(PGI) Monthly Rig Inspection

• Conducted on

  Date
• Location
  Address

• Person Conducting Inspection

• Rig Number:

• Contractor Rep:

• Attendee:

• Attendee:

General Site

• Was a site induction given?

  Yes

  No

  N/A

• Have pre-shifts been completed?

  Yes

  No

  N/A

• Slip, Trip, and Fall Hazards?

  Safe

  At Risk

  N/A

• Housekeeping is the site clean and being maintained?

  Yes

  No

  N/A

• Are wheels chocks down on all vehicles?

  Yes

  No

  N/A

• Is all discharge being contained and is secondary containment in place where needed? (Oil, drill discharge, and hydraulic)?

  Yes

  No

  N/A

• Are all personnel wearing proper PPE(Reflective, Hard Hat, Steel Toed Boots, Safety Glasses, Cut Proof Gloves, and Respirator when required Per SDS)?

  Yes

  No

  N/A

• Is guarding in place for all rotating equipment?

  Yes

  No

  N/A

• Have fire extinguishers been inspected punched at rig and on site at lay down area’s?

  Yes

  No

  N/A

• Have proper barricades and signage been put into place (Sump, Rotating Rods, and Exclusion zones)?

  Yes

  No

  N/A

• Are Hydraulic systems being maintained free from leaks?

  Yes

  No

  N/A

• Is fall protection available and has it been inspected?

  Yes

  No

  N/A

• Are booster connections not leaking?

  Yes

  No

  N/A

• Whip checks and shackles in place where needed?

  Yes

  No

  N/A

• Mud tanks have good accesss and gaurding?

  Yes

  No

  N/A

Light Vehicle

• Is pre-op complete if in use?

  Yes

  No

  N/A

• Lights-Brake, Back Up, Flashers, and Work Lights?

  Yes

  No

  N/A

• Horn-Clearly Audible?

  Yes

  No

  N/A

• Wheel chocks in good condition and are being used?

  Yes

  No

  N/A

• Tires are in good condition?

  Yes

  No

  N/A

• Park brake and breaks are in working order?

  Yes

  No

  N/A

• House Keeping-No garbage in vehicle or items that can role under pedals?

  Yes

  No

  N/A

• Are seat belts in working order and free from damage?

  Yes

  No

  N/A

• Fire Extingishers-Punched/labeled, in good condition?

  Yes

  No

  N/A

Support Equipment

• Is pre-op complete if in use?

  Yes

  No

  N/A

• Lights-Brake, Back Up, Flashers, and Work Lights?

  Yes

  No

  N/A

• Wheel chocks in good condition and are being used?

  Yes

  No

  N/A

• Horn-Clearly Audiable

  Yes

  No

  N/A

• Tires are in good condition?

  Yes

  No

  N/A

• Park brake and breaks are in working order?

  Yes

  No

  N/A

• House Keeping-No garbage in the vehicle or items that can roll under pedals?

  Yes

  No

  N/A

• Are seat belts in working order and free from damage?

  Yes

  No

  N/A

• Fire Extingishers-Punched/labeled, in good condition?

  Yes

  No

  N/A

Hand, Portable Tools, & Electrical

• Required Rig Hand Tools- Adequate, appropriate tools are available and are in good condition (No aluminum pipe wrenches).

  Yes

  No

  N/A

• Electrical cords in good condition, not cut, and have been ground checked?

  Yes

  No

  N/A

• Tool guards are properly fitted and in good serviceable condition?

  Yes

  No

  N/A

• Electrical tools-Are in good condition guarding, double insulated, and have been ground tested?

  Yes

  No

  N/A

• Oxy Acetylene-Hoses are not cracked or damaged, and handpiece is clean and leak-free. Regulators function correctly, with no leaks, and are fitted with nonreturn valves. Appropriate PPE is available and in good condition. This should include welding goggles, welding gloves, and protective clothing?

  Yes

  No

  N/A

Fire Protection & First Aid

• Fire extinguishers-Correct type or (fixed suppression system)?

  Yes

  No

  N/A

• Secured in Place- All extinguishers are securely mounted undamaged, clearly visible, and readily accessible in case of a fire.

  Yes

  No

  N/A

• Annual Inspections-All fire extinguishers have been serviced within the last year and tags are punched or the date of service is recorded on the extinguisher?

  Yes

  No

  N/A

• Flammable Material-Fuel and other flammable material is stored away from working equipment, in a cleared area?

  Yes

  No

  N/A

• First Aid Kit- A first aid kit is kept on the rig at all times, appropriate for the number of people on the rig?

  Yes

  No

  N/A

• First Aid Kit Stocked- Stock levels are maintained at adequate levels and all stock is within the use-by date?

  Yes

  No

  N/A

• First Aid Personel-Driller to be trained in first aid?

  Yes

  No

  N/A

Hazardous Substances

• Storage of fuel, gas and Oils-containers are sealed when not in use, correctly labeled, and located away from sources of ignition?

  Yes

  No

  N/A

• Storage of Chemicals-Chemicals are adequately labeled and stored properly?

  Yes

  No

  N/A

• Safety Data Sheets-Are available on the rig and complete and up to date?

  Yes

  No

  N/A

• Flammable Material-Flammable material is correctly labeled and stored away from any source of ignition and heat?

  Yes

  No

  N/A

• Name:

  Sign

• Name:

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• Name:

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• Name:

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