Emergency Systems/Procedures Inspection Checklist

• Reference Number [GPA / GPO]

• Audit Title

• Operating Entity

• Operator

• Site Safety Manager

• Rig Location
  Address

• Tenure Holder

• Tenure type and number

• Responsible person contact details

• Audit / Inspection Commencement Date

  Date

• Audit / Inspection Completion Date

  Date
• Location
  Address

• Prepared by: * Inspector and supporting inspector names

Emergency Plan Documentation

• Does the Rig have an approved site safety / emergency plan as part of the SMP?<br><br>

  Yes

  No

  N/A

• Does the plan include the location of: defined hazardous zones?

  Yes

  No

  N/A

• Does the plan include location of: remote emergency stop locations?

  Yes

  No

  N/A

• Does the plan include the location of: emergency muster points?

  Yes

  No

  N/A

• Does the plan include the location of: emergency?

  Yes

  No

  N/A

• Does the plan include the location of: fire fighting equipment?

  Yes

  No

  N/A

• Does the plan include the location of: first aid kits and apparatus?

  Yes

  No

  N/A

• Does the plan include the location of: emergency eye wash / shower stations?

  Yes

  No

  N/A

Emergency contact and communications

• Are appropriate emergency contacts identified and clearly displayed?

  Yes

  No

  N/A

• Do contacts include the correct Petroleum and Gas Inspectorate emergency contact numbers - I.e. For notifiable incidents?

  Yes

  No

  N/A

• Are the rig crew aware of the incident reporting process?

  Yes

  No

  N/A

• Are there adequate communications on the rig site, I.e. UHF/VHF radio, satellite phone?

  Yes

  No

  N/A

• Are all communication systems in operational order and tested for each site? <br>Tests must be recorded?

  Yes

  No

  N/A

Contingency and response testing

• Are contingency plans in place for:<br> 1. Incapacitation of emergency response personnel<br> 2. Communication failure

  Yes

  No

  N/A

• Is the Emergency Escort Location (EEL) prominently displayed, GPS co-ordinate a and mud maps available?

  Yes

  No

  N/A

• Is appropriate signage provided on main roadways to direct emergency services when responding to events?

  Yes

  No

  N/A

• Are emergency exercises conducted?<br><br>What was the last exercise in relation to?

  Yes

  No

  N/A

• Was there a report on the exercises outcomes and it's effectiveness documented?

  Yes

  No

  N/A

• Is there evidence to show that all rig crew, clients and contractors are accounted for during an emergency situation?

  Yes

  No

  N/A

• Are there processes in place to ensure a review of emergency procedures occurs regularly or whenever significant changes are made?

  Yes

  No

  N/A

Emergency shut down / facilities / and alarms.

• Does the rig have emergency shut down facilities (1 or more)?

  Yes

  No

  N/A

• Is there evidence to demonstrate that emergency shut down systems are tested and that test results are recorded?

  Yes

  No

  N/A

• Are test intervals in accordance with SMP requirements (should be at every rig up)?

  Yes

  No

  N/A

• Inspector to consider requiring a function test of the emergency shut down system - shut down should occur in 3 to 5 seconds?<br><br>Note: requests to test should be considered with current rig activities in mind.

  Yes

  No

  N/A

• Does the rig have emergency alarm facilities?

  Yes

  No

  N/A

• Is there evidence that emergency alarms are tested and the test results are recorded?

  Yes

  No

  N/A

• Are test intervals in accordance with SMP requirements (should be at every rig up)?

  Yes

  No

  N/A

• Inspector to consider conducting a test of the emergency alarm system?

  Yes

  No

  N/A

• Is there a minimum of 2 emergency muster points designated at the rig site?

  Yes

  No

  N/A

• Are muster points clearly displayed and accessible?

  Yes

  No

  N/A

• Are rig crews aware of the designated muster points?

  Yes

  No

  N/A

Rescue and Training

• Is requisite safety equipment available on site?<br>I.e. - Work at height equipment<br> - height rescue equipment<br> - confined space equipment<br> - task specific PPE

  Yes

  No

  N/A

• Is there evidence of training in the use of emergency and rescue equipment?<br><br>Note: Nationally accredited training required for work at heights, working in confined spaces.

  Yes

  No

  N/A

• Is there adequate fire extinguishers available on site and are they in test date?

  Yes

  No

  N/A

• Are first aid kits/facilities available, adequately stocked and inspected regularly?

  Yes

  No

  N/A

• Are environmental spil kits appropriately located on or near the rig?

  Yes

  No

  N/A

Gas Detection

• Is gas detection equipment available at the rig?

  Yes

  No

  N/A

• Are gas detectors within calibration and challenged/bump tested as per manufacturer's recommendations?

  Yes

  No

  N/A

• Are gas detector calibration and bump tests recorded with records available on site?

  Yes

  No

  N/A

• Are there backup operational gas detectors available on site?

  Yes

  No

  N/A

• Do the rig crew know where gas detectors are located?

  Yes

  No

  N/A

• Are the rig crew trained in the operational use of the gas detectors on site?

  Yes

  No

  N/A

Hazardous Zones

• Are hazardous zones clearly defined within the SMP?

  Yes

  No

  N/A

• Are hazardous zones clearly identifiable on the rig site?

  Yes

  No

  N/A

• Are designated smoking areas located in suitable positions, outside the 30 mtr hazardous zone?

  Yes

  No

  N/A

• Are fire extinguishers available in close proximity to smoking areas?

  Yes

  No

  N/A

• Are suitable bins available in smoking areas for disposal of butts etc?

  Yes

  No

  N/A