas.

No Parking within 100 ft of the rig.

compliant No one parked within 100 feet with the

exception of the BOP testing equipment. Are H2S controls in place where applicable

including; warning signs, H2S monitors, SCBA(s) or escape air, wind socks and H2S certification training?

N/A

Escape & Guy wires flagged with visible material.

non-compliant

No flagging and no tie wire on shackle. Min 3 clamps with 3 inch spacing

Appendix 1 Appendix 2 Appendix 3

Capacity of guywire anchors verified ? Base Beam Anchor ? Screw-type Anchor ? Permanent (Cement) Anchor ? Other____________ Verification

Method:____________________________

No

No verification or certification tag found.

Outhouse/restroom facility provided. compliant

Hard hats & Safety glasses available for visitors at Tool Pusher/Drilling Foreman's office?

Yes

All temporary housing/offices must be

Housekeeping, Is the area clean and free of

debris and tripping hazards? Yes Distance from overhead power lines GT 10

ft. N/A

Muster area designated and posted?

non-compliant Required signs are not available for area.

Sign posted directing visitors to report to the Drilling Foreman / Toolpusher upon entry, visitors signed in and out?

non-compliant

No signs posted for sign in & out.

TRAINING, PPE & GENERAL SAFETY

First Aid Training provided, minimum of 2

certified per location. compliant H2S Training provided, if applicable compliant

Face shield provided for removing tong

dies with proper tool Yes Any prior incidents, near miss,

observations, etc. if any, are discussed during safety meeting

Yes

No smoking rules observed compliant

Emergency Phone numbers posted

non-compliant

Not in Dog House. Need to place in dog house area. Place inside board area on picture.

Appendix 4

Do Employees know were designated

smoking areas are located? Yes Do employees know were SPCC plan is

located? Yes

Are full body harness and lanyard

inspections being conducted monthly and documented?

non-compliant

Monthly inspection must be done on lanyard and harness. Systems are in good visual shape, no paperwork for monthly inspections kept.

SRL's being inspected monthly and copies

being obtained at location? Yes Rig inspections being performed

Yes HSE inspection being done by HSE

department and kept at office. Pre-spud, periodic, HSE, etc.? Yes

All employees familiar with LOTO

procedures and policies? Yes Safe work permits being used and proper

employees understand how to complete this form?

No

Needs to be performed. No forms being done.

Atmospheric tester available? Yes

Near Miss program being utilized on this

location? Yes Does rig crew know where to dispose of

hazardous waste and are all containers

labeled? (used oil, diapers, etc) Yes

DOT drums are not marked and one drum needs to be emptied and properly disposed of by rig company. Personnel are disposing of product properly in drums.

Appendix 5 Appendix 6

Does the rig crew know how to perform a

BOP Drill? No

Need to have record on location. Need to have (at the minimum) an online copy that can be pulled during inspections.

Are the rig crew training records on site and

current? Yes Are fuel transfer sheets being performed? Yes

Is the escape buggy getting inspected

monthly? No

When rigged up. Documented needs to be done monthly. Currently rigged up with improper clamping.

Is the Confined Space Entry equipment in

good working order? N/A Is the Gas Detector in working order

(charged) and calibrated? Yes How is the general safety culture on this

location? Yes Safety meetings conducted and properly

documented: pre-tour, pre-job/JSAs, weekly?

Yes

Accidents, if any, are discussed during

safety meetings. Yes Proper clothing worn by crew; no loose

clothing or jewelry, hard hat, glasses, safety shoes, gloves, fall protection other PPE as necessary?

Yes

Are designated "Smoking Areas"

established? Are smoking rules observed? No

Needs to be established "Smoking Area" with signs and insure all are following designated area.

Injuries reported and documented

immediately. Yes First Aid Kit/Bloodborne Pathogen Kit

available on site. Yes

At pusher house. Tool pusher knows the incidents when first aid kept in his office. One on rig floor also.

Are all containers properly labeled per

HAZCOM? compliant Are MSDS available and accessible at all

times? compliant

MSDS sheet need to be in shaker area if doors are available. No doors on shaker system. Compliant results good.

Does contractor have a Hazard Recognition

BOP training provided for Pushers and Drillers? Is BOP training documented at the rig?

Yes

Written Contractor Safety Program in

place? Yes

Hearing protection required and provided. compliant

Does the Operator / Drilling Contractor have a New Hire Training Program in place? Explain-Type?

Yes

Yellow for new employee. Green, grey, black, and white for other employee. See Justiss SOP.

Are all injuries and illnesses reported immediately to a supervisor? Are written reports prepared as soon as practical and is every incident involving an injury being investigated and are steps being taken to prevent recurrence?

Yes

Is there an Emergency Response Plan available? Has personnel been trained on the plan?

Yes

MUD PUMP AREA

Is all rotating equipment properly guarded; drive belts, shafts, pony rods, etc.?

non-compliant

Need to use guards on hole open area. Reposition meters if possible.

Appendix 7

Head and valve covers fully bolted. compliant

Shear pin pop-off valve present and

covered. compliant Ends of relief lines secured with adequate

Ends of mud vibrator hose snubbed with

adequate safety cable. compliant Housekeeping - Is area clean and free of

debris and tripping hazards? Yes Adequate lighting provided. compliant

MUD MIXING AREA

Bagged material properly stacked and

protected from the weather? compliant Gloves, Aprons, Boots, or other PPE, as

appropriate, available and in good condition?

compliant

Employees using all required PPE? N/A

Appendix 8

All chemicals are properly labeled including ?PPE Required? warning signs (Grouped or individual signs).

compliant

Personal protective equipment properly maintained and in a clean & sanitary condition.

compliant

Eye wash station and emergency shower; unobstructed and in close proximity, properly designed in good working order and plumed with a clean water supply?

compliant

Adequate ventilation in mud mixing area? compliant

Elevated loading door opening protected? compliant

Housekeeping - Is area clean and free of

debris and tripping hazards? compliant Is the personnel required to mix or handle

mud chemicals being properly trained regarding safe handling and use. Are they aware of the potential hazards and PPE measures required. Are MSDS's available to personnel prior to and during chemical mixing.

Yes

MUD TANKS & PITS

Adequate stairs with handrails properly

secured? compliant Adequate walkways and guardrails. compliant

Guardrails installed on all raised platforms,

walkways, etc above 48?? compliant Walkways free from obstruction and/or

damage? compliant Guardrails provided on crossovers? compliant

?PPE Required? warning signs erected (grouped or individual signs).

non-compliant

Need to be signs on PPE

Appendix 9

Chemical hazard warning signs erected?

non-compliant Needs signs on chemical hazards

Shale shakers, agitator shafts, and all other

rotating equipment properly guarded? compliant Explosion proof equipment, fixtures and

wiring used. Class 1 Div 1/2. Data plates on equipment legible?

Adequate lighting provided? compliant

Employees using all required PPE? N/A

Jetting hoses properly secured if applicable compliant

Personal protective equipment properly

stored? compliant Housekeeping - Is the area clean and free

of debris and tripping hazards? compliant All unused floor holes covered? compliant

Electric wiring in good condition? compliant

Drive belts and shafts guarded? compliant

Permitted and non permitted signage is in

appropriate area's Yes

MATERIAL HANDLING EQUIPMENT

Material Handling Equipment (fork lift)

operators trained and certified? compliant Personnel basket securely attached to

forks? (If applicable). N/A Personnel wearing proper fall protection

while in basket? compliant Backup alarm operational?

non-compliant

No backup alarm on forklift not working. Need fixed.

Appendix 10

Fork Lift equipped with seat belts? compliant

Fork Lift inspected prior to use? (daily).

compliant Every tower, insure all paperwork available

for inspections.

ELECTRICAL SPECIFIC INSPECTION

Are the breakers in the electrical panel

property labeled? Yes Are the electrical panels accessible? (No

boxes, etc. stacked in front of them?) Yes Are the electrical lines in good condition?

(No splices, cuts, black tape: look for things OSHA would look for)

Yes

Are the electrical lines in good condition? (wire no pulled away from the connector, strain relief in place, etc.)

Yes

All power strips in the work area (Doghouse, SCR house, etc.) GFIC

protected? No

Vendor power strips need to be reviewed.Two separate power strips pointed out to Customer. Surge protector strips only, not GFIC strips.

Do all lights have covers and are secure? Yes

Is the equipment on location properly grounded /bonded? (Have RM show you how grounding and bonding is tied into all mobile equipment.

Yes

GENERATOR AREA

Moving parts guarded? compliant

Generators properly grounded? non-compliant

Ground clamp incorrect, hose clamp shown below

Cover panels on electrical control boxes

installed and closed? compliant All electrical controls marked as to their

function and legible? compliant ?HIGH VOLTAGE? warning signs erected? compliant

Insulating mats available at electrical panels?

non-compliant

Not installed Condition of electrical wiring, no splices or

visible damage? compliant Rig wiring properly installed to prevent

abrasion, vehicular and foot traffic, burns, cuts and damage from other sources?

compliant

Unused electrical outlets covered? compliant One in electrical room not covered

Appendix 12

Air compressors properly guarded? compliant

Air storage tanks equipped with pop-off

valve? compliant Lockout/Tagout program utilized?

Adequate Lockout/Tagout devices available?

compliant

?Hearing Protection Required? warning

signs erected? compliant Hearing protection available?

non-compliant

Needs to have box of plugs available. No plugs available in high noise area.

Housekeeping - Is area clean and free of

debris and tripping hazards? compliant Wires are note running along the ground compliant

All light fixtures properly guarded from

damage? compliant Receptacles and plugs in good condition? compliant

Water hose used for washing area kept away from generator skid/SCR/VFD House?

compliant

Generator skid door props properly

pinned? compliant

FIRE PROTECTION

A minimum of 4 No. 20 fire extinguishers with a Class BC rating available at the drill site. This a minimum requirement and operations may dictate use of more or larger sized equipment.

compliant

Fire extinguishers fully charged, current inspection, proper gauges, properly located at their assigned locations?

non-compliant

Tags missing inspection tags. Accumulator system for BOP system. One located in incorrect area as opposed to sign pointing to fire Extinguisher.

Appendix 13

Are crew members familiarized with the location of fire control equipment and trained in the use of such equipment?

Yes

Portable containers for storing flammable liquids should be UL or FM approved or equivalent.

Any area that has flammable containers stored should be posted with a sign, "NO SMOKING OR OPEN FLAME", or

equivalent.

compliant

Spark arrestors or equivalent equipment shall be provided on all internal combustion engine exhausts located within 100' of the wellbore.

N/A

Not within 100 ft of well area

FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS

Fuel storage tanks properly located compliant

All storage valve connections identified as

to their function compliant Discharge nozzles, hoses, valves in good

condition compliant Piping and fuel lines in good condition compliant

Stationary ladders on storage tanks in good

condition compliant Adequate lighting provided compliant

"Flammable" warning signs erected on all

sides compliant "No Smoking" signs erected on all sides compliant

B/C Class fire extinguisher available and

identified compliant Fuel tanks properly labeled, "NFPA

Haz-Com", "Off Road Usage", "Flammable", "No Smoking"

compliant

Flammable warning signs erected on all

sides compliant "No Smoking" signs erected on all sides compliant

Vapor release vents elevated & away from

ignition sources compliant B/C Class fire extinguisher available and

identified compliant Housekeeping - Is area clean and free of

debris and tripping hazards compliant All open valves/piping capped, bull

plugged, etc. compliant

PIPE RACK AREA

Ends of pipe racks and separate layers of

pipe properly chocked? N/A

Pipe in use at this time Spacers used to separate layers of pipe N/A

Pipe racks are level and stable N/A

Pipe rack catwalk in good condition and at

the same height? N/A V-door slide in good condition including

stops on V-door or catwalk? N/A Derrick stand and ladder in good condition N/A

Adequate lighting provided N/A

Housekeeping - Is area clean and free of

debris and tripping hazards N/A Drilling line from spool elevated off ground

compliant Need to put guard on skid system. Was

previously installed but removed.

Safety Warnings in place for Hydraulic Pipe

Rack and verification of HPR inspection? N/A

Standard system with warnings available

BLOW-OUT PREVENTERS

BOP properly installed, 3rd party tested,

and properly documented? compliant All lines, valves, check valves and flow

fittings should have a working pressure at least equal to the rated pressure of the ram BOP's in use. This equipment will be tested during the initial test of the BOP rams.

compliant

Wheels and stems in place, if automatic

device is not available? compliant BOP stack properly stabilized? compliant

All hydraulic lines connected ? compliant

All unused hydraulic lines capped and

secured? N/A Accumulator bottles labeled with contents,

and other appropriate warning signs? compliant Accumulator valves in appropriate position,

open or closed (never neutral), properly identified both purpose and position?

compliant

Gauges suitable for operating pressure and drilling fluid service should be installed so that drill pipe and annulus pressures may be accurately monitored and readily observed at the station where well control operations are to be conducted.

compliant

Choke manifold and line secured and

accessible? compliant Blooey line with pilot installed if applicable? compliant

Warning signs erected (Flammable, Hard Hat, H2S, Eye Protection, Confined Space, Authorized Personnel)

non-compliant

Signs needs to be displayed . Fire

extinguisher not with proper tag. Black tape on electrical cord and plug need to be replaced.

