USA Rig inspection 4174i20

• Document No.

• DC International Rig Inspection Form

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

DRILL SITE / LOCATION

• Authorized Personnel Sign posted at entrance to site identifying requirements for hard hat, safety glasses, safety toe footwear.

  compliant

  non-compliant

  N/A

• Is there a list of approved operators for specific equipment?

  compliant

  non-compliant

  N/A

• No Smoking Area?s Designated & Posted.

  compliant

  non-compliant

  N/A

• No Parking within 150 ft of the rig.

  compliant

  non-compliant

  N/A

• Are H2S controls in place where applicable including; warning signs, H2S monitors, SCBA(s) or escape air, wind socks and H2S certification training?

  compliant

  non-compliant

  N/A

• Escape & Guide wires flagged with visible material.

  compliant

  non-compliant

  N/A

• Capacity of guide wire anchors verified ? Base Beam Anchor ? Screw-type Anchor ? Permanent (Cement) Anchor ? Other____________ Verification Method:____________________________

  Yes

  No

  N/A

• Outhouse/restroom facility provided.

  compliant

  non-compliant

  N/A

• Hard hats & Safety glasses available for visitors at Tool Pusher/Drilling Foreman's office?

  Yes

  No

  N/A

• All temporary housing/offices must be securely positioned and properly grounded.

  compliant

  non-compliant

  N/A

• Housekeeping, Is the area clean and free of debris and tripping hazards?

  Yes

  No

  N/A

• Distance from overhead power lines < 10 ft.

  compliant

  non-compliant

  N/A

• Muster area designated and posted?

  compliant

  non-compliant

  N/A

• Sign posted directing visitors to report to the Drilling Foreman / Toolpusher upon entry, visitors signed in and out?

  compliant

  non-compliant

  N/A

TRAINING, PPE & GENERAL SAFETY

• First Aid Training provided, minimum of 2 certified per location.

  compliant

  non-compliant

  N/A

• H2S Training provided, if applicable

  compliant

  non-compliant

  N/A

• Face shield provided for grinding, pressure washing, and removing tong dies with proper tool

  Yes

  No

  N/A

• Any prior incidents, near miss, observations, etc. if any, are discussed during safety meeting

  Yes

  No

  N/A

• No smoking rules observed

  compliant

  non-compliant

  N/A

• Emergency Phone numbers posted

  compliant

  non-compliant

  N/A

• Do Employees know were designated smoking areas are located?

  Yes

  No

  N/A

• Do employees know were SPCC plan is located?

  Yes

  No

  N/A

• Are full body harness and lanyard inspections being conducted monthly and documented?

  compliant

  non-compliant

  N/A

• SRL's being inspected monthly and copies being obtained at location?

  Yes

  No

  N/A

• Rig inspections being performed

  Yes

  No

  N/A

• Inspections - Pre-spud, camp, HSE, etc.? What was the last date?

  Yes

  No

  N/A

• All employees familiar with LOTO procedures and policies?

  Yes

  No

  N/A

• Safe work permits being used and proper employees understand how to complete this form?

  Yes

  No

  N/A

• Near Miss program being utilized on this location?

  Yes

  No

  N/A

• Does rig crew know where to dispose of hazardous waste and are all containers labeled? (used oil, diapers, etc)

  Yes

  No

  N/A

• Does the rig crew know how to perform a BOP Drill?

  Yes

  No

  N/A

• Are the rig crew training records on site and current?

  Yes

  No

  N/A

• Are fuel transfer sheets being performed?

  Yes

  No

  N/A

• Is the escape buggy getting inspected monthly?

  Yes

  No

  N/A

• Is the Confined Space Entry equipment in good working order?

  Yes

  No

  N/A

• Is the Gas Detector in working order (charged) and calibrated?

  Yes

  No

  N/A

• How is the general safety culture on this location?

  Yes

  No

  N/A

• Safety meetings conducted and properly documented: pre-tour, pre-job/JSAs, weekly?

  Yes

  No

  N/A

• Accidents, if any, are discussed during safety meetings.

  Yes

  No

  N/A

• Proper clothing worn by crew; no loose clothing or jewelry, hard hat, glasses, safety shoes, gloves, fall protection other PPE as necessary?

  Yes

  No

  N/A

• Injuries reported and documented immediately.

