Drill hole / drill pad

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Previous inspections and actions

• Are there any outstanding action items arising from previous contacts, internal audits, inspections, incidents etc?

  Yes

  No

  N/A

• Have the created actions been effective in addressing the issues raised?

  Yes

  No

  N/A

Hydrocarbon / chemical management

• Is there evidence drilling product or contaminated soil remaining on pad?

  Yes

  No

  N/A

Paperwork checks

• Is the SWP current and complete?

  Yes

  No

  N/A

• Have employees and contractors completed Environmental training?

  Yes

  No

  N/A

• Does Protrak reflect the current status of the drill collar i.e. rehabilitated?

  Yes

  No

  N/A

Work area checks

• Are collars capped and secured?

  Yes

  No

  N/A

• Are collars buried to depth and mounded?

  Yes

  No

  N/A

• Are the sumps adequately designed and compliant?

  Yes

  No

  N/A

• Is the discharge T-piece directed into the sump?

  Yes

  No

  N/A

• Is all discharge contained and quality compliant?

  Yes

  No

  N/A

• Is the pad design compliant with OK&P drill pad templates?

  Yes

  No

  N/A

• Are drill pad modifications made safe?

  Yes

  No

  N/A

• Has all rubbish and remaining equipment been removed?

  Yes

  No

  N/A

Rehabilitation

• Has rehabilitation of tracks been complete / planned? Check on Protrak.

  Yes

  No

  N/A

• Has topsoil and vegetation been stockpiled?

  Yes

  No

  N/A

Housekeeping

• Are there any other arising issues?

  Yes

  No

  N/A

Findings and actions

Sign-off

• Environmental Representative

• Add signature

  Sign

• Work area representative

• Add signature

  Sign