LEG Drilling Rig Pre-Spud Inspection - 2023

• Title:

• Rig Manager:

• Rig #

• Driller:

• Supervisor:

• HSE Tech/inspected by:

• Spud Date

  Date
• Location/Well
  Address

Dog House and Rig Floor Condition

• 1. Handrails properly Installed

  Yes

  No

  N/A

• 2. Stairways installed properly and Secured

  Yes

  No

  N/A

• 3. Dog house pin and Cotter Pins installed

  Yes

  No

  N/A

• 4. Fire Extinguishers in place and tag up to date

  Yes

  No

  N/A

• 5. Safety Chains in place, across openings

  Yes

  No

  N/A

• 6. Proper Lighting in place with safety cables

  Yes

  No

  N/A

• 7. Safety Signs Posted

  Yes

  No

  N/A

• 8. Trash can cleaned and change lockers picked up

  Yes

  No

  N/A

• 9. Safety Harnesses in place and accessible

  Yes

  No

  N/A

• 10. Rig Floor clean and dry with No Slip material in buckets and available

  Yes

  No

  N/A

• 11. Drillers Table clean and Clear

  Yes

  No

  N/A

• 12. Drinking water available

  Yes

  No

  N/A

• 13. Area clean of trash and trip hazards in side doghouse

  Yes

  No

  N/A

• 14. Are the rig floor mats installed properly (no gaps) and in good condition?

  Yes

  No

  N/A

• Comments:

Derrick and Substructure Boom/pipe wrangler

• 1. Derrick pinned with Cotter Pins

  Yes

  No

  N/A

• 2. All lights working and with safety cables

  Yes

  No

  N/A

• 3. Standpipe clamps tightened and safety cables installed

  Yes

  No

  N/A

• 4. Top Drive kelly hose connected and secured with Whip Check

  Yes

  No

  N/A

• 5. Fall Arrest Working properly

  Yes

  No

  N/A

• 6. Winch Line properly installed

  Yes

  No

  N/A

• 7. Iron Rough Neck working Properly

  Yes

  No

  N/A

• 8. Tong Dies on Iron Rough Neck in working shape (visual inspection)

  Yes

  No

  N/A

• 9. Boom Working properly

  Yes

  No

  N/A

• 10. Fire Extinguishers in place and tag up to date

  Yes

  No

  N/A

• 11. Area under Substructure Clean and Clear from trash or tripping hazards

  Yes

  No

  N/A

• 12. Cat Walk Clean and Clear from trash or tripping hazards

  Yes

  No

  N/A

• 13. Checked oil on Swivel or Top Drive

  Yes

  No

  N/A

• 14. Greased Crown

  Yes

  No

  N/A

• 15. Greased ALL grease Fittings

  Yes

  No

  N/A

• 16. Inspected sheaves on block and on crown for any damage or bearing problems

  Yes

  No

  N/A

• 17. Ground Rods properly installed 6'

  Yes

  No

  N/A

• 18. Cellar jet hooked up and working

  Yes

  No

  N/A

• 19. Shale jet hooked up and working

  Yes

  No

  N/A

• Drilling line anchor made up with torque wrench (verify no slippage)

  Yes

  No

  N/A

• 20. Pipe racks in place and pipe chocked

  Yes

  No

  N/A

• 21. 2X4's picked up and stacked together

  Yes

  No

  N/A

• 22. Flow line bolts

  Yes

  No

  N/A

• 23. Swivel Kelley hose connected and secured

  Yes

  No

  N/A

• 24. Pipe Wrangler working and grounded

  Yes

  No

  N/A

• 25. Crown o matic functional, working properly

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Pump and Mud Pits

• 1. All handrails installed properly with no damage

  Yes

  No

  N/A

• 2. All Stairways installed properly with no damage

  Yes

  No

  N/A

• 3. Fire Extinguishers in place and tag up to date

  Yes

  No

  N/A

• 4. Eye wash station installed and working properly

  Yes

  No

  N/A

• 5.Shale Shakers Working

  Yes

  No

  N/A

• 6. Lights all working and safety cables present

  Yes

  No

  N/A

• 7. Safety Signs in place

  Yes

  No

  N/A

• 8. Vibrating discharge hoses with safety cables, Clamp, Whip chain

  Yes

  No

  N/A

• 9. Water Lubrication Installed

  Yes

  No

  N/A

• 10. Walkways free from trash and trip hazards

  Yes

  No

  N/A

• 11. Ground Rods installed 6'

  Yes

  No

  N/A

• 12. Desander and dsiliter working properly

  Yes

  No

  N/A

• 13. Degasser working properly

  Yes

  No

  N/A

• 14. Mud mixing area clean and material properly stored

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Generator and HPU House

• 1. Properly Grounded

  Yes

  No

  N/A

• 2. All Electric plugs installed properly

  Yes

  No

  N/A

• 3. Electric line off of Ground

  Yes

  No

  N/A

• 4. Proper lighting installed and working

  Yes

  No

  N/A

• 5. Area clean of trash and tripping hazards

  Yes

  No

  N/A

• 6. Barrels of oil and lubricant arranged neatly and in order to be used.

  Yes

  No

  N/A

• 7. Emergency light inside Gen house

  Yes

  No

  N/A

• 8. Proper lighting and with safety cables

  Yes

  No

  N/A

• 9. Breaker Box door closed

  Yes

  No

  N/A

• 10. Batteries in box and covered

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Fuel and Water Tank

• 1. Properly Grounded

  Yes

  No

  N/A

• 2. Fire Extinguishers in place and tag up to date

  Yes

  No

  N/A

• 3. Electric Motor Hookup

  Yes

  No

  N/A

• 4. No Dirty gloves or ropes on pumps

  Yes

  No

  N/A

• 5. No Trash in area and no trip hazards

  Yes

  No

  N/A

• 6. No Water or Diesel Leaks

  Yes

  No

  N/A

• 7. Water Tank

  Yes

  No

  N/A

• 8. is upright diesel tank 3rd party

  Yes

  No

  N/A

• 9. Containment ditches clean and deep enough, where do they drain

  Yes

  No

  N/A

• 10. Proper lighting and with safety cables

  Yes

  No

  N/A

• Comments:

• Add media

  Media

Bunk House and Tool Pushers’ Trailer

• 1. Properly Grounded

  Yes

  No

  N/A

• 2. Fire Extinguishers in place and tag up to date

  Yes

  No

  N/A

• 3. Trash can outside crew quarters

  Yes

  No

  N/A

• 4. Smoking area clean with butt can

  Yes

  No

  N/A

• 6. Water and Sewer hookups and no leaks

  Yes

  No

  N/A

• 7. Smoke alarms working in living quarters

  Yes

  No

  N/A

• 8. Transformer for living quarters grounded

  Yes

  No

  N/A

• 9. Crew quarters steps level with hand rails

  Yes

  No

  N/A

• Comments:

• Add media

  Media

General House Keeping

• 1. Trash Cans in Place with Lids by Rig and by all trailers.

  Yes

  No

  N/A

• 2. All sensors on rig monitoring system are up and functioning

  Yes

  No

  N/A

• 3. All intercoms are working from rig floor to tool pusher’s cabin

  Yes

  No

  N/A

• 4. Rig horn working.

  Yes

  No

  N/A

• 5. Geronimo Line, Descending Device

  Yes

  No

  N/A

• COMMENTS:

Sign Off

• COMMENTS:

• OTHER:

  Media

• Signature of inspector:

  Sign

• On site representative

  Sign