  Yes

  No

  N/A

• First Aid Kit/Bloodborne Pathogen Kit available on site.

  Yes

  No

  N/A

• Are all containers properly labeled per HAZCOM?

  compliant

  non-compliant

  N/A

• Are MSDS available and accessible at all times?

  compliant

  non-compliant

  N/A

• Does contractor have a Hazard Recognition Program in use?

  Yes

  No

  N/A

• Well control certs provided for Pushers and Drillers?

  Yes

  No

  N/A

• Hearing protection required and provided.

  compliant

  non-compliant

  N/A

• Does the Operator / Drilling Contractor have a New Hire Training Program in place? Explain-Type?

  Yes

  No

  N/A

• Does the crew know how and who to report sickness and illness to? All script drugs?

  Yes

  No

  N/A

• Is there an Emergency Response Plan available? Has personnel been trained on the plan?

  Yes

  No

  N/A

MUD PUMP AREA

• Is all rotating equipment properly guarded; drive belts, shafts, pony rods, etc.?

  compliant

  non-compliant

  N/A

• Shear pin pop-off valve present and covered.

  compliant

  non-compliant

  N/A

• Ends of relief lines secured with adequate safety cable.

  compliant

  non-compliant

  N/A

• Ends of mud vibrator hose snubbed with adequate safety cable.

  compliant

  non-compliant

  N/A

• Housekeeping - Is area clean and free of debris and tripping hazards?

  Yes

  No

  N/A

• Adequate lighting provided.

  compliant

  non-compliant

  N/A

• Are there replacement pistons dressed and ready?

  Yes

  No

  N/A

MUD MIXING AREA

• Bagged material properly stacked and protected from the weather?

  compliant

  non-compliant

  N/A

• Gloves, Aprons, Boots, or other PPE, as appropriate, available and in good condition?

  compliant

  non-compliant

  N/A

• Employees using all required PPE?

  Yes

  No

  N/A

• All chemicals are properly labeled including ?PPE Required? warning signs (Grouped or individual signs).

  compliant

  non-compliant

  N/A

• Personal protective equipment properly maintained and in a clean & sanitary condition.

  compliant

  non-compliant

  N/A

• Eye wash station and emergency shower; unobstructed and in close proximity, properly designed in good working order and plumed with a clean water supply?

  compliant

  non-compliant

  N/A

• Adequate ventilation in mud mixing area?

  compliant

  non-compliant

  N/A

• Elevated loading door opening protected?

  compliant

  non-compliant

  N/A

• Adequate lighting provided?

  compliant

  non-compliant

  N/A

• Housekeeping - Is area clean and free of debris and tripping hazards?

  compliant

  non-compliant

  N/A

• Is the personnel required to mix or handle mud chemicals being properly trained regarding safe handling and use. Are they aware of the potential hazards and PPE measures required. Are MSDS's available to personnel prior to and during chemical mixing.

  Yes

  No

  N/A

• Is the caustic pallets painted or marked for easy acknowledgement?

  Yes

  No

  N/A

MUD TANKS & PITS

• Adequate stairs with handrails properly secured?

  compliant

  non-compliant

  N/A

• Adequate walkways and guardrails.

  compliant

  non-compliant

  N/A

• Guardrails installed on all raised platforms, walkways, etc above 48"?

  compliant

  non-compliant

  N/A

• Walkways free from obstruction and/or damage?

  compliant

  non-compliant

  N/A

• Guardrails provided on crossovers?

  compliant

  non-compliant

  N/A

• ?PPE Required? warning signs erected (grouped or individual signs).

  compliant

  non-compliant

  N/A

• Chemical hazard warning signs erected?

  compliant

  non-compliant

  N/A

• Shale shakers, agitator shafts, and all other rotating equipment properly guarded?

  compliant

  non-compliant

  N/A

• Explosion proof equipment, fixtures and wiring used. Class 1 Div 1/2. Data plates on equipment legible?

  compliant

  non-compliant

  N/A

• Adequate lighting provided?

  compliant

  non-compliant

  N/A

• Employees using all required PPE?

  compliant

  non-compliant

  N/A

• Jetting hoses properly secured if applicable

  compliant

  non-compliant

  N/A

• Personal protective equipment properly stored?

  compliant

  non-compliant

  N/A

• Housekeeping - Is the area clean and free of debris and tripping hazards?

  compliant

  non-compliant

  N/A

• All unused floor holes covered?

  compliant

  non-compliant

  N/A

• Electric wiring in good condition?

  compliant

  non-compliant

  N/A

• Drive belts and shafts guarded?

  compliant

  non-compliant

  N/A

• Permitted and non permitted signage is in appropriate area's

  Yes

  No

  N/A

• Caustic barrel has sign and in good shape, good spout into the pits. Lid in good shape for easy access, baffles over lapping in side to prevent splash?

