• Document No.

  • Rig No:

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel on site at time of Inspection

***NOTE*** this inspection report is to be considered uncontrolled unless printed out and original signatures of all participants are next to iPad signatures

Before entering site

  • Is a Emergency Evacuation Point sign visible?

  • Are access tracks clear of obstructions?

  • Are vehicles parked within drill site boundaries?

Site Housekeeping

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

  • Tools & Equipment is being stored correctly?

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

  • Hydrocarbons & Hazardous wastes are stored separately to general rubbish?

Rig Emissions (dust, water & cutting control)

  • Dust is being adequately suppressed where practical?

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

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

Hydrocarbon Storage

  • Hydrocarbons are being stored neatly in a cleared area?

  • Hydrocarbons are being stored in accordance with ADGC7?

  • Bunding is in place around stored hydrocarbons?

  • Spill kit is on-site and readily accessible?

  • Spill kit is adequately stocked?


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

  • Adequate rod guarding in place and being used properly?

  • Guard lockouts are fitted and working?

  • Sumps have bunding, barricading or some other form of guarding in place?

Fluid Leaks

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

Fire Fighting Equipment

  • Does the rig have a fire suppression system fitted?

  • Is the system charged and ready for use

  • Details

  • Portable fire extinguishers placed appropriately around site?

  • Fire extinguishers in current test & tag

  • Are all portable fire extinguishers firmly secured?

  • Fire extinguisher test tags are fitted and legible?

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

  • Is there a portable fire fighting unit on-site? (>600lt (6x4 trailer))

  • Is the portable fire fighting unit filled, have pre-starts conducted?

First Aid Equipment

  • Are first aid kits easily accessible?

  • Kits are stocked and clean?

  • Are there trained first aiders on site?

"E" Stops

  • "E" Stop(s) have been checked and are all in working condition?

Lighting arrangements

  • Is there lighting provided for night shift?

  • Does the lighting tower have a current test & tag sticker/certificate?

  • Is all the electrical cabling positioned/fastened in such a way that is safe from getting damaged?

Equipment Tag out & Isolation

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

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

  • Do the isolation switches work?

Equipment Inspections

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

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

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

Servicing of Equipment

  • Rig is being serviced as required?

High Pressure Hoses, Pressure vessels & Relief Valves

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

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

  • Do all hose fittings appear to be fitted correctly?

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

  • Are whipchecks placed on all pressure hoses and a secured correctly?

  • Are pressure vessels registered? (If applicable)

  • Are pressure vessels tested and tests are current?

  • Pressure relief valves are tested and operational?

Winches, Ropes & Rod/Plug threads

  • Main winch rope is free from bird nesting, kinks, frays, twists etc?

  • Wireline rope is free from bird nesting, kinks, frays, twists etc?

  • Haul plug is in good operating condition?

  • Plugs and rods have serviceable threads?

  • Sheaves & Blocks are in good condition?

  • Shackles are rated and in good condition?

Visual Inspection

  • Walkway railings are secure and in a serviceable condition?

  • Walkway steps/rungs have non-slip treads?

  • Walkways have securing pins and are being used?

  • Rod handler is in good operating condition?

  • Foot clamps are operating correctly?

  • Foot clamp jaws are secured correctly?

  • Breakout tool is in good serviceable condition?

  • Slips table is in good operating condition?

  • Stilsons are in good working condition?

  • Visual inspection of the mast; are there any?<br>* cracks, warps, bends or other visual defects?

  • Mast locks are in place and in good condition?

  • Hydraulic jacks are in good condition?

  • Hydraulic jacks have fluid leaks?

  • Work platforms are secured and free from obstructions?

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

Gauges and Controls

  • All gauges are working?

  • All gauges are easily readable?

  • All controls are in good working order?

  • All controls are easily identifiable?

Power/Hand tools

  • Equipment seems to be in good working order when visually inspected?

  • Power cords/plugs are in good condition?

  • Electrical tools have a current test & tag sticker/certificate?

  • Tools are stored correctly when not in use?


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

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

  • Are toolbox meetings held as required?

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

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

  • Are MSDS documents current?

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

  • Workers are competent in filling out the required paperwork?

Personal Hygiene

  • Fresh, clean and cool drinking water is available?

  • Food is being stored in a hygienic manner?

  • Hand cleaning products are available?

  • Waste food products are being disposed of in the correct manner?

Personal Protective Equipment (PPE)

  • Site has adequate supplies of company issued PPE?

  • Is further PPE required to ensure safety on this site?

  • Workers are using the supplied PPE?

  • When not in use, is PPE being stored correctly?

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

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

Personnel Attitudes

  • All personnel on-site are displaying a positive attitude towards Health, Safety & Environmental protocols?


Site Supervisors comments

  • Add comments:

  • Comments:

  • Name & Sign

  • Name & Sign

Client Representative comments:

  • Add comments:

  • Comments:

  • Name & Sign

  • Name & Sign

Company Safety Manager comments:

  • Add comments:

  • Comments:

  • Name & Sign

  • Name & Sign

Company Management comments:

  • Add comments:

  • Comments:

  • Name & Sign

  • Name & Sign


Issues Raised

  • Issues raised that need actioning:

  • Issue:
  • Issue status:

  • Assigned to:

  • Completion date:

  • Issue has been closed out appropriately:

  • Time and date action closed out

  • ID of person closing out action

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.