RIG Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• General Picture

  Media

• Yes

  No

  N/A

Site Documentation

• Requirements

  Yes

  No

  N/A

• Auditors Notes/myActions

  Yes

  No

  N/A

• Current Fit for Duty checks performed and available per Fit for Duty Acknowledgement (HSEF0058)

  Yes

  No

  N/A

• PACE Driller Critical Knowledge Compliance (OPSF0021) performed and current report is available

  Yes

  No

  N/A

• PreSpud Commissioning Checklist (OPSF0001) performed and current report is available

  Yes

  No

  N/A

• Top Drive Commissioning Checklist (OPSF0036) performed and current report is available

  Yes

  No

  N/A

• Trip Plan Checklist (OPSF0050) performed and current report is available

  Yes

  No

  N/A

• A.E.D. Monthly Inspection (HSEF0048) performed and current report is available

  Yes

  No

  N/A

• Working Alone Checklist (HSEF0054) performed when applicable and filled forms are on files

  Yes

  No

  N/A

• Site Specific Safery Criticval Equipment Register (HSEF0043) performed and current report is available

  Yes

  No

  N/A

• Third Party Equipment Checklist (HSEF0035) performed and current report is available

  Yes

  No

  N/A

• Short Service Employee Checklist (HSEF0047) performed with all SSEs and on file available

  Yes

  No

  N/A

• All SSE employees have a mentor assigned to them and recorded on SSE Register (HSEF0046)

  Yes

  No

  N/A

• Previous COE action items have been closed. Verify 5 action items in myActions application

  Yes

  No

  N/A

• Training records current and available for assigned rig personnel either electronic or hard copy. Verify 5 crew members ramdonly

  Yes

  No

  N/A

• Well control training current and copy of certificates (Supervisory Level) must be available at the rig and posted in the Site Supervisor's Office

  Yes

  No

  N/A

• Hazard Identification (Hazard Wheel)l, DROPS and Hands and Fingers on line training have been taken by crew members. Verify 5 crew members ramdonly

  Yes

  No

  N/A

• Rig Pass or equivalent and H2S Cards are available for all crew members in the Training Binder and are noy expired

  Yes

  No

  N/A

• All active CAMS Records for assigned positions accessible at the worksite in CAMS binder (hardcopies). Verify 5 crew members ramdonly

  Yes

  No

  N/A

• EQD JSA form in use at the work site

  Yes

  No

  N/A

• JSA assessments conducted and recorded on HSEF0002

  Yes

  No

  N/A

• JSA application available on the iPad

  Yes

  No

  N/A

• Rig JSA Database is available and used daily

  Yes

  No

  N/A

• Jsa are being revised and updated weekly by the crew

  Yes

  No

  N/A

• JSA Assessment feedback given by the Operations Superinetdent every week. Locate 3 JSA Assessment (HSEF0002)

  Yes

  No

  N/A

• Work Permit Procedure HSEPRO003 implemented at the rig site

  Yes

  No

  N/A

• Work Permit forms available and in use

  Yes

  No

  N/A

• Open Permits posted on the PTW board

  Yes

  No

  N/A

• Required information included on the Work Permit

  Yes

  No

  N/A

• Permits opened and closed by the Site Supervisor. Locate 5 ramdon permits to veirfy this item

  Yes

  No

  N/A

• Safety meetings conducted and documented per HSEPRO025

  Yes

  No

  N/A

• Safety Alerts (HSEF0006), incidents and lessons learned (HSEF0029), if any, are discussed during safety meetings

  Yes

  No

  N/A

• All incidents, pollution/environmental, and safety meetings documented on the Rig Report

  Yes

  No

  N/A

• Well Control drills conducted by both drill crews at least weekly and documented on the Rig Report HSEPRO017

  Yes

  No

  N/A

• SDS books complete, current, available (includes products used by subcontractors and other service companies) and personnel capable of properly using SDS material per HSEWIN022

  Yes

  No

  N/A

• Hazardous Chemical Register (HSEF0077) complete and current per HSEWIN022

  Yes

  No

  N/A

• Top Drive Daily Checklist completed (HSEF0056 or HSEF0057)

  Yes

  No

  N/A

• Current regulatory required posters posted, if applicable

  Yes

  No

  N/A

• Rig specific Emergency Response Plan available and current

  Yes

  No

  N/A

• Emergency phone numbers posted/current

  Yes

  No

  N/A

• Right To Know (SDS) station available and visible

  Yes

  No

  N/A

• Core Values, Rules to Live by, Stop & Think, Stop Work Authority, HSE Mission Statement, and Ethics Hotline posted for all to view and understood

  Yes

  No

  N/A

• Records of calibration of all H2S If the devices require any calibration, it shall be performed as per OEM guidelines or as per local laws and regulations, whichever has the strictest standard.monitoring devices are available per HSEWIN007

  Yes

  No

  N/A

• Evacuation/Allclear alarms posted in Rig Manager's quarters and in the Driller's cabin

  Yes

  No

  N/A

• Nabors' visitor tracking system used (Example: Visitors Log or Tcard system), if applicable

  Yes

  No

  N/A

• Internal / External Safety Bulletins posted, signed, reviewed during PreTour Safety Meetings and archives available

  Yes

  No

  N/A

• Rig move specific plan available and up to date per OPSF0067, OPSF0066, OPSF0065, OPSF0064, OPSF0068 and OPSF0069

  Yes

  No

  N/A

• DROPS Inspection (HSEF0040X or HSEF0040L) is available and updated/current

  Yes

  No

  N/A

• MEWP Pre Start Checklist is being used prior to use by each operator (verify HSEF0011) and recods are on file

  Yes

  No

  N/A

• Maintenance, inspection, and testing of fixed fire fighting systems completed, if applicable