  Yes

  No

  N/A

• Reserve pits properly barricaded? Retrieval plan in place?

  Yes

  No

  N/A

MATERIAL HANDLING EQUIPMENT

• Material Handling Equipment (fork lift) operators trained and certified?

  compliant

  non-compliant

  N/A

• Personnel basket securely attached to forks? (If applicable).

  compliant

  non-compliant

  N/A

• Personnel wearing proper fall protection while in basket?

  compliant

  non-compliant

  N/A

• Backup alarm operational?

  compliant

  non-compliant

  N/A

• Fork Lift equipped with seat belts?

  compliant

  non-compliant

  N/A

• Seat belts in use by operators?

  compliant

  non-compliant

  N/A

• Fork Lift inspected prior to use? (daily).

  compliant

  non-compliant

  N/A

• Fork Lift has fire extinguisher, charged and inspected?

  compliant

  non-compliant

  N/A

ELECTRICAL SPECIFIC INSPECTION

• Are the breakers in the electrical panel property labeled?

  Yes

  No

  N/A

• Are the electrical panels accessible? (No boxes, etc. stacked in front of them?)

  Yes

  No

  N/A

• Are the electrical lines in good condition? (No splices, cuts, black tape: look for things OSHA would look for)

  Yes

  No

  N/A

• Are the electrical lines in good condition? (wire no pulled away from the connector, strain relief in place, etc.)

  Yes

  No

  N/A

• All power strips in the work area (Doghouse, SCR house, etc.) GFIC protected?

  Yes

  No

  N/A

• Do all lights have covers and are secure?

  Yes

  No

  N/A

• Is the equipment on location properly grounded /bonded? (Have RM show you how grounding and bonding is tied into all mobile equipment.

  Yes

  No

  N/A

• Signage properly posted, excessive water, high voltage, etc.?

  Yes

  No

  N/A

GENERATOR AREA

• Moving parts guarded?

  compliant

  non-compliant

  N/A

• Generators properly grounded?

  compliant

  non-compliant

  N/A

• Cover panels on electrical control boxes installed and closed?

  compliant

  non-compliant

  N/A

• All electrical controls marked as to their function and legible?

  compliant

  non-compliant

  N/A

• ?HIGH VOLTAGE? warning signs erected?

  compliant

  non-compliant

  N/A

• Insulating mats available at electrical panels?

  compliant

  non-compliant

  N/A

• Condition of electrical wiring, no splices or visible damage?

  compliant

  non-compliant

  N/A

• Rig wiring properly installed to prevent abrasion, vehicular and foot traffic, burns, cuts and damage from other sources?

  compliant

  non-compliant

  N/A

• Unused electrical outlets covered?

  compliant

  non-compliant

  N/A

• Air compressors properly guarded?

  compliant

  non-compliant

  N/A

• Air storage tanks equipped with pop-off valve?

  compliant

  non-compliant

  N/A

• Lockout/Tagout program utilized? Adequate Lockout/Tagout devices available?

  compliant

  non-compliant

  N/A

• ?Hearing Protection Required? warning signs erected?

  compliant

  non-compliant

  N/A

• Hearing protection available?

  compliant

  non-compliant

  N/A

• Adequate lighting installed?

  compliant

  non-compliant

  N/A

• Housekeeping - Is area clean and free of debris and tripping hazards?

  compliant

  non-compliant

  N/A

• Wires are note running along the ground

  compliant

  non-compliant

  N/A

• All light fixtures properly guarded from damage?

  compliant

  non-compliant

  N/A

• Receptacles and plugs in good condition?

  compliant

  non-compliant

  N/A

• Water hose used for washing area kept away from generator skid/SCR/VFD House?

