Drill Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

• Sheet1

• Inspection Checklist Surface Diamond Drill Rig & Site

• Rig #: 1

• Drill Crew:

• Date:

  Date

• Heading:

• Inspected By:

• Hole ID:

• A Acceptable UUnacceptable SStop Work

  Yes

  No

  N/A

• 1. Travelway & Entrance to Drill Site

  Safe

  At Risk

  N/A

• Safe access to site, nothing impeding acces to work site?

  Safe

  At Risk

  N/A

• Hazards at worksite excess water, dead trees, loose bolders, etc. describe

  Yes

  No

  N/A

• All tripping hazards controlled or removed?

  Yes

  No

  N/A

• Is there a "Drilling in Progress/Authorized Personnel " sign in vicinity?

  Yes

  No

  N/A

• Was a site orientation given before the inspection process?

  Yes

  No

  N/A

• 2. Emergency Action Plan & safety Equipment

  Yes

  No

  N/A

• Are workers aware of emergency procedures? Are procedures accessible?

  Yes

  No

  N/A

• Muster point; are workers aware of location? Safe access to?

  Yes

  No

  N/A

• Is there a communication source on site?

  Yes

  No

  N/A

• Are there emergency contact numbers (ERP) at the drill?

  Yes

  No

  N/A

• Are all hazardous condition monitoring equipment (gas testers) in place?

  Yes

  No

  N/A

• Are encountered gas sheets available?

  Yes

  No

  N/A

• Are emergency shut down devices in working order?

  Yes

  No

  N/A

• rotation barrier door interlock

  Yes

  No

  N/A

• saftey interlock mat

  Yes

  No

  N/A

• "E" stop operational (how many)

  Yes

  No

  N/A

• Is there an equipped, regularly inspected first aid kit on site?

  Yes

  No

  N/A

• Is there a proper eyewash station on site?

  Yes

  No

  N/A

• Other signage:

  Good

  Fair

  Poor

  N/A

• 1st Aid Station

  Yes

  No

  N/A

• Eyewash Station

  Yes

  No

  N/A

• Muster Station

  Yes

  No

  N/A

• Oil Storage

  Yes

  No

  N/A

• 3. Environmental Management System

  Yes

  No

  N/A

• Are cuttings controled? Describe

  Yes

  No

  N/A

• Are barricades & signs in place around sumps?

  Yes

  No

  N/A

• Is a spill kit present, clean, sealed and labelled?

  Yes

  No

  N/A

• Is drill equipment free of leaks? Spill matting being used and changed?

  Yes

  No

  N/A

• Is secondary containment used under petroleum poducts?

  Yes

  No

  N/A

• Are oily rags/gloves disposed of in an enclosed container?

  Yes

  No

  N/A

• Is waste oil being stored and labeled?

  Yes

  No

  N/A

• Is waste metal being separated in containers?

  Yes

  No

  N/A

• Do all containers, pails etc, have proper WHMIS labels?

  Yes

  No

  N/A

• 4. Electrical Equipment

  Yes

  No

  N/A

• Electrical equipment and wiring free of frays, cracks or defects?

  Yes

  No

  N/A

• Electrical fixtures/receptacles in good shape?

  Yes

  No

  N/A

• Do all cords have ground plug?

  Yes

  No

  N/A

• Is wiring/cables secure and out of the way?

  Yes

  No

  N/A

• Is there a lockable master switch

  Yes

  No

  N/A

• 5. Fire Protection

  Yes

  No

  N/A

• Are functional fire extinguishers accessible at the drill site?

• Are all fire extinguishers free of damage and rust?

  Yes

  No

  N/A

• Are all fire extinguishers inspected monthly?

  Yes

  No

  N/A

• Is there free access to additional fire fighting gear?

  Yes

  No

  N/A

fire extinguishers

• drill shack

  Yes

  No

  N/A

• minimum required

  Yes

  No

  N/A

• fuel sloop

  Yes

  No

  N/A

• generator/rod sloop

  Yes

  No

  N/A

• pump shack

  Yes

  No

  N/A

• additional equip

  Yes

  No

  N/A

• pack pump

  Yes

  No

  N/A

• shovel

  Yes

  No

  N/A

• axe

  Yes

  No

  N/A

• pail

  Yes

  No

  N/A

6. Drilling Equipment and Layout

• Is the permit to work (drill layout) at the drill site?

• Are all permits attached (surface disturbance

  safe

  work

• Is all rotating equipment properly guarded or barricaded?

  Yes

  No

  N/A

• Are hydraulic hoses in good condition without signs of wear?

  Yes

  No

  N/A

• Are controls in good condition, functioning properly and labelled?

  Yes

  No

  N/A

• Are hand tools clean, organized, free of damage?

  Yes

  No

  N/A

• Are platforms in good condition? Secure?

  Yes

  No

  N/A

• Are applicable railings installed? Able to withstand 200lbs?

  Yes

  No

  N/A

• Are stairways in good condition? Secured ?

  Yes

  No

  N/A

• Is engine protected from any potential contact from other drill components

  Yes

  No

  N/A

• Are stiff legs installed with pin and keeper?

  Yes

  No

  N/A

• Are drip pans in place w/ plugs? Spill matting being used and changed?

  Yes

  No

  N/A

• Are tongue/draw bars in good conditoin? Lowered or secured up?

  Yes

  No

  N/A

7. Job Environment

• Are preshift inspections completed?

  Yes

  No

  N/A

• Is the work area clean and organized?

  Yes

  No

  N/A

• Have tripping hazards been eliminated?

  Yes

  No

  N/A

• How are rods being stored?

• What is in place to prevent drill rods from falling?

• Is garbage controled in sealed garbage bins?

  Yes

  No

  N/A

• Is there adaquate lighting in work area?

  Good

  Fair

  Poor

  N/A

8. Pump Shack

• Are than any hazards as to location of pump shack?

  Yes

  No

  N/A

• Is pump shack level?

  Yes

  No

  N/A

• Are functional fire extinguishers accessible at the drill site? TWO

  Yes

  No

  N/A

• Is equipment free of leaks? Spill matting being used and changed?

  Yes

  No

  N/A

• Are all fire extinguishers free of damage and rust?

  Yes

  No

  N/A

• Are all fire extinguishers inspected monthly?

  Yes

  No

  N/A

• Are stairs, railings, decks in good condition and secured?

  Yes

  No

  N/A

• Is there a proper eyewash station on site?

  Yes

  No

  N/A

9. Support Equipment

• Are preoperational checks verified on paper?

  Yes

  No

  N/A

• Are wheel chocks being used?

  Yes

  No

  N/A

• Are backup alarms installed/operational on all vehicles?

  Yes

  No

  N/A

• Are vehicles equipped with first aid kits?

  Yes

  No

  N/A

• Are vehicles equipped with working Fire Extinguishers?

  Yes

  No

  N/A

• Are lights operational on all vehicles?

  Yes

  No

  N/A

• Are winch cables/hooks in good condition?

  Yes

  No

  N/A

• Is local smoking legislation being followed?

  Yes

  No

  N/A

• 10: General Comments:

Crew Signatures

• Supervisor Signature

  Sign