MSA Predrill Checklist

• Audit Title

• Document No.

• Project :

• Drill Rig :

• Drilling Contractor :

• Area :

• Borehole ID :

• Planned ID :

Planned Coordinates :

• X :

• Y :

Final Coordinates :

• X :

• Y :

• Borehole Azimuth :

• Dip :

• EOH :

• Borehole Cited By :

General

• Site Access (Farmers/Local Communities)

  Yes

  No

• Water Source

  Yes

  No

• Sump Ready and Barricaded

  Yes

  No

• Diesel

  Yes

  No

• Hydraulic oil

  Yes

  No

• Adequate Lighting

  Yes

  No

Personal Protective Equipment

• Steel Capped Boots

  Yes

  No

• Hard Hats

  Yes

  No

• Hearing Protection

  Yes

  No

• Eye Protection

  Yes

  No

• Gloves

  Yes

  No

• Harness

  Yes

  No

• No Loose Clothing

  Yes

  No

• High Visibility Clothing

  Yes

  No

• Warning Signs

  Yes

  No

Emergency Response Plan

• Communication Devices

  Yes

  No

• Review Site ERP

  Yes

  No

• Drill Site Cordoned off

  Yes

  No

• Fire Extinguishers

  Yes

  No

• Seals in Tact?

• Within Expiry Date?

• Right Type of Fire Extinguisher (CO2, Dry Powder, Water or Foam)?

• Correct Pressure (Green Section in Gauge)?

• Comments :

• First Aid Kit

  Yes

  No

Environmental

• Plastic Sheeting under Drill Rig

  Yes

  No

• Chemical Storage Pan/Sheeting

  Yes

  No

• ERP Spill Kit

  Yes

  No

Drill Rig

• Maintenance Log

  Yes

  No

• Hoist and Wireline Cables

  Yes

  No

• Hoist Plug

  Yes

  No

• Rig Stable and Level

  Yes

  No

• Jacks Secure

  Yes

  No

Photographs

• Predrill Photographs

  Yes

  No

Hygiene and Cleanliness

• Portable Toilet

  Yes

  No

• Waste Disposal

  Yes

  No

• Sufficient Workspace

  Yes

  No

• Equipment Storage

  Yes

  No

• General Comments:

• Geologist

• Add signature

  Sign

• Select date

  Date

• Drill Supervisor

• Add signature

  Sign

• Select date

  Date