  compliant

  non-compliant

  N/A

• Generator skid door props properly pinned?

  compliant

  non-compliant

  N/A

• Battery box with cover in good shape?

  compliant

  non-compliant

  N/A

• Air filters clean and properly secured?

  compliant

  non-compliant

  N/A

FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS

• Fuel storage tanks properly located

  compliant

  non-compliant

  N/A

• All storage valve connections identified as to their function

  compliant

  non-compliant

  N/A

• Discharge nozzles, hoses, valves in good condition

  compliant

  non-compliant

  N/A

• Piping and fuel lines in good condition

  compliant

  non-compliant

  N/A

• Stationary ladders on storage tanks in good condition

  compliant

  non-compliant

  N/A

• Adequate lighting provided

  compliant

  non-compliant

  N/A

• "Flammable" warning signs erected on all sides

  compliant

  non-compliant

  N/A

• "No Smoking" signs erected on all sides

  compliant

  non-compliant

  N/A

• B/C Class fire extinguisher available and identified

  compliant

  non-compliant

  N/A

• Fuel tanks properly labeled, "NFPA Haz-Com", "Off Road Usage", "Flammable", "No Smoking"

  compliant

  non-compliant

  N/A

• Vapor release vents elevated & away from ignition sources

  compliant

  non-compliant

  N/A

• Housekeeping - Is area clean and free of debris and tripping hazards

  compliant

  non-compliant

  N/A

PIPE RACK AREA

• Ends of pipe racks and separate layers of pipe properly chocked? No more than two layers.

  compliant

  non-compliant

  N/A

• Spacers used to separate layers of pipe

  compliant

  non-compliant

  N/A

• Pipe racks are level and stable

  compliant

  non-compliant

  N/A

• Pipe rack catwalk in good condition and at the same height?

  compliant

  non-compliant

  N/A

• V-door slide in good condition including stops on V-door or catwalk?

  compliant

  non-compliant

  N/A

• Adequate lighting provided

  compliant

  non-compliant

  N/A

• Housekeeping - Is area clean and free of debris and tripping hazards

  Yes

  No

  N/A

• Drilling line from spool elevated off ground

  compliant

  non-compliant

  N/A

• Safety Warnings in place for Hydraulic Pipe Rack and verification of HPR inspection?

  compliant

  non-compliant

  N/A

BLOW-OUT PREVENTERS

• BOP properly installed, 3rd party tested, and properly documented?

  compliant

  non-compliant

  N/A

• All lines, valves, check valves and flow fittings should have a working pressure at least equal to the rated pressure of the ram BOP's in use. This equipment will be tested during the initial test of the BOP rams.

  compliant

  non-compliant

  N/A

• Wheels and stems in place, if automatic device is not available?

  compliant

  non-compliant

  N/A

• BOP stack properly stabilized?

  compliant

  non-compliant

  N/A

• All hydraulic lines connected ?

  compliant

  non-compliant

  N/A

• All unused hydraulic lines capped and secured?

  compliant

  non-compliant

  N/A

• Accumulator bottles labeled with contents, and other appropriate warning signs and pressures?

  compliant

  non-compliant

  N/A

• Accumulator valves in appropriate position, open or closed (never neutral), properly identified both purpose and position?

  compliant

  non-compliant

  N/A

• Gauges suitable for operating pressure and drilling fluid service should be installed so that drill pipe and annulus pressures may be accurately monitored and readily observed at the station where well control operations are to be conducted.

  compliant

  non-compliant

  N/A

• Choke manifold and line secured and accessible?

  compliant

  non-compliant

  N/A

• Blooey line with pilot installed if applicable?

  compliant

  non-compliant

  N/A

• Adequate lighting provided?

  compliant

  non-compliant

  N/A

• Warning signs erected (Flammable, Hard Hat, H2S, Eye Protection, Confined Space, Authorized Personnel)

  compliant

  non-compliant

  N/A

• Proper drainage provided and general housekeeping of koomey and cellar area?

  compliant

  non-compliant

  N/A

• Hydraulic lines protected?

  compliant

  non-compliant

  N/A

• BOP spare parts (for the service intended) are carefully stored, maintained and readily available. Including a complete set of ram rubbers, complete set of bonnet or door seals, plastic packing for BOP secondary seals. Ring gaskets to fit end connections. A spare annular BOP packing element and a complete set of seals. A flexible choke or kill line if in use. "Ask Toolpusher"

  compliant

  non-compliant

  N/A

Considerations

• Light on rig floor in plain view of driller?