Appendix 15 Appendix 16

Proper drainage provided and general

housekeeping of koomey and cellar area? compliant

Hydraulic lines protected? compliant Armor core on lines. BOP spare parts (for the service intended)

are carefully stored, maintained and readily available. Including a complete set of ram rubbers, complete set of bonnet or door seals, plastic packing for BOP secondary seals. Ring gaskets to fit end connections. A spare annular BOP packing element and a complete set of seals. A flexible choke or kill line if in use. "Ask Toolpusher"

compliant

Metal clad lines secured with adequate

safety cables? compliant

All additional questions (1-51) in Section 9 will be used at the discretion of the DCI

customer and their individual needs.

Floor mounted and remote accumulator

controls available? Yes Remote unit used to actuate pipe rams

once a week? Yes Off floor controls are effective if floor unit is

destroyed. Yes Alternate power source exists for

accumulator : Type_________________ Yes

Electric, air, and nitrogen bottle accumulator exists

Light on rig floor in plain view of driller? Yes

Operating ranges of accumulator pumps

regulated from 2700 PSI to 3000 PSI? Yes Accumulator pump charging time less than

15 minutes: Ensure 1000 PSI to 3000 PSI rise?

Yes

Accumulator fluid and strainers in good

condition: Inspected_________________ Yes

Tank in front of system that is in good condition. Attached to skid.

Accumulator bottle isolation valve open? Yes

Accumulator pre-charge pressure _______

Last inspected_________ Yes

1500 psi per charge

Accumulator _________ Annular ________

Manifold ________ (Pressures) Yes Accumulator air pressure at least 75 PSI Yes

Drawings available showing BOP stack,

lines, valves and manifold used? Yes Assembly rating greater than or equal to

casing burst pressure or formation breakdown pressure (whichever is less).

Yes

Weco 1502 hammer unions used on

surface casing valves? Yes Necessary manipulations of BOP stack can

be made without going under rig floor? Yes Well can be closed in quickly while

observing and controlling casing pressure? Yes Hydraulic or Manual locks on preventers: If

manual, are hand wheels and shafts attached?

N/A

Clearance for tool joints between pipe rams

Is it possible to pump into well with blind

rams closed? Yes Blind rams equipped with cover but no

lock? Yes

Choke flow line equipped with master

valves on each choke manifold wing? Yes Is the fill up line separate from the kill line? Yes

Choke line straight, free of bends? Yes

Hydraulic choke equipped with emergency

back- up. Type: ____________________ Yes Choke manifold pressure rating __________

Is it correct for this application? Yes

10000 psi front end, 5000 psi on back side Upper Kelly valve or Top Drive Unit with

manual & hydraulic valves? Yes Is drill pipe float used? Yes

Are crossover subs available for IBOP &

TIW? Yes

Canrig Top Drive, subs ready to go.

Pit volume totalizer & recorder mounted in

plain view of driller? Yes Flow indicator available, if flow line can't be

seen from rig floor? Yes Pump stroke counter and/or trip tank for

use in critical hole filling checks? Yes Sufficient way to monitor casing wear? Yes

Maximum allowable surface pressures

upon closing in well specified and posted? Yes Surface casing held in tension until cement

"on bottom" drills held at intervals, timed, &

recorded on IADC? Yes "while tripping" drills held at intervals, timed

& recorded on IADC? Yes "drill collar" drills held at intervals, timed &

recorded on IADC? Yes "out of hole" drills held at intervals, timed &

recorded on IADC? Yes Slow pump rates recorded hourly & after

mud density changes? Yes Pipe slugged with sufficient time allowed

for fluid level to balance before TOOH? Yes Flow checks made prior to TOOH, at the

casing shoe & at collars? Yes During trips are ram-type BOP's operated

and choke and kill valves flushed? Yes Is hole filled continuously from trip tank

