ISS Platform Survey

• Client

• Location
  Address

• OCSG #

• Well #

• Conducted on

  Date

• Prepared by

• Assisted By:

• Company Rep:

Platform Information and contact information.

• Project engineer. And Contact information.

  Yes

  No

  N/A

• Field Representative, and contact information

  Yes

  No

  N/A

• Field Hotel/ Lodging information and contact information.

  Yes

  No

  N/A

Platform Information.

• Manned Platform

  Yes

  No

  N/A

• Platform Lighting

  Yes

  No

  N/A

• Fuel (Diesel)

  Tank 1 Gallons

  Tank 2 Gallons

• Water

  Tank 1 Gallons

  Tank 2 Gallons

• Air Supply

  PSI

• Bunks Available

  Number of Bunks

• Personnel Basket

  Yes

  No

  N/A

• Swing Ropes

  Yes

  No

  N/A

• Is the crane Personnel Certified

  Yes

  No

  N/A

• Life Jackets

  Number of PFD's

• Life Rafts

  Number of Rafts

  Men per Raft

• Life boats

  Number of Boats

  Men per Boat

• Are the Platform Drains Operational

  Yes

  No

  N/A

• Platform Coordinates

  Longitude

  Latitude

• Water Depth

• Heliport

  Size

• Platform Sketch

  Drawing

• Platform Sketch

  Drawing

• Platform Sketch

  Drawing

• Platform Sketch

  Drawing

• Platform Sketch

  Drawing

Crane Info

• Select from range

• Hook Height over Wells

• Pedestal Height

• Crane Boom Length in Feet

• Picture of Crane Load Chart

  Load Chart

• Picture of Crane

  Yes

  No

  N/A

• Main Hoist Line

  2 Part

  4 Part

  6 Part

  8 Part

• Crane Position sketch

  Drawing

Well Information

• Height of Tubing Head Flange to Top Deck

• Tubing Head Flange Size

• Tubing Size

• Center Well to Center Crane

• Tree Information

  Yes

  No

  N/A

• Well Log Information

  Yes

  No

  N/A

General Info

• Hazards

  Yes

  No

  N/A

• Is there any rusted areas on platform

  Yes

  No

  N/A

• Is Base Plate in good condition

  Yes

  No

  N/A

Platform Pictures

• General Platform Pictures

  Yes

  No

  N/A

• Guy Wire Placement

  Yes

  No

  N/A

• Tree Pictures

  Yes

  No

  N/A

• Pictures underneath Main Deck

  Yes

  No

  N/A

• Base Plate

  Yes

  No

  N/A