  Yes

  No

  N/A

• Accumulator fluid and strainers in good condition: Inspected_________________

  Yes

  No

  N/A

• Accumulator _________ Annular ________ Manifold ________ (Pressures)

  Yes

  No

  N/A

• Well can be closed in quickly while observing and controlling casing pressure?

  Yes

  No

  N/A

• Clearance for tool joints between pipe rams (measurement of stripping length).

  Yes

  No

  N/A

• Is it possible to pump into well with blind rams closed?

  Yes

  No

  N/A

• Blind rams equipped with cover but no lock?

  Yes

  No

  N/A

• Is the fill up line separate from the kill line?

  Yes

  No

  N/A

• Choke line straight, free of bends?

  Yes

  No

  N/A

• Choke manifold pressure rating __________ Is it correct for this application?

  Yes

  No

  N/A

• Upper Kelly valve or Top Drive Unit with manual & hydraulic valves?

  Yes

  No

  N/A

• Is drill pipe float used?

  Yes

  No

  N/A

• Are crossover subs available for IBOP & TIW?

  Yes

  No

  N/A

• Pit volume totalizer & recorder mounted in plain view of driller?

  Yes

  No

  N/A

• Flow indicator available, if flow line can't be seen from rig floor?

  Yes

  No

  N/A

• Pump stroke counter and/or trip tank for use in critical hole filling checks?

  Yes

  No

  N/A

• Maximum allowable surface pressures upon closing in well specified and posted?

  Yes

  No

  N/A

• "on bottom" drills held at intervals, timed, & recorded on IADC?

  Yes

  No

  N/A

• "while tripping" drills held at intervals, timed & recorded on IADC?

  Yes

  No

  N/A

• "out of hole" drills held at intervals, timed & recorded on IADC?

  Yes

  No

  N/A

• Slow pump rates recorded and after mud density changes? How often?

  Yes

  No

  N/A

• Pipe slugged with sufficient time allowed for fluid level to balance before TOOH?

  Yes

  No

  N/A

• Flow checks made prior to TOOH, at the casing shoe & at collars?

  Yes

  No

  N/A

• Is hole filled continuously from trip tank (preferred) is there a specified number of stands: __________________

  Yes

  No

  N/A

• Rig equipped with trip tank? Is it being used?

  Yes

  No

  N/A

• Written trip records kept by crew?

  Yes

  No

  N/A

• Crew instructed in procedures during trip if swabbing or lost circulation occurs?

  Yes

  No

  N/A

• Are approved kill sheets used & updated daily?

  Yes

  No

  N/A

• Maximum allowable mud density posted?

  Yes

  No

  N/A

• DC, DP, hole & mud pump capacity figures available?

  Yes

  No

  N/A

DERRICK & SUBSTRUCTURE

• Derrick/A-Frame assembly and substructure pins with keepers in place?

  compliant

  non-compliant

  N/A

• Condition of guide lines.

  compliant

  non-compliant

  N/A

• Does the derrick or mast have a name plate permanently attached to the derrick, that includes the manufacturer, model number and serial number, hookload capacity and whether guying is applicable and if so the recommended guying pattern.

  compliant

  non-compliant

  N/A

• Damage and/or corrosion visible in derrick and/or substructure? (waste metal).

  Yes

  No

  N/A

• Condition of derrick ladder?

  Yes

  No

  N/A

• Climb assist device available, in good condition, adequate number of clamps?

  Yes

  No

  N/A

• Boatswains chair available for hoisting personnel and utilized when necessary?

  Yes

  No

  N/A

• Full body harness with lanyard available and in good condition?

