Pre-Drill Pad Inspection

• Audit Title

• Client / Site

  Select

• Conducted on

  Date

• Prepared by

• List pad ID

Hydrocarbon / chemical management

• Is there evidence oil or contaminated soil remaining on pad?

  Yes

  No

  N/A

Work area checks

• Are berms in place that are equal to half the distance of the tires on the largest piece of equipment on site?

  Yes

  No

  N/A

• Is collar location staked and can you cleary identify Az and Dip?

  Yes

  No

  N/A

• Are the sumps adequately designed and compliant(45 degree escape)?

  Yes

  No

  N/A

• Are drill pad modifications needed?

  Yes

  No

  N/A

• Is the pad design adequate?

  Yes

  No

  N/A

• Are there any other arising issues?

  Yes

  No

  N/A

Sign-off

• Orla Representative

  Sign

• Contractor Representative

  Sign