(preferred) is there a specified number of stands: __________________

Yes

Rig equipped with trip tank? Yes

Written trip records kept by crew? Yes

Crew instructed in procedures during trip if

swabbing or lost circulation occurs? Yes Are approved kill sheets used & updated

daily? Yes

Leakoff pressure recalculated & posted

after every mud density change? Yes Maximum allowable mud density posted? Yes

DC, DP, hole & mud pump capacity figures

DERRICK & SUBSTRUCTURE

Derrick/A-Frame assembly and

substructure pins with keepers in place? compliant Derrick guyed, if applicable. N/A

Condition of guy lines. N/A

Clamps properly installed. N/A

Does the derrick or mast have a name plate permanently attached to the derrick, that includes the manufacturer, model number and serial number, hookload capacity and whether guying is applicable and if so the recommended guying pattern.

compliant

Damage and/or corrosion visible in derrick

and/or substructure? (waste metal). N/A Condition of derrick ladder? Yes

Climb assist device available, in good

condition, adequate number of clamps? Yes Boatswains chair available for hoisting

personnel and utilized when necessary? Yes Full body harness with lanyard available

and in good condition? Yes Fall protection devices in use: Derrick

Board, Crown Section, Backside of derrick (stabber), Substructure?

compliant

"Fall Protection Required" warning signs

erected? compliant Verify that contractor has a Cat. 1,2,3,4

process in place to identify structural issues. The remaining questions are designed to identify any noticeable items from the floor or ground.

Derrick/Tubing boards in good condition? compliant

Guardrails installed on derrick board? compliant

Pipe fingers in good condition, safety

cables attached? compliant Crown guardrails installed? compliant

Crown sheave guards in place? compliant

Safety retainers in use on hinge pins? compliant

Derrick hydraulic system free of leaks? (if

applicable). N/A Dead line properly anchored? compliant

Booms and boom lines in good condition? compliant

Adequate lighting provided? compliant

Drreick free of loose and unnecessary

objects. compliant Derrick emergency escape line properly

installed, Geronimo on line, anchored with a clear path?

compliant

Tubulars, Drill Pipe, etc racked or hung in derrick are secured to prevent them from falling?

compliant

Mud standpipe secured, mudhose snubbed

at both ends? compliant Rotary beams and all braces are in good

condition? compliant

DRILL FLOOR AREA

OSHA poster posted in Dog House? No Need fire, ambulance, closes hospital Emergency phone numbers posted in Dog

Safety (stabbing) valve and handle with cross over sub if necessary properly located on floor?

Yes

Remote BOP hydraulic controls

accessible? compliant Rotary floor in good condition? compliant

Rotary chain drive guarded? compliant

All unused floor holes covered with a

secure cover? compliant "Driller at or near controls unless the

drawworks brake has been tied down or securing it with a catch lock, unless the drawworks is equipped with an automatic driller".

Yes

Drillers controls properly labeled/identified? compliant

Pipe slips & Dies in good condition? compliant

Racking floor area in good condition? compliant

V-door gate or net provided and in place?

non-compliant Gate or Net needed

Air hoist lines properly guarded in good condition, line properly laid with functional line guide and brake?

compliant

Cathead friction surface in good condition? N/A

Cathead line divider/grip in good condition? N/A

Catline not worn or kinked? N/A

Kelly cock wrench and safety valve

accessible? N/A Drilling Line in good condition? compliant

Tail rope being used, rigged up correctly

Drawworks properly guarded? compliant

Drill line slip/cut recorded on ton mile

book? compliant Proper lay of drill line and sufficient wraps

left on drum with blocks in down position? (minimum 10 wraps).

compliant

When were the Hydraulic or Hydromatic brakes last serviced and what is the contractor's maintenance schedule?

Safe

Dog knot secure? compliant

Adequate lighting provided? compliant

General housekeeping. compliant

Minimum 2 exits from drill floor doghouse? Yes

Drill floor doghouse doors installed

properly? Yes Drinking water available? compliant

MSDS Station readily available?

non-compliant Need it in the dog house

Life basket/Fire Blanket available compliant Not Factory ends of snub line? compliant

First aid kit available in doghouse? Yes

Non skid material used around rotary? compliant

Guardrails installed along open edges of

drill floor? compliant Tong body and jaws, keepers, counter

weights, snub lines and jerk lines all in good condition?

compliant

Crown-o-Matic device operational, logged on IADC? non-compliant Needs to be on system Appendix 17 Appendix 18

Safety signage posted? Yes

All overhead lights have safety cables? compliant

Top Drive

TD: Guard Bolts. compliant

TD: Blower Motor Mounts. compliant

TD: Oil Cooler Bolts. compliant

TD: Housing To Frame Bolts. compliant

TD: Lube Pump Assembly Mounts. compliant

TD: Guard Deflector. compliant

TD: Link Tilt Cylinder Retainer. compliant

TD: Link Tilt Mount. compliant

TD: Bail Clamp Cylinder Pins. compliant

TD: Lower Link Support Pins. compliant

TD: Spark Arrestor Screen. compliant

TD: Elevator Alarm Targets. compliant

TD: BUW Mounts. compliant

TD: BUW Positioning Cylinder. compliant

TD: BUW Gripper Cylinder. compliant

TD: BUW Slides. compliant

TD: BUW Stabbing Guide. compliant

TD: Tool Joint Clamp(s) & Bolts. compliant

TD: Actuator Valve / Covers. compliant

TD: LWCV Pinion Retainer Bolts. compliant

Iron Roughneck

Iron Roughneck (IR): HPU Showing

2200-2500 psi. N/A IR: Line Control Port 1900-1950 psi. N/A

IR: Hydraulic Lines Not Leaking . N/A

IR: Unit Properly Stored If Not In Use. N/A

IR: Unit Turned Off When Not In Use. N/A

IR: Employees Properly Trained . N/A

IR: Employee Clear Of Unit If Moving. N/A

IR: Unit Has Clear Path For Operating. N/A

IR: Operator Controls Located Properly. N/A

IR: Preventive Maintenance (Daily) . N/A

HOISTING TOOLS, HOOKS, BAILS, ELEVATORS…

Traveling blocks in good condition? compliant

Traveling blocks properly guarded? compliant

Sheave guards in good condition? compliant

Bales and/or links in good condition? compliant

Hoisting hook equipped with safety latch or

equivalent? compliant Crown block assembly secured? compliant

Suspension cables and lifting chains are

grade 8 and tagged?

non-compliant

No tags on cable for Spinner. Cotter pin needs to change on overhead shackle system. See picture on replacement part.

Appendix 19 Appendix 20

Hoisting line inspected daily? Yes

HOTWORK AND CONFINED SPACES

Hot work permitted utilizing customers Hot Work Process which meets minimum industry standards?

N/A

Drilling Foreman trained on customers Hot Work and Confined Space permitting standards?

N/A

Certified welders utilized? N/A

Appropriate protective attire worn for

welding and cutting ops. N/A Helmets with face shields used during

operations? N/A Fire extinguishing equipment available and

fire watch utilized? N/A Confined spaces properly labeled? N/A

Confined Space Entry Permit issued by Drilling Foreman or rig contractor for CS entry?

Permits are completed properly and filed at

the job site? N/A Gas detection devices are available and

calibrated per manufactures specifications? N/A

ENVIRONMENTAL

Sediment migrating off location? N/A

Gullies or ditches forming along location

slopes? N/A

Re-vegetation less than 70%? N/A

BMPs not present on location? N/A

BMPs need maintenance or removal? N/A

Reserve pit free of oil and trash? N/A

Reserve pit liner, good integrity, anchored

properly? N/A Reserve pit has sufficient free board? N/A

Reserve pit fall controls in place? N/A

Secondary containment (berms/ditches)

adequate and maintained? compliant Pipe dope is lead free? compliant

STAIRS, LADDERS, HANDRAILS & GUARDRAILS

Adequate stairs provided off rig, min. of 2

for drill floor? compliant Stairs level, secure with no obstructions? compliant

Adequate handrails provided on stairs with

4 or more risers? compliant Stair treads of uniform size made with

Stair treads free of damaged?

compliant Bottom stair rung on shaker side of catwalk

stairs needs to be repaired. Stairs properly installed and pinned if

required? compliant Guardrails, Midrails, & Toeboards installed

along all open side edges of floors, platforms, etc, 4ft above ground level.

compliant

ADDITIONAL FINDINGS

Other remarks #1 N/A

Other remarks #2 N/A

Other remarks #3 N/A

Other remarks #4 N/A

Other remarks #5 N/A

Other Remarks #6 N/A

Other remarks #7 N/A

Other remarks #8 N/A

Other remarks #9 N/A

Appendix 1 Appendix 2