  Yes

  No

  N/A

• Fall protection devices in use: Derrick Board, Crown Section, Backside of derrick (stabber), Substructure?

  compliant

  non-compliant

  N/A

• "Fall Protection Required" warning signs erected?

  compliant

  non-compliant

  N/A

• Derrick/Tubing boards in good condition?

  compliant

  non-compliant

  N/A

• Guardrails installed on derrick board?

  compliant

  non-compliant

  N/A

• Pipe fingers in good condition, safety cables attached?

  compliant

  non-compliant

  N/A

• Crown guardrails installed?

  compliant

  non-compliant

  N/A

• Crown sheave guards in place?

  compliant

  non-compliant

  N/A

• Safety retainers in use on hinge pins?

  compliant

  non-compliant

  N/A

• Derrick hydraulic system free of leaks? (if applicable).

  compliant

  non-compliant

  N/A

• Dead line properly anchored? With secondary clamp?

  compliant

  non-compliant

  N/A

• Booms and boom lines in good condition?

  compliant

  non-compliant

  N/A

• Adequate lighting provided?

  compliant

  non-compliant

  N/A

• Derrick emergency escape line properly installed, Geronimo on line, anchored with a clear path?

  compliant

  non-compliant

  N/A

• Tubulars, Drill Pipe, etc racked or hung in derrick are secured to prevent them from falling?

  compliant

  non-compliant

  N/A

• Mud standpipe secured, mudhose snubbed at both ends?

  compliant

  non-compliant

  N/A

• Rotary beams and all braces are in good condition?

  compliant

  non-compliant

  N/A

• Dogging pins are in good condition?

  compliant

  non-compliant

  N/A

DRILL FLOOR AREA

• OSHA poster posted in Dog House?

  Yes

  No

  N/A

• Emergency phone numbers posted in Dog House?

  Yes

  No

  N/A

• Rotary floor in good condition?

  compliant

  non-compliant

  N/A

• All unused floor holes covered with a secure cover?

  compliant

  non-compliant

  N/A

• "Driller at or near controls unless the drawworks brake has been tied down or securing it with a catch lock, unless the drawworks is equipped with an automatic driller".

  Yes

  No

  N/A

• Drillers controls properly labeled/identified?

  compliant

  non-compliant

  N/A

• Pipe slips & Dies in good condition?

  compliant

  non-compliant

  N/A

• Racking floor area in good condition?

  compliant

  non-compliant

  N/A

• V-door gate or net provided and in place?

  compliant

  non-compliant

  N/A

• Air hoist lines properly guarded in good condition, line properly laid with functional line guide and brake?

  compliant

  non-compliant

  N/A

• Kelly cock wrench and safety valve accessible?

  compliant

  non-compliant

  N/A

• Drilling Line in good condition? Current ton miles?

  compliant

  non-compliant

  N/A

• Tail rope being used, rigged up correctly and in good shape?

  compliant

  non-compliant

  N/A

• Drawworks properly guarded?

  compliant

  non-compliant

  N/A

• Proper lay of drill line and sufficient wraps left on drum with blocks in down position? (minimum 11 wraps).

  compliant

  non-compliant

  N/A

• When were the Hydraulic or Hydromatic brakes last serviced and what is the contractor's maintenance schedule?

  Safe

  At Risk

  N/A

• Dog knot secure?

  compliant

  non-compliant

  N/A

• Adequate lighting provided?

  compliant

  non-compliant

  N/A

• General housekeeping.

  compliant

  non-compliant

  N/A

• Drill floor doghouse doors installed properly?

  Yes

  No

  N/A

• Drinking water available?

  compliant

  non-compliant

  N/A

• Life basket/Fire Blanket available

  compliant

  non-compliant

  N/A

• Factory ends of snub line?

  compliant

  non-compliant

  N/A

• Non skid material used around rotary?

  compliant

  non-compliant

  N/A

• Guardrails installed along open edges of drill floor?

  compliant

  non-compliant

  N/A

• Tong body and jaws, keepers, counter weights, snub lines and jerk lines all in good condition?

  compliant

  non-compliant

  N/A

• Tong safety handles installed?

  compliant

  non-compliant

  N/A

• Crown-o-Matic device operational, logged on IADC?

  compliant

  non-compliant

  N/A

• Safety signage posted?

