• Document No.

  • Rig No:

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel on site at time of Inspection

***NOTE*** this inspection report is to be considered uncontrolled unless printed out and original signatures of all participants are next to iPad signatures

Before entering site

  • Is an Emergency Evacuation Point (Muster Point) sign visible?

  • Warning signs posted and legible?

  • Are access tracks clear of obstructions?

  • Are vehicles reversed parked / parked to allow access?

  • Rig set up level and stable?

  • Refuelling vehicle parked in a safe position?

  • Is the drill pad set out to allow emergency access and exit?

  • Designated smoking area set up at least 10m away from drill hole?

  • Is there communication on site (mine radio / mobile phone / sat phone / etc)?

Site Housekeeping

  • Worksite is free from obstructions? (Slips, trips, fall hazards & rubbish)

  • Is worksite rubbish being disposed of correctly (correct waste bins etc)?

  • Is waste management book being used to record waste disposal?

  • Tools & Equipment is being stored correctly?

  • Walkways & Platforms clean & free of oil, grease & tools?

  • Spill kit is on-site and readily accessible?

  • Spill kit is adequately stocked?

Rig Emissions (dust, water & cutting control)

  • Dust is being adequately suppressed where practical?

  • Water & Cuttings are routed to sumps and are contained within the channels?

  • Sumps are containing all water & cuttings ( no leaks/overflow)


  • Adequate guarding in place for all rotating engine/drivetrain components, exhausts etc?

  • Adequate rod guarding (spin cage / rod fall protection / etc) in place and being used properly?

  • Foot clamp guards in place?

  • Interlocks are fitted and working?

  • Sumps have bunding, barricading or some other form of guarding in place?

Fluid Leaks

  • Are there any obvious fluid leaks from engine, drivetrain or hydraulic system including rod handler?

Fire Fighting Equipment

  • Does the rig have a fire suppression system fitted?

  • Is the system charged and ready for use

  • Details

  • Portable fire extinguishers on all vehicles?

  • Fire extinguishers in current test & tag

  • Are all portable fire extinguishers firmly secured?

  • All persons on site have an understanding of how to use all the fire fighting equipment?

First Aid Equipment

  • Are first aid kits easily accessible?

  • Kits are stocked / clean and inspected?

  • Are there trained first aiders on site?

"E" Stops and Alarms

  • "E" Stop(s) have been checked and are all in working condition?

  • Remote "E" stop(s) have been checked and in working condition?

  • Mast raise and lower alarms working?

  • Gas monitor used and in working condition?

  • Bump test and calibration in date?

Lighting arrangements

  • Is there lighting provided for night shift?

  • Does the lighting tower have a current test & tag sticker/certificate?

  • Is all the electrical cabling positioned/fastened in such a way that is safe from getting damaged?

Equipment Tag out & Isolation

  • Do all the isolation/lock-out points have an identification sticker?

  • Are correct procedures being followed when equipment needs to be isolated and/or tagged out?

  • Do the isolation switches work?

Equipment Inspections

  • Daily pre-starts for each vehicle is being conducted as required?

  • Daily pre-starts for the rig is being conducted?

  • Manufacturers recommended inspections are being completed within the correct timeframe? (as per the operators manual)

Servicing of Equipment

  • Rig is being serviced as required?

High Pressure Hoses, Pressure vessels & Relief Valves

  • Do all hoses appear to be structurally sound through a visual inspection?

  • Do all hose fittings appear to be structurally sound through a visual inspection?

  • Do all hose fittings appear to be fitted correctly?

  • Are any of the fittings or hoses showing signs of leakage?

  • Are high pressure lines barricaded / delineated?

  • Are whipchecks placed on all pressure hoses and a secured correctly (2 x shackles to 2 x separate anchor points)?

  • Are pressure vessels registered? (If applicable)

  • Are pressure vessels tested and tests are current?

  • Pressure relief valves are tested and operational?

Winches, Ropes & Rod/Plug threads

  • Is lifting register available and in date?

  • Main winch rope is free from bird nesting, kinks, frays, twists etc?

  • Wireline rope is free from bird nesting, kinks, frays, twists etc?

  • Haul plug is in good operating condition?

  • Plugs and rods have serviceable threads?

  • Sheaves & Blocks are in good condition?