  Yes

  No

  N/A

• Fire and Gas System/Equipment annual certification performed by third party per MTNPRO010

  Yes

  No

  N/A

• Monthly fire drills conducted and recorded on HSEF0065

  Yes

  No

  N/A

• Automated Catwalk 1000day inspection (per Canrig Technician) available (in myMaintenance) with evidence of utilization per Canrig PowerCat Manual, section 6

  Yes

  No

  N/A

• Derrick PreUse Inspection is conducted and recorded on HSEF0076

  Yes

  No

  N/A

• Derrick/mast inspected or certified as per API Spec Cat III in the past 2 yrs per API 4G and MTNPRO010. Documentation available

  Yes

  No

  N/A

• Derrick/mast inspected or certified as per API Spec Cat IV in the past 10 yrs per API 4G and MTNPRO010. Documentation available

  Yes

  No

  N/A

• Mast Raising Line Sheaves Inspection Report (OPSF0032) available and current

  Yes

  No

  N/A

• Mast Line Raising/ Loweing Record (OPSF0031) available and current. Bridle lines have been changed out every two years or 20 uses (10 Raising and 10 Lowerings) or 10 cycles

  Yes

  No

  N/A

• Substructure raising line record up to date and documentation available (OPSF0031, Mast Raising Line Inspection)

  Yes

  No

  N/A

• Air tanks/receivers hydrostatic tested and certified within the last 5 years with documentation available. Write down the date of the last test in the auditor notes

  Yes

  No

  N/A

• Working Overhead Register (HSEF0038) is being used and current/updated. Tools secured at elevated levels (if no personnel working overhead)

  Yes

  No

  N/A

• Personnel hoisting (manrider operations) is a Permit to Work required operation (Verify HSEF0003PW)/HSEF0016) and JSA available when conducting manrider operations (verify documentation)

  Yes

  No

  N/A

• Drill floor raising lines for self elevating substructures inspected annually by a third party. Certificate of inspection and proof load test shall be provided

  Yes

  No

  N/A

• CrownOMatic, Floor Saver and Crown Saver are properly functioning and documented on IADC report

  Yes

  No

  N/A

• Drawworks brake linkage inspected daily and documented on IADC report

  Yes

  No

  N/A

• Evidence kept to record the drawworks brake band and linkage have been CAT III inspected,

  Yes

  No

  N/A

• Tonmile record current and slip/cut performed

  Yes

  No

  N/A

• Traveling blocks inspected API Level III Inspection every 6 months or 182.5 operating days and API Level IV Inspection every 5 years or 1825 operating days per MTNPRO010. Verify per documentation

  Yes

  No

  N/A

• Bales and/or links inspected API Level III Inspection every 6 months or 182.5 operating days and API Level IV Inspection every year or 365 operating days per MTNPRO010. Verify per documentation

  Yes

  No

  N/A

• Elevators inspected API Level III Inspection every 6 months or 182.5 operating days and API Level IV Inspection every year or 365 operating days per MTNPRO010. Verify per documentation

  Yes

  No

  N/A

• Monthly Lifting Equipment Register (HSEF0075) per LEMS (HSEPRO014) is available and updated and current

  Yes

  No

  N/A

• Hot Work Permit(s) available (HSEF0003PW), properly utilized and verfied per documentation

  Yes

  No

  N/A

• Atmospheric testing conducted and documented prior to beginning any/all hot work

  Yes

  No

  N/A

• Fire watch present as required per General Permit to Work (HSEF0003PW, Hot Work section)

  Yes

  No

  N/A

• Atmospheric testing of confined space prior to entry and continuously per requirements (Verified per documentation on PTW (HSEF0003PW)

  Yes

  No

  N/A

• Confined Space Entry Permit to Work (HSEF0003PW) and procedure properly conducted (Verified per documentation on PTW)

  Yes

  No

  N/A

• Confined Space Evaluation Checklist (HSEF0008) completed and attached to PTW

  Yes

  No

  N/A

• All energy sources are isolated prior to confined space entry (per HSEPRO006 and HSEF0003PW)

  Yes

  No

  N/A

• CSE attendant has been identified in PTW, present at all times and in constant contact with CSE team

  Yes

  No

  N/A

• Nabors Safety Alert # SA062019001 about Refilling Pulsation Dampeners has been reviewed with the rig crews in the last 3 months

  Yes

  No

  N/A

• Work orders completed for emergency eye wash and showers (ask Rig Manager or safety representative)

  Yes

  No

  N/A

• Certifications current in myMaintenance per MTNPRO010 and in rig assets files for deadline anchor, crown, traveling blocks, annular, single rams, double rams, mast, substructure, top drive, and choke manifold (pick one equipment randomly)

  Yes

  No

  N/A

• Emergency shut down system is tested monthly (ask Rig Manager)

  Yes

  No

  N/A

• Surface BOP rams, annulars, and choke and kill valves function tested from one designated control station at least 7 days following the initial function test. Control stations to be alternated between tests. (excluding blind rams and blind/shear rams). Results to be documented on the IADC Daily Report or Nabors Tour Report. per API Standard 53, Fifth Edition, December 2018 table C2 and C3. Nabors WCMPRO006 BOP Testing section 5.2 and 5.8.1

  Yes

  No

  N/A

• BOP hoisting equipment and slings are load tested

  Yes

  No

  N/A

• Blind rams function tested at least every 21 days following the initial function test. Control stations to be alternated between test. (documented on IADC or Tour report) per API Standard 53, Fifth Edition, December 2018 table C2 and C3 Nabors WCMPRO006 BOP Testing section 5.2 and 5.8.1

  Yes

  No

  N/A

• Blind rams tested monthly and documented

  Yes

  No

  N/A

• Certification of hydrostatic test witnessed by the appropriate inspector (in accordance with pressure vessel code requirements) shall be evident by the appropriate code inspection stamp permanently affixed to each accumulator shell. Each precharged accumulator bottle inclusive of all components in the final configuration assembly item shall be hydrostatically tested to the system rated working pressure per API SPECS 16D

