Annual Drilling Safety Operations Audit

Title Page

Conducted on
Prepared by
Office Location
Office Name

I. SAFETY

A. Are the following safety training materials available in the office?
1. National Drilling Association (NDA) Drilling & Safety Video
2. National Drill Association (NDA) Safety Guide
3. Have all drilling personnel watched the NDA video and NDA Drilling Safety Guide?
4. Have all drilling personnel read SHM-4 PSI Drilling Safety Program
B. Does at least one member of each crew have a current, valid certification of training in First Aid/ CPR?
C. Are monthly safety meetings with drillers and helpers conducted and documented?
Date of Last Safety Meeting
D. Do all drilling personnel have and use the required personal protective equipment (PPE) listed below?
1. Hard Hats
2. Eye Protection
3. Hearing Protection
4. Steel-Toe Boots
5. Other equipment (describe):
E. Does the Drilling Manager review potential hazards with drill crews prior to commencement of projects?
F. Has the Drilling Manager conducted a field visit of a drilling project site in the last 60 days to verify safe drilling procedures and safety equipment are being used?
Date of Last Site Safety Visit
G. Have any drilling personnel had a safety incident since the last Annual Drilling Operations Audit or in the last 6 months?
1. Was the incident reported to the Corporate HSE Team?
2. Has an incident investigation been completed to identify the root causes and been submitted to the Corporate HSE Team?
3. Have the lessons learned been shared with actions assigned to prevent future injury?
4.Has the injured employee returned to full duty work?

II. FEDERAL MOTOR CARRIER SAFETY REQUIREMENTS (FMCSR)

A. Are the following FMCSR training materials and job aids available in the office?
1. SHM-6 Federal Motor Carrier Safety Program
2. JJ Keller Vehicle Inspection Video & Booklets
3. Extra Driver Daily Log Books* or Driver Record of Duty Status
B. Have all drilling personnel who are authorized to drive a DOT FMCSR vehicle (gross vehicle weight rating (GVWR) or gross combined weight rating (GCWR) > 10,000 pounds) received training on the following?
1. Vehicle inspection requirements
2. Vehicle maintenance requirements
3. Employee alcohol & controlled substances awareness
C. List the names of drillers and helpers who drive vehicles with a GVWR or GCWR > 10,000 pounds:
D. Does the Drilling Dept./Branch Manager maintain a unique Driver Qualification File for each drilling team member authorized to drive a FMCSR vehicle as required by DOT with the following information?
1. Copy of FMCSR employment application
2. Copy of DOT card issued upon passing medical certifications
3. Record of successful completion of PSI-administered Road Test
4. Copy of previous employer’s letters of driving history
5. Certificate of employee alcohol & controlled substances awareness training
6. Copy of motor vehicle driver’s certification
7. Copy of annual review of driving record
8. Driver daily logs or hours of service records
9. Copy of commercial driver’s license (for operators of vehicles with GVWR or GCWR > 26,000 pounds)
E. Is there a Permanent Unit File for each FMCSR vehicle as required by DOT, consisting of the following information:
1. Vehicle identification including truck number, make, serial number, year and tire size
2. Schedule of maintenance and inspection dates
3. Records of maintenance and repairs
4. Copies of annual inspection records
5. Three months of post-trip inspection reports
6. Copies of any roadside inspection reports
F. Does each Unit File have documentation that each vehicle has been maintained in accordance with the<br>manufacturer’s recommendations?

III. RIG MAINTENANCE

A. Are blank copies of the standard drill rig maintenance checklists available in the office (daily, weekly, bi-monthly, semi-annual)?
B. Has the Drilling Dept./Branch Manager established a filing system for each drill rig’s maintenance records?
Are records present to indicate that the following routine maintenance is conducted on each rig?
1. Daily Maintenance
2. Weekly Maintenance
3. Bi-Monthly Maintenance
4. Semi-Annual Maintenance
C. Has training been provided to authorized drilling personnel on drill rig maintenance?

IV. DRILL RIG & VEHICLE INSPECTION

A. Were any drill rigs, carriers, or trucks inspected during this annual audit?
How many drill rigs were inspected?
How many drill rigs are in operation at this location?
1. General appearance of rigs/vehicles is acceptable?
2. Rigs/vehicles showed evidence of sound maintenance program?
3. Was any evidence of rig/vehicle abuse noted?
4. Do the rigs have any “open” slip rings?
5. Do the vehicles have valid inspection stickers?
6. Do vehicles have FMCSR placarding (Vehicle ID #, US DOT#, Office City & State, and “How Am I Driving” bumper sticker)?
7. Is the vehicle parking area secure?
8. Cleanliness/orderliness of rig and equipment area is acceptable?
9. Were the deck areas clear of any unsecured items (i.e. rods, traffic cones, shelby tubes, etc)?
10. FMCSR required safety equipment (fire extinguisher, warning devices [flares or reflectors], and spare fuses) in each vehicle?
11. Does each vehicle have a first aid kit?
B. Are there any immediate repairs needed for the rig or carrier?
1. What is the planned downtime necessary to make the repairs?
2. What is the estimated cost of the repairs?
3. Indicate the date of the scheduled repair?

V. DRILL CREW INTERVIEWS

A. Were any drill crews or individual drillers or helpers interviewed during this annual audit?
How many drilling personnel were interviewed during this annual audit?
How many drilling personnel are assigned to this location?
B. Provide a summary of the issues raised by the drilling personnel related to training, safety, rig and vehicle maintenance, or general concerns, comments and complaints.