  • Shackles are rated and in good condition?

  • Clam shell rope approx 2/3 the length of rods / casing and in good condition?

  • Safety strop for overshot in place and serviceable?

Visual Inspection

  • Walkway railings are secure and in a serviceable condition?

  • Walkway steps/rungs have non-slip treads?

  • Walkways have securing pins and are being used?

  • Rod handler is in good operating condition?

  • Foot clamps are operating correctly?

  • Foot clamp jaws are secured correctly?

  • Breakout tool is in good serviceable condition?

  • Slips table is in good operating condition?

  • Stilsons are in good working condition?

  • Visual inspection of the mast; are there any?<br>* cracks, warps, bends or other visual defects?

  • Mast locks are in place and in good condition?

  • Hydraulic jack legs are in good condition?

  • Hydraulic jack legs have fluid leaks?

  • Work platforms are secured and free from obstructions?

  • Mandatory, Caution, Prohibition, Danger, Fire, First Aid, Traffic, HAZCHEM signage is present, visible and legible at all required locations?

  • Dunnage (jack blocks) in good condition?

  • Is VLC equipment compliant and in good condition?

  • Is there a crew member on site who is trained, competent and authorised to use VLC?

  • All pumps are diesel not petrol motors?

Gauges and Controls

  • All gauges are working?

  • All gauges are easily readable?

  • All controls are in good working order?

  • All controls are easily identifiable?

Power/Hand tools

  • Equipment seems to be in good working order when visually inspected?

  • Power cords/plugs are in good condition?

  • Electrical tools have a current test & tag sticker/certificate?

  • Tools are stored correctly when not in use?


  • Have all workers been inducted & the correct paperwork has been completed for the site?

  • Are all contractors, visitors or client representatives inducted for the site?

  • Are toolbox meetings held as required?

  • Are there records of hazard observations?

  • Are there records of per-shift huddles?

  • Are the company policies, procedures (SCP), SWP's on-site?

  • Are SWP's being referenced / reviewed?

  • Are MSDS documents available for all products on-site?

  • Are MSDS documents current?

  • Are all persons on-site aware of where to find all the documentation?

  • Workers are competent in filling out the required paperwork?

  • Do all vehicles have Equipment Compliance stickers?

  • Is there an up to date Emergency Response Sheet including contact numbers available at the drill pad?

  • Are JSA pads available at the drill pad?

  • Are SLAM's / Take 5's / Etc being completed?

Personal Hygiene

  • Fresh, clean and cool drinking water is available?

  • Food is being stored in a hygienic manner?

  • Hand cleaning products are available?

  • Waste food products are being disposed of in the correct manner?

Personal Protective Equipment (PPE)

  • Site has adequate supplies of company issued PPE?

  • Is further PPE required to ensure safety on this site?

  • Workers are using the supplied PPE?

  • When not in use, is PPE being stored correctly?

  • Disposable PPE is being discarded correctly? (gloves, earplugs, etc in bins)

  • Is UV protection being used? (hats, sunscreen, long sleeve shirt/pants)

  • Crew workwear (long sleeve shirts & pants) in good condition

  • Sleeves rolled down, buttoned up and no loose clothing?

Personnel Attitudes and Training

  • All personnel on-site are displaying a positive attitude towards Health, Safety & Environmental protocols?

  • Do you feel that the crew have identified all the hazards on site?

  • Does driller have Cert III ?

  • Does driller have S123 and G2?

  • Do offsiders have Cert II ?

  • Does the driller have "conduct lifting operations" ?

  • Do all crew have "service mine plant and equipment" ?

  • Do all crew have "fit and adjust wheels" ?


Site Supervisors comments

  • Add comments:

  • Comments:

  • Name & Sign

  • Name & Sign

Client Representative comments:

  • Add comments:

  • Comments:

  • Name & Sign

  • Name & Sign

Safety Advisor comments:

  • Add comments:

  • Comments:

  • Name & Sign

  • Name & Sign

Company Management comments:

  • Add comments:

  • Comments:

  • Name & Sign

  • Name & Sign


Issues Raised

  • Issues raised that need actioning:

  • Issue:
  • Issue status:

  • Assigned to:

  • Completion date:

  • Issue has been closed out appropriately:

  • Time and date action closed out

  • ID of person closing out action

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.