Diamond Drilling ITP / Quality Check Sheet

• Audit Title: Enter "Drilling ITP / Quality Check Sheet"

• Document No.

Project and Drill Rig Information

• Drill Rig No.

• Project No.

• Client:

• Project Location
  Address

• Date:

  Date

• Drill Team Leader:

• Drill Team members:

• Comment

Site Documentation

• Site and Project JSA completed?

  Yes

  No

  N/A

• Site Induction documentation completed?

  Yes

  No

  N/A

• All visitors to Site have been inducted?

  Yes

  No

  N/A

• Current version of Construction Drawings on Site?

  Yes

  No

  N/A

• Scope and Work Method established?

  Yes

  No

  N/A

• DBYD 1100 location sheet on site?

  Yes

  No

  N/A

• Approved TMP engaged and effective?

  Yes

  No

  N/A

• Approved EMP onsite and effective?

  Yes

  No

  N/A

Before entering site

• Is an Emergency Evacuation Point (Muster Point) sign visible?

  Yes

  No

  N/A

• Warning signs posted and legible?

  Yes

  No

  N/A

• Rig set up level and stable?

  Yes

  No

  N/A

• Scope and Work Method established?

  Yes

  No

  N/A

• Is there communication on site (mine radio / mobile phone / sat phone / etc)?

  Yes

  No

  N/A

Site Housekeeping

• Worksite is free from obstructions? (Slips, trips, fall hazards & rubbish)

  Yes

  No

  N/A

• Is worksite rubbish being disposed of correctly (correct waste bins etc)?

  Yes

  No

  N/A

• Is waste management book being used to record waste disposal?

  Yes

  No

  N/A

• Tools & Equipment is being stored correctly?

  Yes

  No

  N/A

• Walkways & Platforms clean & free of oil, grease & tools?

  Yes

  No

  N/A

• Spill kit is on-site and readily accessible?

  Yes

  No

  N/A

• Spill kit is adequately stocked?

  Yes

  No

  N/A

Rig Emissions (dust, water & cutting control)

• Dust is being adequately suppressed where practical?

  Yes

  No

  N/A

• Water & Cuttings are routed to sumps and are contained within the channels?

  Yes

  No

  N/A

• Sumps are containing all water & cuttings ( no leaks/overflow)

  Yes

  No

  N/A

Guarding

• Adequate guarding in place for all rotating engine/drivetrain components, exhausts etc?

  Yes

  No

  N/A

• Adequate rod guarding (spin cage / rod fall protection / etc) in place and being used properly?

  Yes

  No

  N/A

Fluid Leaks

• Are there any obvious fluid leaks from engine, drivetrain or hydraulic system including rod handler?

  Yes

  No

  N/A

Fire Fighting Equipment

• Portable fire extinguishers on all vehicles?

  Yes

  No

  N/A

• Fire extinguishers in current test & tag

  Yes

  No

  N/A

• Are all portable fire extinguishers firmly secured?

  Yes

  No

  N/A

• All persons on site have an understanding of how to use all the fire fighting equipment?

  Yes

  No

  N/A

First Aid Equipment

• Are first aid kits easily accessible?

  Yes

  No

  N/A

• Kits are stocked / clean and inspected?

  Yes

  No

  N/A

• Are there trained first aiders on site?

  Yes

  No

  N/A

Equipment Tag out & Isolation

• Do all the isolation/lock-out points have an identification sticker?

  Yes

  No

  N/A

• Are correct procedures being followed when equipment needs to be isolated and/or tagged out?

  Yes

  No

  N/A

• Do the isolation switches work?

  Yes

  No

  N/A

Equipment Inspections

• Daily pre-starts for each vehicle is being conducted as required?

  Yes

  No

  N/A

• Daily pre-starts for the rig is being conducted?

  Yes

  No

  N/A

• Manufacturers recommended inspections are being completed within the correct timeframe? (as per the operators manual)

  Yes

  No

  N/A

Servicing of Equipment

• Rig is being serviced as required?