  Yes

  No

  N/A

• All overhead lights have safety cables?

  compliant

  non-compliant

  N/A

Top Drive

• TD: Guard Bolts.

  compliant

  non-compliant

  N/A

• TD: Link Tilt Cylinder Retainer.

  compliant

  non-compliant

  N/A

• TD: Link Tilt Mount.

  compliant

  non-compliant

  N/A

• TD: Bail Clamp Cylinder Pins.

  compliant

  non-compliant

  N/A

• Service loop in good shape?

  compliant

  non-compliant

  N/A

• Torque tube and skate in good shape?

  compliant

  non-compliant

  N/A

Iron Roughneck

• Iron Roughneck (IR): HPU _________psi.

  compliant

  non-compliant

  N/A

• IR: Hydraulic Lines Not Leaking .

  compliant

  non-compliant

  N/A

• IR: Unit Properly Stored If Not In Use.

  compliant

  non-compliant

  N/A

• IR: Unit Turned Off When Not In Use.

  compliant

  non-compliant

  N/A

• IR: Employees Properly Trained .

  compliant

  non-compliant

  N/A

• IR: Employee Clear Of Unit If Moving.

  compliant

  non-compliant

  N/A

• IR: Unit Has Clear Path For Operating.

  compliant

  non-compliant

  N/A

• IR: Operator Controls Located Properly.

  compliant

  non-compliant

  N/A

• IR: Preventive Maintenance (Daily) .

  compliant

  non-compliant

  N/A

• Is there a way to LO/TO?

  compliant

  non-compliant

  N/A

HOISTING TOOLS, HOOKS, BAILS, ELEVATORS

• Traveling blocks in good condition?

  compliant

  non-compliant

  N/A

• Traveling blocks properly guarded?

  compliant

  non-compliant

  N/A

• Sheave guards in good condition?

  compliant

  non-compliant

  N/A

• Bales and/or links in good condition?

  compliant

  non-compliant

  N/A

• Elevators in good condition?

  compliant

  non-compliant

  N/A

• Hoisting hook equipped with safety latch or equivalent?

  compliant

  non-compliant

  N/A

• Suspension cables and lifting chains are grade 8 and tagged?

  compliant

  non-compliant

  N/A

• Hoisting line inspected?

  Yes

  No

  N/A

HOTWORK AND CONFINED SPACES

• Hot work permitted utilizing customers Hot Work Process which meets minimum industry standards?

  compliant

  non-compliant

  N/A

• Drilling Foreman trained on customers Hot Work and Confined Space permitting standards?

  compliant

  non-compliant

  N/A

• Certified welders utilized?

  compliant

  non-compliant

  N/A

• Appropriate protective attire worn for welding and cutting ops.

  compliant

  non-compliant

  N/A

• Helmets with face shields used during operations?

  compliant

  non-compliant

  N/A

• Fire extinguishing equipment available and fire watch utilized?

  compliant

  non-compliant

  N/A

• Confined Space Entry Permit issued by Drilling Foreman or rig contractor for CS entry?

  compliant

  non-compliant

  N/A

• Permits are completed properly and filed at the job site?

  compliant

  non-compliant

  N/A

• Gas detection devices are available and calibrated per manufactures specifications?

  compliant

  non-compliant

  N/A

STAIRS, LADDERS, HANDRAILS & GUARDRAILS

• Adequate stairs provided off rig, min. of 2 for drill floor?

  compliant

  non-compliant

  N/A

• Stairs level, secure with no obstructions?

  compliant

  non-compliant

  N/A

• Adequate handrails provided on stairs with 4 or more risers?

  compliant

  non-compliant

  N/A

• Stair treads of uniform size made with non-skid material?

  compliant

  non-compliant

  N/A

• Stair treads free of damaged?

  compliant

  non-compliant

  N/A

• Stairs properly installed and pinned if required?

  compliant

  non-compliant

  N/A

• Guardrails, Midrails, & Toeboards installed along all open side edges of floors, platforms, etc, 4ft above ground level.

  compliant

  non-compliant

  N/A

ADDITIONAL FINDINGS

• Other remarks #1

  compliant

  non-compliant

  N/A

• Other remarks #2

  compliant

  non-compliant

  N/A

• Other remarks #3<br>

  compliant

  non-compliant

  N/A

• Other remarks #4

  compliant

  non-compliant

  N/A

• Other remarks #5

  compliant

  non-compliant

  N/A

• Other Remarks #6

  compliant

  non-compliant

  N/A

• Other remarks #7

  compliant

  non-compliant

  N/A

• Other remarks #8

  compliant

  non-compliant

  N/A

• Other remarks #9

  compliant

  non-compliant

  N/A

• Other remarks #10

  compliant

  non-compliant

  N/A