Underground Drill Site Pre-Occupation

• Site conducted

  Select

• Location

• Date

  Date

Logistics

• Drill Services Representative

• Rig #

• Contractor

• Examples of Features to Preserve and Review Prior to Performing Work
  *Drill Collars & Hole ID Tags
  *Hydrology Monuments
  *Line-out spades/whiskers/markers

• Accepted prep or modifications covered under this form within previously defined work area
  *Pump sump
  *Pad leveling
  *Ditch/trench
  *Station Rehab (Rib/Back/Seal)
  

Pad Requirements

• Dimensions to standard (50'x15'x15')

  Yes

  No

  N/A

• Leaky Feeder Communication

  Yes

  No

  N/A

• Utilities:<br>(Air-Water-Discharge-Power)

  Yes

  No

  N/A

• Noise Levels not Excessive

  Yes

  No

  N/A

• Surveyed Hole Layout Complete

  Yes

  No

  N/A

• Ground Support (Bolts-Mesh-Shotcrete)

  Yes

  No

  N/A

• Proper Ventilation

  Yes

  No

  N/A

Effective Temperature Reading

Location

• undefined

• Dry Bulb

• Wet Bulb

• Effective Temp

• Comment

• Comments

• Drill Services Representative Signature

  Sign

• Contract Drill Representative Signature

  Sign

• GS Underground Shifter/Representative Signature

  Sign