  Yes

  No

  N/A

• Choke manifold meets company specifications (MTNPRO010) and is tested as required per API Standard 53.(6.2.2 and 53.6.5.5.). Verify the signed test chart from the last BOP test

  Yes

  No

  N/A

• Trip sheets being filled out correctly. Verify most recent trip record (WCMF0001). Verify all information is complete per WCMWIN004 section 5.2.5 and OPSWIN040 section 4.1.9 and OPSWIN035 section 4.1.8

  Yes

  No

  N/A

• Verify signed test chart from the last BOP test, per API Standard 53, Fifth Edition, December 2018 section 5.3.10.2

  Yes

  No

  N/A

Drill Site Location

• Audit team greeted and provided with Safety Site Induction per HSEWIN018 and signed form HSEF0027

  Yes

  No

  N/A

• H2S warning signs erected, if applicable, at entrance to site and at other prominent locations on site per ES032(74)

  Yes

  No

  N/A

• All personnel working in areas where H2S can be encountered shall be formally trained, refresher training to be conducted annually and H2S training shall be documented per HSEWIN007 (Applicable to all locations)

  Yes

  No

  N/A

• H2S gas drills are held as a minimum, once per month per crew, more frequently if drilling wells containing any potential concentration of H2S or if otherwise stated in the sitespecific location contingency plan per HSEWIN007 (Applicable to all locations)

  Yes

  No

  N/A

• Each rig shall have it is own H2S contingency plan considering the severity and extend of the anticipated atmospheric H2S and SO2 concentrations per HSEWIN007 (Applicable to H2S locations)

  Yes

  No

  N/A

• Derrick emergency escape line installed and ready for immediate access/use per OEM recommendation

  Yes

  No

  N/A

• All storage houses have unobstructed pathways with supplies orderly arranged per HSEWIN024

  Yes

  No

  N/A

• Vessels/tanks/chemical containers labeled as to their contents and in good condition per HSEWIN024

  Yes

  No

  N/A

• Do not wear metal watchstraps when working on electrical equipment per HSEWIN026

  Yes

  No

  N/A

• No pallets used as walkways per HSEWIN022

  Yes

  No

  N/A

• Ground Rod Driver and Puller is available and used per ES023 (72)

  Yes

  No

  N/A

• Barrel Handling Dolly is available at the rig and in used per ES005 (73)

  Yes

  No

  N/A

• MRig Intermediate Cylinder Slings are available in the rig location per (ES041), If applicable

  Yes

  No

  N/A

• Pin Driver is available in the rig location and used per ES025 (74)

  Yes

  No

  N/A

General Safety and Enviroment

• First Aid Kit/Bloodborne Pathogen Kit/Oneway CPR mask and AED in Rig Manager's quarters per HSEPRO023 (Check expiration and verify AED location posted). AED Monthly Inspection (HSEF0048) is being used and updated every month

  Yes

  No

  N/A

• Rig maintains sufficient supply of PPE to sustain operations (HSEPRO011) including yellow hard hats for visitors, Orange hard hats for Level 1 SSE and white hard hat with orange silicone rubber for Level 2 SSE per ES026(74). SSE Level 1 and Level 2 use the right hard hats

  Yes

  No

  N/A

• All PPE used and in compliance with applicable equipment standards ES026(74) and HSEPRO011

  Yes

  No

  N/A

• H2S emergency escape air packs and oxygen life lines available and fully charged, if applicable (HSEWIN008). Respirators inspected regularly and inspections documented (HSEF0087)

  Yes

  No

  N/A

• Approved fall protection equipment per ES050 (74) is available, properly stored, maintained and inspected. Monthly Harness/Lanyard Inspection (HSEF0018), Fall Protection Equipment Register (HSEF0015), Monthly Anchorage, Hardware Inspection (HSEF0019) and Monthly Selft Rectracting Lifeline Inspection (HSEF0020) are being used and updated monthly

  Yes

  No

  N/A

• SPCC plan communicated to all crew members during PreTour Safety Meeting (HSEF0005) or during Weekly Safety Meeting (WSM). Request evidence and write down the date in the Auditor Notes column when it was discussed with actual crews in the rigsite

  Yes

  No

  N/A

• All oil spill near misses and incidents have been reported to the Site Supervisor (Rig Manager). If the rig has had an oil spill or any kind of spill events; request evidence of the incident report number in myHSE and write down the incident number in the Auditor Notes column

  Yes

  No

  N/A

• All oil spill near misses or incidents are discussed in order to prevent them from recurring per HSEPRO020. All oil spill near misses or incidents are communicated to all crew members at the rigsite. If the rig has had oil spill or any kind of spill events; request evidence of the PreTour Safety Meeting (HSEF0005) where the topic was discussed and write down the dates in the Auditor Notes column

  Yes

  No

  N/A

• All corrective actions linked to oil spill near misses and incidents have been entered into the myActions and closed out. If the rig has had oil spill or any kind of spill events; request evidence of myActions items and write down the myActions numbers in the Auditor Notes column when actions were closed or write down a comment if there are still open items

  Yes

  No

  N/A

• Spill drills are held each month by each crew per HSEPRO017 (Drilling Operations Emergency Drills) and spills are being recorded in the EQD Form HSEF0065 (Emergency Training Drill Report). Request evidence and write down the dates in the Auditor note column of the last 3 spills drills during last 90 days

  Yes

  No

  N/A

• Environmental Oil Spill Kits (1071481) are available per ES034, maintained in operational condition and located in strategy areas around the rig location

  Yes

  No

  N/A

• Environmental Oil Spill Kits Refill (1071482) are available per ES034 on the rig location

