DRILLING: Daily Drilling Pre-Start Up Safety Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Physical Drill Rig Checks

• 1.a. Truck/Hauler walk-around performed on drill rig?

  Yes

  No

• 1.b. Are there any visible leaks?

  Yes

  No

• 1.c. Are tires properly inflated?

  Yes

  No

• 1.d. Have all Emergency EQMT been checked and replenished?

  Yes

  No

• 1.e. Are all items secured on the drill rig?

  Yes

  No

• 1.f. Are Traffic Control Devices loaded on board?

  Yes

  No

  N/A

Documentation

• 2.a. Geotechnical Project Kick-Off Documentation available?

  Yes

  No

• 2.b. Trip Permits in-place?

  Yes

  No

  N/A

• 2.c. Driving Log Prepped?

  Yes

  No

  N/A

Personal Protective Equipment

• 3.a. Hard Hat

  Yes

  No

• 3.b. Work Boots

  Yes

  No

• 3.c. Safety Glasses

  Yes

  No

• 3.d. Impact & Cut Resistant Protective Gloves

  Yes

  No

• 3.e. Hearing Protection

  Yes

  No

• 3.f. Safety Vest (in or adjacent to active roadways)

  Yes

  No

  N/A

• 3.g. Flame Resistance clothing

  Yes

  No

  N/A

Site Safety Walkthrough (Prior to Drilling)

• 4.a. Has utility locate documentation been provided?

  Yes

  No

• 4.b. Are all utilities accounted for on ticket?

  Yes

  No

• 4.c. Are reportedly marked lines visible onsite?

  Yes

  No

• 4.d. Are overhead utility lines present within the work area?

  Yes

  No

• 4.e. Have adequate offsets been established from overhead (35 feet) /underground (5 feet) lines per HSE SOP?

  Yes

  No

• 4.f. Are utility markings still visible?

  Yes

  No

Weather Forecast Considerations

• 5.a. Hot Weather Conditions Anticipated?

  Yes

  No

• 5.b. Cold Weather Conditions Anticipated?

  Yes

  No

• 5.c. Severe Weather Anticipated?

  Yes

  No

• Driller Sign Off (use finger to sign)

  Sign