Quality Control Audit

• Quality Control Inspection

• Client / Site

• Heading/Worksite

• Conducted on

  Date

• Prepared by

• Personnel

• Production

• Is the driller using the most current print?

  Yes

  No

• Is the mark up clear and understandable?

  Yes

  No

• Add media

  Media

• Are the holes being drilled on line?

  Yes

  No

• Are holes being drilled at the correct diameter?

  Yes

  No

• Select Diameter

  Select 2.5 inch 3.0 inch 3.5 inch 4.5 inch 6 inch Other

  • 2.5 inch
  • 3.0 inch
  • 3.5 inch
  • 4.5 inch
  • 6 inch
  • Other

• Is the correct offset being used?

  Yes

  No

• Service Hole

• Is this a Breakthrough Hole?

  Yes

  No

• Has breakthrough Location been Marked up, confirmed, and Barricaded?

  Yes

  No

• Is the driller using the most current Print?

  Yes

  No

• Is the mark up clear and understandable?

  Yes

  No

• Add media

  Media

• Is the hole being drilled on line?

  Yes

  No

• Is the hole being drilled at the correct diameter?

  Yes

  No

• Select Diameter(s)

  Select 2.5 inch 3.0 inch 3.5 inch 4.5 inch 6 inch Other

  • 2.5 inch
  • 3.0 inch
  • 3.5 inch
  • 4.5 inch
  • 6 inch
  • Other

• Is the correct offset being used?

  Yes

  No

• Is the hole being drilled at the correct Dip/Dump?

  Yes

  No

• Is casing being installed in Downholes?

  Yes

  No

  N/A

• Raise

• Are there Previously Drilled holes?

  Yes

  No

• Is the worker using the most current Issue of Prints?

  Yes

  No

• Are the ring lines clearly marked?

  Yes

  No

• Add media

  Media

• Has the breakthrough location been confirmed and barricaded?

  Yes

  No

  N/A

• Are holes being drilled on line?

  Yes

  No

• Are holes being drilled at the correct diameter?

  Yes

  No

• Select Diameter(s)

  Select 2.5 inch 3.0 inch 3.5 inch 4.5 inch 6 inch Other

  • 2.5 inch
  • 3.0 inch
  • 3.5 inch
  • 4.5 inch
  • 6 inch
  • Other

• Are holes being drilled with the correct offset?

  Yes

  No

• Holes are correct Dip/Dump?

  Yes

  No

• Is casing being installed in the down holes?

  Yes

  No

  N/A

• Are breakthroughs being flagged, checked and mapped?

  Yes

  No

  N/A

• Have any slips, cracks or voids been encountered?

  Yes

  No

• Has the driller noted any unsual structures or geology changes?

  Yes

  No

Spot Check

• Does drill dip match print dip?

  Yes

  No

• Required dip: Actual dip:

• Does does drill dump match print dump?

  Yes

  No

• Required Dip: Actual Dip:

• Does drill offset match print offest?

  Yes

  No

• Required offset: Actual offset:

• Is setup on azimuth?

  Yes

  No

General Inspection

• Housekeeping.

• Add media

  Media

• Tools and Gear

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  Media

• Entrance and Travelway

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  Media

• Mobile Equipment

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  Media

• Supervisor

  Sign

• Employee

  Sign