Well Inspection Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Location:
  Address

• Lease sign:

  Media

• Scouted by:

• Scouted for rig

  EWE Rig 3

  EWE rig 22

  EWE rig 24

  Savanna 67

  Wilddesert flush by

• Select date

  Date

Lease Information

• Is handover on site?

  Yes

  No

  N/A

• Is this a pad lease

  Yes

  No

  N/A

• Is the lease MDL

  Yes

  No

  N/A

• Is grading required?

  Yes

  No

  N/A

• Is slashing required?

  Yes

  No

  N/A

• Are access road repairs required?

  Yes

  No

  N/A

• Is there fencing around the lease?

  Yes

  No

  N/A

• Are overhead powerlines present?<br>

  Yes

  No

  N/A

• Other information

Production Facilities

• Disconnection required?

  Yes

  No

  N/A

• Electrical disconnection required?

  Yes

  No

  N/A

• Hydraulic disconnection required?

  Yes

  No

  N/A

• Other information

Wellhead info

• Tubing (psi):

• Casing (psi):

• SCasing (psi):

• Do cellar covers fit?

  Yes

  No

  N/A

• Is there a GE tag on the WH?

  Yes

  No

  N/A

• Is a spacer spool required?

  Yes

  No

  N/A

• Is there cable in the well?

  Yes

  No

  N/A

• Is blue metal required in cellar?

  Yes

  No

  N/A

• Cellar depth (m):

• Photos

  Media

• Other information

Pits

• Are all bunding around pits and turkeys nest intact?

  Yes

  No

  N/A

• Level of water in turkeys nest

  Select no pit empty 1/4 1/2 3/4 full

  • no pit
  • empty
  • 1/4
  • 1/2
  • 3/4
  • full

• Turkeys nest

  Media

• Level of water in flare pit

  Select no pit empty 1/4 1/2 3/4 full

  • no pit
  • empty
  • 1/4
  • 1/2
  • 3/4
  • full

• Flare pit

  Media

• Level of water in second sump

  Select no pit empty 1/4 1/2 3/4 full

  • no pit
  • empty
  • 1/4
  • 1/2
  • 3/4
  • full

• Second sump

  Media

• Other information