Title Page
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Site Conducted
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Location
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Drill Rig ID
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Drill Hole ID
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Conducted on
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Prepared by
GENERAL
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Pad stable, no cracking, slumping or movement?
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Vehicles - Pre-starts completed, clean and tidy?
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Site induction given and appropriate?
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Pre-starts and maintenance - completed, available and issues rectified?
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Communications working and calls can be heard by drillers?
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Documents - MSDS/SDS and Spill Plan?
PERSONNEL
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PPE - Hard hats, eye protection, steel toes, hearing protection, high vis, long hair tied back and no loose clothing?
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Fatigue Management - All crews working agreed rosters and<br>shifts as per drill contractor's management procedures?
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Training - At least 1 crew member NWT Supervisor 1 trained?
SAFETY
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Safety signage in place - PPE, warning and exclusion zones?
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ERP posted with contact list?
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First Aid Kits - Adequate, easily accessible, and at least 1 crew members first aid trained?
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Fire Extinguishers - Adequate, easily accessible,<br>fully charged and inspection tag is current?
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Lock out / Tag out materials?
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Carbon monoxide (CO) detector?
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Electrical - Grounded, all cords and equipment are in good condition?
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Fall Arrest - Are harnesses available and free from<br>obvious signs of damage?
DRILL RIG
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Spin Cage (Rod Guard) - Fitted and operational, does rotation<br>stop/slow when guard is opened
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Guarding - Are all moving or hot parts guarded?
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Emergency Stops - Are all emergency stops clearly marked,<br>accessible and operational?
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Drill shack - Are all components (roof/walls/cladding)<br>adequately secured and clear of exhaust?
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Hydraulic Lines - Are there secondary sleeves on all high pressure hydraulic lines? Hoses in good condition?
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Labels/Gauges/Warning Signs - Clean, legible and indicates<br>control operation?
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Rod Storage - Are all rods stored safely in a fit for purpose<br>rack, sloop or other secure storage method?
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Hose Condition - Are all hydraulic and water hoses in good<br>condition with no visible leaks, damage or wire braiding<br>visible?
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Sufficient lighting in the interior and exterior?
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Is a flow meter installed to the drill rig or connected pump?
CORE HANDLING
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Is the core free of polymer and grease?
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Is there core spilled from the tube or pieces of core on the floor?
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Is core being laced in the corebox in the proper order, with marking blocks and legible writing?
HOUSEKEEPING
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Drilling Site Organization - Tidy, clear walkways, organized?
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Garbage Disposal - Is the site free from litter; garbage<br>and waste disposed of correctly? No cigarette butts?
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Slips, Trips and Falls - Floor is clean, steps and platforms are stable, electrical and water lines are out of the way?
ENVIRONMENTAL
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Hydrocarbon Management - Are all oils, fuels and chemicals<br>stored correctly (secondary containment); safety signage in<br>place; spill kits available?
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Used hydrocarbons materials (i.e. used oil, absorbent matting, etc.) contained?
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Sumps and Cuttings - good containment and not flowing from the pad?
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Are there any spills or leaks?
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Are diesel diapers installed on filling point an drip trays in use?
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Are drip trays under vehicles (trucks, machinery, snowmobiles)?
Sign Off
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Lead Driller / Supervisor
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Signature
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Equity Representative
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Signature