  Yes

  No

  N/A

• Employees shall be trained and competent in the SPCC emergency response procedures per HSEPRO032

  Yes

  No

  N/A

Mud Pump Area

• Drive belts, shafts, and rotating parts guarded with guards fully bolted (HSEWIN034). Lose or missing guards should be marked as unsatisfatory

  Yes

  No

  N/A

• HP Hose Hobble (Safety Line) used to secure the ends of vibrator hoses or any HP line in the working area per ES038 (67). Hobble is connected with 5/8" wire rope and cable length shall allow for no more than 6" of slack from clevis to clevis. Only use minimum of 3.25 ton anchor bolt shackles (4parts) to connect wire rope to hobbles and connector plates. DO NOT USE CHAIN. If chains are found this requirements shall be marked as unsatisfactory

  Yes

  No

  N/A

• Mud Pump Liner Handling Tool is available at the rig and used by crews per ES043 (16)

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

• Mud pumps properly grounded including secure connection points (with all caps in place)

  Yes

  No

  N/A

• LOTO devices available on mud pumps and ancillary equipment per HSEWIN026, HSEPRO006, ES55(74)

  Yes

  No

  N/A

• Pressure gauges easily readable and functioning

  Yes

  No

  N/A

Mud Mixing Area

• Employee respirators available for use, store in plastic bags and tagged with user's name, if applicable per HSEPRO009

  Yes

  No

  N/A

• HP Hose Hobble (Safety Line) used to secure all HP line in the working area per ES038 (67)

  Yes

  No

  N/A

• Nabors approved cutting tools available to open sack material per Alternative Cutting Tools (ES047); nonapproved cutting tools shall not present. This item shall be marked as unsatisfactory, if found a homemade or nonapproved cutting tool

  Yes

  No

  N/A

• Drive belts, shafts, and rotating parts guarded with guards fully bolted (HSEWIN034)

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

Mud Tanks and Pits

• Caustic barrel is correctly located, and labeled with "Danger Caustic", "PPE Required" and "Danger Always Mix Caustic to Water Not Water to Caustic", per HSEWIN022

  Yes

  No

  N/A

• HP Hose Hobble (Safety Line) used to secure all HP line in the working area per ES038 (67)

  Yes

  No

  N/A

• Explosion proof equipment, fixtures, and wiring installed within 10 feet (3m) of the shale shakers

  Yes

  No

  N/A

• General housekeeping in mud tanks and pits area

  Yes

  No

  N/A

• Confirm explosion proof equipment, fixture and electrical wiring used on shale shaker area, desander aream desilter area and degasser area in the mud tanks/pits are in good condition (lights, agitators, pannels, all solids control equipment). No exposed cables

  Yes

  No

  N/A

• Starter/junction boxes have all bolts installed in explosion proof covers. All the bolts and all cable glands in the junction boxes are tight; all cables and connections are not loose and equipment is grounded)

  Yes

  No

  N/A

• Devices and controls able to be locked out (i.e. agitators)

  Yes

  No

  N/A

• No damage to hammer unions. All pressure lines, including third party pressure lines, shall be inspected to ensure that there are not mismatched unions. Go/NoGo ring gauges (NIN 1078677) shall be available to verify size of threads half components per ES048 (74) and all hammer union components to be color coded per Appendix 8.1. in HSEWIN031 (Hammer Union Awareness). Only 2" 1502 hammer unions are allowed on Nabors locations per Nabors Safety Alerts # SA092017001 and SA092019004

  Yes

  No

  N/A

• Flow line and manifold properly installed and all securement (clamps and turnbuckles) devices are in place per Nabors Safety Alerts # SA072018003 and SA072018002

  Yes

  No

  N/A

• All guardrails are in place, with toe boards, and secured. Guardrails not damaged or loose

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

Material Handling

• Forklift/loader operator certification card is current and valid for the equipment at the rig location per HSEWIN016

  Yes

  No

  N/A

• Forklift/loader inspected prior to use by each operator (verify HSEF0041 and HSEF0042)

  Yes

  No

  N/A

• MEWP operator certification card is current and valid for the equipment at the rig location per HSEF0011

  Yes

  No

  N/A

Boiler, HW & Fire Protection

• Annual inspection posted in boiler house

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

• Welders have the PPE for the task (helmets, certified eye protection, and attire). Welding personnel and welder helpers shall use face protection, including welding goggles and/or masks. These shall meet the requirements for eye protection, under OSHA 29 CFR 1910.133. Special eye protection shall be provided for those working near welding operations per HSE{Special eye protection shall be provided for those working near welding operations per HSEPRO011

  Yes

  No

  N/A

• Las amoladoras portátiles tienen asas y protectores laterales OEM

  Yes

  No

  N/A

• Mobile and stationary welding units grounded

  Yes

  No

  N/A

• Overall general housekeeping of welding area

  Yes

  No

  N/A

• Fire fighting equipment installed per HSEWIN006 (Appendix 8.1, Types and Locations of Extinguishers and Appendix 8.2 for Canada Only)

  Yes

  No

  N/A

• Fire extinguishers attached with legible labels (Last Maintenance Date and Hydrostatic test expiration date) and current monthly inspection plate punched per HSEF0061

  Yes

  No

  N/A

• Fire extinguishers correctly mounted in approved bracket and fully charged, free of any obstruction and protective cover installed per HSEF0061

  Yes

  No

  N/A

• Fire extinguishers locations identifed with a visible sign and a fire extinguisher present. Rig has an updated drawing of the" rig fire & life safety plan" approved by engineering or drafting. Every fire extinguishers location matches the drawing. Updated drawing is posted on SharePoint

  Yes

  No

  N/A

Generator Area

• Moving parts guarded and guards fully bolted

  Yes

  No

  N/A

• Generators grounded including secure connection points (with caps in place)

