Kinross Exploration Drill Rig Inspection

• Good

  Fair

  Poor

  N/A

Lead Inspector

• Drill contractor & rig #

Project Area

• Conducted On

  Date

Record and Examinations

• Are workplace inspections conducted and documented by a competent person each shift?

  Yes

  No

  N/A

• Comments/Corrective action taken

• If response is no down all equipment until pre-shift has been completed

• Are equipment operators completing Pre-shift inspections of mobile equipment prior to operation?

  Yes

  No

  N/A

• Comments/Corrective action taken

  Good

  Fair

  Poor

  N/A

• Are emergency telephone number posted at appropriate telephones?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are SDS sheets available for chemicals noted during the inspection?

  Yes

  No

  N/A

• Comments/Corrective action taken

Guarding, working surfaces, mechanical conditions

• Are all moving machine parts adequately guarded of walking/ working surface rotation guards (7')

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are substantially constructed handrails and toe boards provided and maintained on elevated surfaces?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are safety chains provided where required across openings on work platforms?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Is housekeeping,walking and working surfaces free of spillage ?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Is mast free of cracks and twisted or bent?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Does the wire line, cables & main winch have no flat spots, kinks or frayed areas or overlapped?

  Yes

  No

  N/A

• Comments/Corrective action taken

Equipment

• Are E-Stop's working properly? How many E-Stops

  Yes

  No

  N/A

• Comments/Corrective action taken

• Is parking brake set on all equipment?

  Yes

  No

  N/A

• Comments/corrective action taken

• Is equipment equipped with functioning audible back-up alarms?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are windshields and glass free of damage that would obscure view and safe operation?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Is the water truck driver know how to perform an air brake test ?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Is mobile equipment provided with adequate seat belts?

  Yes

  No

  N/A

• Comments/Corrective action taken

Safety Policies & Behaviors

• Are all employees maintaining 100% tie-off when there is risk of falling? Height safety in good condition?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are employees properly locking, tagging out equipment and machinery when performing repairs or maintenance? (lock out tag out location).

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are employees clean shave while wearing dust mask or respirators in designated areas?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are all equipment utilizing wheel chocks ?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are employees using tools and equipment as designed by the manufacturer? (right tool for the job)

  Yes

  No

  N/A

• Comments/Corrective action taken

• Do employees have 5000-23 on all task train equipment?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Is all personnel aware of and understand all SOP's? (inspector to review one with crew)

  Yes

  No

  N/A

• Comments/Corrective action taken

Fire prevention

• Is there any oil build up in drill rig or equipment?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are all fire extinguishers inspected monthly and yearly?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are readily visible signs prohibiting smoking and open flames posted where fire hazards exist?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Drill site has at least four 10 pound fire extinguisher on site or equal to ?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are flammable liquids stored in properly labeled safety containers and away from heat?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are combustible waste materials and or oily combustible rags disposed in a metal container w/lid?

  Yes

  No

  N/A

• Comments/Corrective action taken

Electrical Hazards

• Are all extension cords marked with tape? ask the contractor what the color for the month is.

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are all electrical switches, breakers, control etc. properly labeled?

  Yes

  No

  N/A

• Comments/Corrective action taken

Material Handling

• When working near a suspended load, are employees using a tag line and staying clear of the suspended load?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are material stored on shelves protected from falling?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Is safe access provided to all work areas? 3 feet of access ?

  Yes

  No

  N/A

• Comments/Corrective action taken

Air System

• Hose, fittings condition,

• Is there any obvious damage or leakage on all hoses and fittings without any?

  Yes

  No

  N/A

• Comments/Corrective action taken

• Are all air hoses have been secured at both hose ends and located away from moving parts firmly secured? whip checks.

  Yes

  No

  N/A

• Comments/Corrective action taken

• Cyclone in good condition and securely mounted to uphold the scope of work sample. (The sample taking point ensures minimal exposure to the sampler, in the event the sample hose or fittings fail).

  Yes

  No

  N/A

• Comments/Corrective action taken

ROD HANDLING EQUIPMENT

• The rod handler is fully functional (if fitted)?

  Yes

  No

  N/A

• Comments/Corrective action taken

ENVIRONMENTAL

• Leaks, Sumps and general housekeeping

• visible hydraulic leaks to any equipment or items and position leak liners under vehicle undercarriages and operational motors. sump/tank overflow devices and perimeter-wide berm, which act as safety devices in the event of a leakage or spill.

  Yes

  No

  N/A

• Comments/Corrective action taken

Light Plant

• Grounded and all bulbs working.

• Is the light plant grounded and all light bulbs working?

  Yes

  No

  N/A

• Comments/Corrective action taken

Other Items or recommendations

• Miscellaneous / General comments

  Yes

  No

  N/A

• Comments/Corrective action taken

Inspection attended by: