Post Drill Pad Inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Is there evidence drilling product or contaminated soil remaining on pad?

  Yes

  No

  N/A

Work area checks

• Are collars capped and secured?

  Yes

  No

  N/A

• Are collars buried to depth, mounded, or marked so it is identifiable?

  Yes

  No

  N/A

• Is the pad design compliant?

  Yes

  No

  N/A

Housekeeping

• Has all rubbish and remaining equipment been removed?

  Yes

  No

  N/A

• Is all discharge contained and quality compliant?

  Yes

  No

  N/A

• Are there any other arising issues?

  Yes

  No

  N/A

Sign-off

• Orla Representative

  Sign

• Work area representative

  Sign