Title Page

  • Conducted on

  • Prepared by

  • Company name and Drill Rig:

  • Location:

Workplace Inspection

Safety Policies & Behaviors

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

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

  • Is all equipment utilizing wheel chocks?

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

  • Are employees using the proper body positioning/lifting techniques for the task(s) at hand?

  • Comments/Corrective action taken

  • Is PPE correctly worn? (hard hats, eye protection, steel toe boots, ear protection)

  • Comments/Corrective action taken

  • Is protective clothing worn, without any loose items?

  • Comments/Corrective action taken

  • Are respirators properly stored?

  • Comments/Corrective action taken

  • Are appropriate gloves worn for the task(s) at hand?

  • Comments/Corrective action taken

  • Was a quality site induction conducted?

  • Comments/Corrective action taken

  • Is there a first aid kit and eyewash present with clear signs?

  • Comments/Corrective action taken

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

  • Is there clear communication between the helpers and the driller? (Good eye contact, hand signals, etc.)

  • Comments/Corrective action taken

  • Are drillers /helpers following core orientation procedures?

  • Comments/Corrective action taken

  • Are employees exhibiting proper core handling techniques?

  • Comments/Corrective action taken

  • Is there a clearly labeled muster point?

  • Comments/Corrective action taken

  • Are employees displaying signs of advanced fatigue?

  • Are appropriate hot/cold rest areas available?

  • Has the supervisor been notified?

COMMUNICATIONS

  • Is there an emergency telephone numbers list/drill site location map posted at appropriate location? (Near radio, easily found/accessible)

  • Comments/Corrective action taken

  • Is there a working radio in the drill shack? In the vehicles?

  • Comments/Corrective action taken

Records and Examinations

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

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

  • Are SDS sheets available for chemicals noted during the inspection? Do they know how to access 3E?

  • Comments/Corrective action taken

  • Do employees have 5000-23 on all self-propelled mobile equipment?

  • Comments/Corrective action taken

Guarding, working surfaces, mechanical conditions

  • Are the sumps and authorized areas barricaded off properly/have signs posted?

  • Comments/Corrective action taken

  • Is there a life jacket/ring and rope present at accessible location near sump?

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

  • Are walking and working surfaces secure? Ex: no slippery, edges marked, no holes, and free of any spills

  • Comments/Corrective action taken

  • Is mast free of cracks, twists or bends?

  • Comments/Corrective action taken

  • Are pivot pins/locking system ok?

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  • Are the hoist cables and hooks in good condition? (no frays, kinks, kinks, flat spots or bends.)

  • Comments/Corrective action taken

  • Is the rig stable? I.e. not sinking/shaking/wobbling

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Equipment/Vehicles

  • Are E-Stop's working properly and clearly labeled?

  • Comments/Corrective action taken

  • Is parking brake set on all equipment?

  • Comments/corrective action taken

  • Does all equipment have functioning audible back-up alarms?

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

  • Is mobile equipment provided with adequate seat belts?

  • Comments/Corrective action taken

Fire prevention/safety

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

  • Comments/Corrective action taken

  • Are there any oil/fuel spills or leaks?

  • Comments/Corrective action taken

  • Are fire extinguishers present and easily accessible?

  • Comments/Corrective action taken

  • Are all fire extinguishers inspected monthly and yearly? (Check to see they are not expired)

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

Electrical Hazards

  • Is the light plant grounded, in correct position and provides sufficient lighting? (Also check for broken bulbs)

  • Comments/Corrective action taken

  • Are all extension cords inspected and marked for continuity?

  • Comments/Corrective action taken

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

  • Comments/Corrective action taken

Material Handling

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

  • Comments/Corrective action taken

  • Is material stored on shelves protected from falling?

  • Comments/Corrective action taken

Housekeeping

  • Is pad free of debris/trash and material that could blow away?

  • Comments/Corrective action taken

  • Are trash can lids on and secured?

Hoses

  • Are all hoses and fitting in good repair?

  • Comments/Corrective action taken

  • Are all high pressure (100psi or greater) air and water line connections secured by a secondary safety device if there is a potential for the connection to fail?

  • Comments/Corrective action taken

  • Do all cam locks have a secondary safety device? (regardless of psi)

  • * 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).

  • Comments/Corrective action taken

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

Environmental/Pad

  • Is the dust at acceptable levels/not excessive?

  • Comments/Corrective action taken

  • Is there minimal site disturbance?

  • Comments/Corrective action taken

  • Are employees using existing tracks only?

  • Comments/Corrective action taken

  • Is the site free of oil/fuel spills or iridescent water?

  • Comments/Corrective action taken

  • Are the sumps leaking/overflowing?

  • Comments/Corrective action taken

Quiz Questions- Choose one to do per inspection

Ask one question/Quiz

  • When is the last time the E-stops were tested? Have them test one

  • Watch one run and examine their core orientation technique to ensure they are drawing the lines correctly, making the correct types of marks, etc.

  • What lightning alert heard on the radio means that all personnel needs to stop working and get inside a vehicle?

  • Choose one product that the drillers use on site and ask to see if they are able to find the SDS

  • What do you do in case of an emergency? Make sure they can describe where the safety location map is and where they are located according to that, code blue (no names, etc.)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.