1A21

• Project Name

• Borehole ID

• Loop ID(s)

• Probe ID

  Probe 08

  Probe 02

• Conducted on

  Date

Site Safety

• Vehicle wheel is chocked, and E-brake applied (if applicable).

  Yes

  No

  N/A

• Adequate signage put up at borehole site (Geophysical Survey in Progress).

  Yes

  No

  N/A

• Spill kit available.

  Yes

  No

  N/A

• Safety kit (fire extinguisher, emergency first aid kit) present on site, fire extinguisher has up-to-date inspection tag with employee initials beside hole punch. Site ERP plan is also present in first aid kit.

  Yes

  No

  N/A

• Generator and gas secured in separate spill trays.

  Yes

  No

  N/A

• Cut proof gloves present on site.

  Yes

  No

  N/A

• Safety glasses and high visibility PPE is being worn.

  Yes

  No

  N/A

• Propane has been checked for leaks (leak detector) *as needed*

  Yes

  No

  N/A

Borehole

• Has the hole been dummied before?

  Yes

  No

  N/A

• Borehole collar has been ensured to be screwed on tightly (pipe wrenches).

  Yes

  No

  N/A

• Borehole collar inspected for sharp edges, burs, or anything that could potentially cut the line.

  Yes

  No

  N/A

• Expected depth of hole (if known?)

• Depth of dummy?

Depth Counter

• Designated offset known/established ? (How far do you lower probe from tip of spearhead touching depth wheel to probe being zero'd at ground level?)

• Depth counter is in-line with winch.

  Yes

  No

  N/A

• Depth counter zero'd at ground level.

  Yes

  No

  N/A

Winch

• Sprocket drive pin secure (IFG WINCH)

  Yes

  No

  N/A

• Winch controller has all settings switched to OFF prior to plugging anything into power (IFG WINCH)

  Yes

  No

  N/A

• Dog clutch,locking pin on winch are disengaged (AGO WINCH)

  Yes

  No

  N/A

• Winch is shielded from the elements (use of a tent)?

  Yes

  No

  N/A

• Winch is strapped down and secured.

  Yes

  No

  N/A

• Near surface marker on kevlar to indicate when probe is nearing the surface.

  Yes

  No

  N/A

Probe, Phone & Stations

• Probe phone station duration time set to 5 minutes.

  Yes

  No

  N/A

• Green light is ON prior to putting probe down borehole.

  Yes

  No

  N/A

• Stations (including overlap stations) are known/established.

  Yes

  No

  N/A

• Rings & thread inspected, cleaned with brush where needed.

  Yes

  No

  N/A

• Single knot 1-2 inches above the spearhead is present with secondary safety knot 6 feet above.

  Yes

  No

  N/A

• Relief cut has been made underneath knot above the spearhead of probe.

  Yes

  No

  N/A

• Connection points on probe taped over.

  Yes

  No

  N/A

• Probe coated in WD-40.

  Yes

  No

  N/A

End of Day

• What is the stretch of the kevlar?

• Is the probe light on?

  Yes

  No

  N/A

• Has the probe had a clear view of the sky for 10 minutes before shutting off the probe?

  Yes

  No

  N/A

• Take picture of station values sheet

  Media

Dummy Probe

• Single knot 1-2 inches above the dummy probe head is present with secondary safety knot 6 feet above.

  Yes

  No

  N/A

• Relief cut has been made underneath knot above the head of dummy probe.

  Yes

  No

  N/A

• Connection points on dummy probe taped over.

  Yes

  No

  N/A

• Dummy probe coated in WD-40.

  Yes

  No

  N/A