  Yes

  No

  N/A

High Pressure Hoses, Pressure vessels & Relief Valves

• Do all hoses appear to be structurally sound through a visual inspection?

  Yes

  No

  N/A

• Do all hose fittings appear to be structurally sound through a visual inspection?

  Yes

  No

  N/A

• Do all hose fittings appear to be fitted correctly?

  Yes

  No

  N/A

• Are any of the fittings or hoses showing signs of leakage?

  Yes

  No

  N/A

• Are high pressure lines barricaded / delineated?

  Yes

  No

  N/A

Visual Inspection

• Rod handler is in good operating condition?

  Yes

  No

  N/A

• Foot clamps are operating correctly?

  Yes

  No

  N/A

• Foot clamp jaws are secured correctly?

  Yes

  No

  N/A

• Breakout tool is in good serviceable condition?

  Yes

  No

  N/A

• Slips table is in good operating condition?

  Yes

  No

  N/A

• Stilsons are in good working condition?

  Yes

  No

  N/A

• Hydraulic jack legs are in good condition?

  Yes

  No

  N/A

• Hydraulic jack legs have fluid leaks?

  Yes

  No

  N/A

• Mandatory, Caution, Prohibition, Danger, Fire, First Aid, Traffic, HAZCHEM signage is present, visible and legible at all required locations?

  Yes

  No

  N/A

Gauges and Controls

• All gauges are working?

  Yes

  No

  N/A

• All gauges are easily readable?

  Yes

  No

  N/A

• All controls are in good working order?

  Yes

  No

  N/A

• All controls are easily identifiable?

  Yes

  No

  N/A

Documentation

• Have all workers been inducted & the correct paperwork has been completed for the site?

  Yes

  No

  N/A

• Are all contractors, visitors or client representatives inducted for the site?

  Yes

  No

  N/A

• Are there records of hazard observations?

  Yes

  No

  N/A

• Are the company policies, procedures (SCP), SWP's on-site?

  Yes

  No

  N/A

• Are SWP's being referenced / reviewed?

  Yes

  No

  N/A

• Are MSDS documents available for all products on-site?

  Yes

  No

  N/A

• Are MSDS documents current?

  Yes

  No

  N/A

• Are all persons on-site aware of where to find all the documentation?

  Yes

  No

  N/A

• Workers are competent in filling out the required paperwork?

  Yes

  No

  N/A

• Do all vehicles have Equipment Compliance stickers?

  Yes

  No

  N/A

• Is there an up to date Emergency Response Sheet including contact numbers available at the drill pad?

  Yes

  No

  N/A

• Are JSA pads available at the drill pad?

  Yes

  No

  N/A

• Are SLAM's / Take 5's / Etc being completed?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Workers are using the supplied PPE?

  Yes

  No

  N/A

• Disposable PPE is being discarded correctly? (gloves, earplugs, etc in bins)

  Yes

  No

  N/A

• Is UV protection being used? (hats, sunscreen, long sleeve shirt/pants)

  Yes

  No

  N/A

• Crew workwear (long sleeve shirts & pants) in good condition

  Yes

  No

  N/A

• Sleeves rolled down, buttoned up and no loose clothing?

  Yes

  No

  N/A

Site Supervisors comments

• Add comments:

  Select yes no

  • yes
  • no

• Comments:

• Name & Sign

  Sign

• Name & Sign

  Sign

Client Representative comments:

• Add comments:

  Select yes no

  • yes
  • no

• Comments:

• Name & Sign

  Sign

• Name & Sign

  Sign

Safety Advisor comments:

• Add comments:

  Select yes no

  • yes
  • no

• Comments:

• Name & Sign

  Sign

• Name & Sign

  Sign

Company Management comments:

• Add comments:

  Select yes no

  • yes
  • no

• Comments:

• Name & Sign

  Sign

• Name & Sign

  Sign

Issues Raised

• Issues raised that need actioning:

Issue:

• Issue status:

  Safe

  At Risk

  N/A

• Assigned to:

• Completion date:

  Date

• Issue has been closed out appropriately:

• Time and date action closed out

  Date

• ID of person closing out action

  Sign