  Yes

  No

  N/A

• Air compressors tanks with OEM label showing the working pressure and maximum allowed pressure. Pressure gauge in good condition

  Yes

  No

  N/A

• Air compressors motor guarded and secured

  Yes

  No

  N/A

• Air storage tanks equipped with popoff valve. Air receiver relief valves have been tested and certified annually per MTNPRO010

  Yes

  No

  N/A

• Lockout/tagout devices and board available per Lockout/Tagout Equipment ES055 (74). All switches in control rooms capable of being locked out

  Yes

  No

  N/A

• Energy Isolation procedure (HSEPRO006) followed and posted on control room. Tags properly filled out and locked. Specific Energy Isolation Procedures followed and posted per HSEWIN025. LockOut/TagOut Log (HSEF0013) is used and filled

  Yes

  No

  N/A

• Emergency lighting inside control room functioning properly and manually tested

  Yes

  No

  N/A

• Emergency shut down (kill switch) system labeled in control rooms and on generators

  Yes

  No

  N/A

• Fuel Line Quick Connects are available and in used per ES051 (14)

  Yes

  No

  N/A

• General overall housekeeping, no fluids on floor, combustibles contained or eliminated in this area

  Yes

  No

  N/A

Flamable Liquid Storage

• Fuel storage tanks grounded including secure connection points with all caps in place

  Yes

  No

  N/A

• LPG tanks stored outdoors

  Yes

  No

  N/A

• All fuel/gas cylinders stored upright, secured, away from ignition sources, and well ventilated

  Yes

  No

  N/A

• Flammables liquids stored in UL listed safety cans and in a designated area, 50 ft (15 m) or more from well bore

  Yes

  No

  N/A

• Fire extinguisher available and identified in fuel storage area

  Yes

  No

  N/A

• External fuel fillup valve locked when not in use. Locking Fuel Nozzle Assembly is available and in used per ES035 (43)

  Yes

  No

  N/A

• External fuel fillup valve lock key is in Rig Manager's office

  Yes

  No

  N/A

• Fuel storage tanks equipped with a static bonding system and used during fuel transfers

  Yes

  No

  N/A

• Fuel trucks are bonded while transferring fuel. Check Fluid Transfer Permit to Work

  Yes

  No

  N/A

• Discharge nozzle is of the dead man (gas station) type (without trigger lock), splash filling prohibited

  Yes

  No

  N/A

• Flammables liquids stored in UL listed safety cans and in a designated area, 50 ft (15 m) or more from well bore

  Yes

  No

  N/A

• Combustible box correctly labeled

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

• External fuel fillup valve locked when not in use. Locking Fuel Nozzle Assembly is available and in used per ES035 (43)

  Yes

  No

  N/A

Pipe Rack Area

• Nonmetallic spacers/stripping (wooden boards) used to separate layers of pipe per ES001 (01)

  Yes

  No

  N/A

• Layers of pipe chocked with Metal Pipe Chocks per ES001 (01)

  Yes

  No

  N/A

• Pipe rack and Automatic Catwalk at same height

  Yes

  No

  N/A

• Pipe rollers is available in the rig and in use per ES031 (74)

  Yes

  No

  N/A

• Flare stack secured with guy wires and flare line connections assembled completely (i.e. all bolts in flanges, check lor loose bolts and nuts, missing bolts near the ground and the flange)

  Yes

  No

  N/A

• General housekeeping in pipe storage area

  Yes

  No

  N/A

• Ensure safety curtains (proximity sensors or warning lights) are working and not in override

  Yes

  No

  N/A

• Estop is up to date and functioning (PB # CW30) Check both control console and wireless remote

  Yes

  No

  N/A

• Safety bar (stop bar) present and free from cracks or any visible stress fractures or dents

  Yes

  No

  N/A

• Ensure automatic catwalk has two carrier lift cables (Product BulletinPC026)

  Yes

  No

  N/A

• Buffer zone barriers are installed per Setup for Drillng Operations, & Picking Up /Laying Down Tubulars & Tools in the Buffer Zone Equipment ES027 (74) and Permit to Work (HSEF0003PW) is in used per HSEPRO022

  Yes

  No

  N/A

BOP

• BOP installed, tested, and functional. Bop Test performed per WCMPRO006 and API53. 5year Major Inspection performed to BOP Stack per MTNPRO010

  Yes

  No

  N/A

• Bolting should have full thread engagement meaning bolts should occupy all available threads in each nut. There is no requirement for a certain number of bolt threads to be showing on the backside of the nuts. No bolts or nuts may be missing in any line which may be exposed to mud pump or wellbore pressure

  Yes

  No

  N/A

• All manual valves have handles installed and handles are secured

  Yes

  No

  N/A

• BOP stack stabilized, turnbuckles are securely braced to substructure and accessible from the ground

  Yes

  No

  N/A

• Annular Element Removal Tool is available in the rig and in used per ES028 (35)

  Yes

  No

  N/A

• SRL installed and readily accessible in substructure in BOP area

  Yes

  No

  N/A

• BOP hoisting equipment, slings and lifting gear are inspected, in good condition (no visual damage) and recorded on Monthly Lifting Equipment Register (HSEF0075) per LEMS (HSEPRO014)

  Yes

  No

  N/A

• All hydraulic lines connected have no visible damage, with a minimum of Fig 602 union connections and secured with ES057 (74)

  Yes

  No

  N/A

• Accumulator electric motors have the correct hazard rating (UL label) for the area in which they are located (see API 500)

  Yes

  No

  N/A

• Bleeder valve clearly identified on accumulator

  Yes

  No

  N/A

• Accumulator HP lines secured at both ends with Koomey HP Hose Hobble (Safety Line) per ES057 (74)

  Yes

  No

  N/A

• Accumulator control valves in either open or closed position. If valves have been removed or disable, the valve shall be in neutral position

  Yes

  No

  N/A

• Blind Ram control handle guarded

  Yes

  No

  N/A

• Accumulator control valves identified as to purpose and position

  Yes

  No

  N/A

• General housekeeping of accumulator area. Check underneath accumulator for oil/hydraulic fluid leaks

  Yes

  No

  N/A

• Choke manifold and line secured. Verify OEM marking where safety clamp should be applied to the Choke line with HP Hose Hobbles per ES038(67)

  Yes

  No

  N/A

• Automatic and/or manual choke panel have no visible damage. Verify drill pipe pressure gauge reading is the same or nearly same as the Driller's readout

  Yes

  No

  N/A

• All high pressure lines firmly anchored to prevent excessive whip or vibration

  Yes

  No

  N/A

• All chicksans in the BOP kill line installed with Fig 1502 unions. all hammer union components to be color coded per Appendix 8.1. in HSEWIN031 (Hammer Union Awareness). Only 2" 1502 hammer unions are allowed on Nabors locations per Nabors Safety Alert # SA092017001 and SA092019004

  Yes

  No

  N/A

• Chicksans lines secured with HP Hose Hobble (Safety Line) per ES038 (67)

  Yes

  No

  N/A

• Cellar covers installed in all cellars at the rig location. Cellar covers are bent or damaged and there is no gaps or openings in the cellar covers. Cellar covers 100% the cellar area

Mast, Derrick, Subestructure

• Housekeeping in substructure

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

• Data plates installed and legible on substructure

  Yes

  No

  N/A

• Manufacturer’s specification/operation plate attached to Mast AFrame or Derrick Structure

  Yes

  No

  N/A

• “LADSAF” fixed ladder safety system or “Ladder climb assist fall arrest” system fitted with fall protection sheave when one of these systems is available, shows no sign of damage and with manufacturer's label legible per ES050 (74)

  Yes

  No

  N/A

• Haress / Lanyards (3 ft or 6ft) are available per ES050 (74). Harness/ Landyards are in good condition (no pulled, broken or cut stitches) or no webbing damaged (cuts, burns, abrasion, frays, chemical damage and discoloration)

  Yes

  No

  N/A

• SRLs are installed and retracted with pull down lines per ES050 (74)

  Yes

  No

  N/A

• “Fall Protection Required” warning signs erected on all derrick ladders

  Yes

  No

  N/A

• Guardrails installed (on derrick board and applicable platforms) and secured (safery securement), inspected and in good condition. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Drill collar fingers/half moons have no sign of visible damage and left in the stowed position when not in use. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Winch mounted at the monkeyboard, secured and working properly. Verify item in the Derrick Board PreUse Inspection (HSE0076)

  Yes

  No

  N/A

• Derrick board walk around platform in good condition, if available. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Derrick board electrical junction box has no sign of damage and is secured with safety securement. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Derrick board fingers/antiskid tape condition in good condition. Verify item in the current Derrick Board PreUse Inspection (HSE0076)

  Yes

  No

  N/A

• Derrick board fingers and derrick board in good condition (visual inspect the welds) and safety securement installed (safety cable). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Crown guardrails installed and secured (safery securement), inspected and in good condition. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Crown Bumper Block is installed, secured and in good condition (no damage or impact by travelling) per ES002 (25). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Hold down arrangement of the crown block and fast line assembly in good condition. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Condition of clamps securing any antennas and/or flags attached to the derrick. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Derrick locking pins in place with secondary retention and safery securement. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

• Derrick emergency escape line installed and ready for immediate access/use per manufacturer's recommendation. Low Speed Control Descent Device is installed with Engineering Mast Anchor design per ES008 (74) and secured with safety securement. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L) or Derrick Board PreUse Inspection (HSEF0076)

  Yes

  No

  N/A

• Emergency escape line adequately anchored per OEM or controlled descent anchor is available per ES011 (74) in a clear area away from the rig

  Yes

  No

  N/A

• Anemometer or other analog device installed at the crown and all fastening brackets secured properly. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Derrick camera secure and safety securment properly installed. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L) or Derrick Board PreUse Inspection (HSEF0076)

  Yes

  No

  N/A

• Block hanger line properly suspended in the mast and secured properly. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Tubulars racked in derrick are secured to prevent them from falling. Verify item in the current Derrick Board PreUse Inspection (HSE0076) or use Derrick Board Camera to remotely inspect the Derrick board

  Yes

  No

  N/A

• Mud stand pipe installed and secured Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• No damage to hammer unions in the stand pipe. All pressure lines, including third party pressure lines, shall be inspected to ensure that there are not mismatched unions. Go/NoGo ring gauges (NIN 1078677) shall be available to verify size of threads half components per ES048 (74) and all hammer union components to be color coded per Appendix 8.1. in HSEWIN031 (Hammer Union Awareness). Only 2" 1502 hammer unions are allowed on Nabors locations per Nabors Safety Alert # SA092017001 and SA092019004

  Yes

  No

  N/A

• Deadline anchor installed. shakers as a minimum. Check weight indicator and recorder are functioning. Check deadline anchor tension sensor gap is correct. Optimum gap is 5/8” with minimum operational gap allowed of ½” per POP OS.05

  Yes

  No

  N/A

• Deadline Anchor BackUp Clamp installed with bronze insert placement andMark the wraps on the deadline anchor to identify if the drill line slips per OPSWIN078

  Yes

  No

  N/A

• Crown equipped with strobe lights, is functional, and fixture is secured with safety line or safet mesh per per DropSafe Mesh Safety Cover (ES003). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Survey machine sheave properly secured with safety securement in place, if applicable. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Wire rope sheaves show no visible sign of damage with safety securement installed per ES006 (15). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Audio communication for Driller and Derrickhand installed on a stand or bracket, secured, and functioning properly. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Air Hoist/Manrider Sheaves(Snatch Block McKissick M491) are installed, secured (safery securement), inspected and in good condtion per ES006 (15). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Tong Line Sheaves (Snatch Block McKissick M491) are installed, secured (safery securement), inspected and in good condtion per ES006 (15). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• All snatch blocks/sheaves in derrick board (Snatch Block McKissick M491) are installed, secured (safery securement), inspected and in good condtion per ES006 (15). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Self Closing Gate installed at the crown access and the derrick board acesss is installed and secured (safery securement) per ES044 (74). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Harpoon Tie Back is installed and secured (safery securement) per ES045 (50). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• No lines or cables rubbing and causing wear to any derrick/mast beams or bracing

  Yes

  No

  N/A

Drill Floor Area

• Minimum of 2 access/egress stairways to drill floor

  Yes

  No

  N/A

• Stairs level, of uniform size, stair treads fasten per ES020 (74) and nonskid type stair treads installed in all stairways. Stair treads are not damaged or loose

  Yes

  No

  N/A

• Guardrails, handrails, midrails, and toe boards installed along all open side edges of rig floor, have no visible damage and secured with adequate retaining devices

  Yes

  No

  N/A

• No obstructions on access to stairs

  Yes

  No

  N/A

• Driller's controls properly labeled/identified (in local language, where applicable)

  Yes

  No

  N/A

• Mechanical weight indicator calibrated annually and has no visible damage

  Yes

  No

  N/A

• Driller's BOP control panel labeled (in local language) and operating

  Yes

  No

  N/A

• PVT equipment, geolograph, and flowshow operating properly and calibrated

  Yes

  No

  N/A

• First aid kit and bloodborne pathogen kit with CPR mask available in drill floor doghouse

  Yes

  No

  N/A

• Minimum 2 exits from Driller's cabin

  Yes

  No

  N/A

• Driller aware of the Nabors/Operator's policy on a hard shutin or a soft shutin per WCMPRO004

  Yes

  No

  N/A

• BOP closing procedure and casing pressure limit posted (WCMPRO004, WCMPRO006)

  Yes

  No

  N/A

• All air hoist lines smaller than 1" OD shall be changed out every six months (subject to area requirements and specifications) per OPSWIN051

  Yes

  No

  N/A

• Hoist lines secured, with snubby, and are free of travel assembly/moving equipment (blocks, top drive, etc), and no other devices left attached

  Yes

  No

  N/A

• Manrider winch properly positioned so the operator has a direct line of sight with the manrider

  Yes

  No

  N/A

• Approved Manrider winch present, operational 100%, in used and dedicated to personnel hoisting operations only. Control levers clearly marked “Up” and “Down”. shackle/caribiner at the end of the wire rope is certified and passes inspection. Only four (4) part shackles rated for a minimum of 2.5 tons or triplelocking carabineers can be used. Secondary fall protection available during Manrider operations

  Yes

  No

  N/A

• Manrider hoist/winch shall be equipped with an over pull shut off feature, shall be equipped with a secondary failsafe brake system independent of the main drive that can be tested independently of the primary brake. Ensure the wire rope is nonrotating type. Ensure emergency stop is operable

  Yes

  No

  N/A

• "MANRIDING ONLY" sign attached to the manrider per HSEWIN014

  Yes

  No

  N/A

• Boatswain chair (Manriding harness) per ES50 (74 is available and in good condiions. Boatswain chair (Manriding harness) is stored properly and secured under lock and key

  Yes

  No

  N/A

• Tension limiter available at the rig for use with the boatswains chair (Manriding harness) per ES50 (74). “Utility hoists shall not be used for personnel hoisting operations” except for the deviation process outlined in Nabors Safety Alert SA102019002

  Yes

  No

  N/A

• Site Supervisor shall be present on the rig floor for manriding activities and to oversee all aspects of the operation per HSEWIN014. The designated manriders hoist/winch shall be used for manriding purposes only per OPSWIN051. The manrider hoist/winch shall not be used while the traveling equipment is moving or drilling assembly (Kelly/top drive) is rotating

  Yes

  No

  N/A

• Drawworks free of oil and hydraulic leaks

  Yes

  No

  N/A

• Estop is labeled and crownomatic is set per OPSPRO085

  Yes

  No

  N/A

• Drawworks guarded 100% and guards not damaged and no open holes

  Yes

  No

  N/A

• Verify number of wraps on drum through drilling parameters

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

• General housekeeping on drill floor (i.e. tools picked up, walkways clear, etc.)

  Yes

  No

  N/A

• Floor holes/openings guarded (OSHA 1910.28 (b)(9))

  Yes

  No

  N/A

• FOSV (TIW) with wrench and IBOP (dart) valve accessible, with stabbing rings installed per ES030

  Yes

  No

  N/A

• Subs, handling tools, bits, etc. stored on pinned rack or in a sub rack

  Yes

  No

  N/A

• Drill pipe stabbing guides available on rig floor and have no visible damage per ES056(48)

  Yes

  No

  N/A

• Pipe racking area has no missing boards, open holes, or trip hazards

  Yes

  No

  N/A

• Torque Wrench, Hydraulic is availanle in the rig per ES004 (35)

  Yes

  No

  N/A

• Lewis Snake Grips & BandIt per ES009 (73)is available on the rig floor and and have no visible damage

  Yes

  No

  N/A

• Rotary Table Hole Cover is availanle in the rig floor per ES015 (24)

  Yes

  No

  N/A

• Safety MakeUp BreakOut Stand in the rig floor per ES016 (24)

  Yes

  No

  N/A

• Tethered Tool Kit is available at the rig floor per ES017 (72) and used for overhead work

  Yes

  No

  N/A

• Hands Off Tool is available at the rig floor, used and in good condition per ES021 (74)

  Yes

  No

  N/A

• Tubular Lifting Caps is avalaible at the rig floor, color code for each liftingh cap bail size per ES029 (03) and inspected by third party Inspector in the last 6 months

  Yes

  No

  N/A

• Lower Well Control Valve Installation and Removal Tool (ES040)

  Yes

  No

  N/A

• Bonded Fiberglass Sledge Hammers is available at the rif, used and in good condition per ES042 (72)

  Yes

  No

  N/A

• Rotary Safety Mat with visible color coded safety zone (to include the Iron Roughneck danger area)

  Yes

  No

  N/A

• Tongs equipped with safety handles (NIN 1063399), safety pin (1063537) and snub line saver (NIN 1111314) per ES007(34)

  Yes

  No

  N/A

• Pinch points on rotary tongs are identified with black and yellow caution stripes per OPSF0004

  Yes

  No

  N/A

• Tong snubbing lines show no visible damage, manufacturer's tag present, and secured on both ends

  Yes

  No

  N/A

• Tong die removal/slot conditioner tool available and shows no visible damage

  Yes

  No

  N/A

• Tong doors/safety gate show no visible damage

  Yes

  No

  N/A

• With an ST80 IR, inspect the duplex extension cylinder for missing or damaged roll pins, damaged rod threads, and loose or damaged shackles

  Yes

  No

  N/A

• TM80 safety barrier in place

  Yes

  No

  N/A

• Electrical cables and hydraulic hoses show no visible damage (free of wear, secured, not being pulled when equipment is in motion)

  Yes

  No

  N/A

• Wrench is free of oil or hydraulic leaks

  Yes

  No

  N/A

• Check Tie Bar for cracks (PB # TM023)

  Yes

  No

  N/A

• TM Maintenance board is mounted in the Driller's cabin (12054TM80Maintenance/12055TM120Maintenance)

  Yes

  No

  N/A

• Estop on Driller's console and remote functions

  Yes

  No

  N/A

Hoisting Lift Equipment

• Elevator links painted red +/ 2 ft (.7 m) from each end

  Yes

  No

  N/A

• Single joint elevators safety latch operational (SA022017001 Single Joint Elevators Approved Style ID)

  Yes

  No

  N/A

• Handling tools are type and color coded

  Yes

  No

  N/A

• Rotary hose/kelly hose secured to top drive and stanpipe line in the mast with HP Hose Hobble (Safety Line) per ES038 (67)

  Yes

  No

  N/A

• All Slings equipped with legible OEM tag

  Yes

  No

  N/A

• Nabors' current lifting equipment color code posted, per LEMS procedure (HSEPRO014)

  Yes

  No

  N/A

• Lifting equipment inspected and match the color code in effect

  Yes

  No

  N/A

• Verify connectors are in good condition (items like pad eyes, shakles, and lifting points) per LEMS procedure (HSEPRO014)

  Yes

  No

  N/A

Power & Hand Tools

• Damaged hand tools taken out of service

  Yes

  No

  N/A

• No homemade or modified tools on location

  Yes

  No

  N/A

• Do not wear loose clothing (e.g., ties, scarves, lanyards and jewelry/chains) when working with grinders per HSEWIN028

  Yes

  No

  N/A

• Bench grinder wheels have OEM guard

  Yes

  No

  N/A

• Bench grinder rest spacing – 1/8” from wheel

  Yes

  No

  N/A

• Face shield and leather gloves available for use when using bench grinder

  Yes

  No

  N/A

• Machinery operated with OEM guards installed, where applicable

  Yes

  No

  N/A

• “Dead man” switch on all electric and pneumatic tools

  Yes

  No

  N/A

• Wireline Cutter, Hydraulic C1750

  Yes

  No

  N/A

Canrig Equipment

• Dropped Object Daily Inspection Poster and Top Drive Maintenance Inspection Poster on the rig floor; Inspection (C10470 275 Ton, C10471 500 Ton) Maintenance (P/N C10075)

  Yes

  No

  N/A

• Bolts on the top drive are secured with safety wire. Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Check that the backup wrench deflector plate is secured with safety wire (PB No. TDS144). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Mud line clamp installed and aligned (PB No. TDS155, PB No. TDS154). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• LWCV AntiRotation Bracket retention installed (PB No. 126). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Ensure the Guide Runner Shim Kit has been upgraded (PB No. TDS156) to include the safety wiring

  Yes

  No

  N/A

• Ensure E stop is functioning correctly and lockout is operational if it does not interfere with current operations. Interview the Driller and ask him if he gas test it

  Yes

  No

  N/A

• Blower fan cover with cable installed as safety securement (PB No. TDS160). Verify the item against the latest or current DROPS Inspection (HSEF0040X or HSEF0040L)

  Yes

  No

  N/A

• Housekeeping in Power House

  Yes

  No

  N/A

• LOTO Station (NIN 2027041 or 1071605) is available per ES055 (74) and LOTO procedure (HSEPRO006) being enforced and used

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

• Housekeeping in Drillers cabin

  Yes

  No

  N/A

• LOTO Station (NIN 2027041 or 1071605) is available per ES055 (74) and LOTO procedure (HSEPRO006) being enforced and used

  Yes

  No

  N/A

• Adequate, clean, sealed and undamaged lighting provided with approved safety cables or safety mesh per DropSafe Mesh Safety Cover (ES003)

  Yes

  No

  N/A

• SCBA 30 Minute Work Pack Cougar P 964302 if applicable

  Yes

  No

  N/A

• Top Drive Camera (CCTV System) DVPT680 Camera DVEagle ll Controller

  Yes

  No

  N/A

Close

• Signature

  Sign

• Notes

  Drawing

• Pictures/Videos

  Media