HSE Site Visit - V.2.1

• Client / Rig (Please indicate the customer (Continental, Devon, Anadarko, etc/Please indicate the Rig)

• Conducted on

  Date

• Prepared by

• Personnel

• Please select the Division performing work. (You may select more than one)

  Select Casing Lay Down Rack Rat Hole Drilling

  • Casing
  • Lay Down
  • Rack
  • Rat Hole
  • Drilling

• Please select the Facility the crew(s) is/are from. (You may select more than one)

  Select Williston, ND Dickinson, ND Cheyenne, WY Greeley, CO Marietta, OK

  • Williston, ND
  • Dickinson, ND
  • Cheyenne, WY
  • Greeley, CO
  • Marietta, OK

• Did the crew sign in upon arriving on location?

  Yes

  No

  N/A

PPE

• Are all members of the crew wearing the correct PPE? (hard hat, steel toes, safety glasses, FRC's, impact gloves) (Please answer 'No' if members are not wearing Noble PPE)

  Yes

  No

• If the answer to the previous question is 'No' please indicate what the issue is.

• Is all PPE in good repair? (hard hats clean, FRC's clean, FRC's free of major rips/holes, steel toe boots without holes, etc)

  Yes

  No

• If the answer to the previous question is 'No' please indicate what the issue is.

Crew Cohesiveness

• Is the crew working well together?

  Yes

  No

• If the answer to the previous question is 'No' please indicate what the issue is.

• Is the crew working well with the rig crew members?

  Yes

  No

• If the answer to the previous question is 'No' please indicate what the issue is.

General Safety

• Are tire chalks being utilized by all Noble vehicles one-ton (3500) and above?

  Yes

  No

• If the answer to the previous question is 'No' please indicate what the issue is.

• Are all Noble vehicles parked with consideration for the First Move Forward Policy?

  Yes

  No

• If the answer to the previous question is 'No' please indicate what the issue is.

• Does it appear as if anybody is rushing, frustrated, fatigued or complacent?

  No

  Yes

• If the answer to the previous question is 'Yes' please indicate what the situation was and how it was handled.

• Is the crew following all applicable Noble policies and procedures (fall prevention, hot work permit (if applicable) etc)? (If the answer to this question is 'No' please identify what policy/procedure is not being followed and what was done to fix the situation)

  Yes

  No

• If the answer to the previous question is 'No' please indicate what the issue is.

Site Specific Information

• Are all areas where Noble employees are working tidy and free of garbage? (If the answer to this question is 'No' please identify what can be improved)

  Yes

  No

• Are there any environmental challenges on location? (Wet, Snow, Cold, Heat, Wind, etc) (If the answer to this question is 'Yes' please identify what the challenge is and how it was addressed with the crew(s))

  No

  Yes