1. Field Inspection Report Example

Drilling Land Inspection Form conducted for

Customer Name Document No. DCInt000018DLR DC International Rig Inspection Form Inspection report Conducted on 8:00 AM 11/7/12 Prepared by DC International, Inc. Location 701 Robley Dr Lafayette, LA 70503 United States Personnel DC International, In. DC International, Inc. Drilling Rig HSE Manager Drilling Rig Superintendent Drilling Rig.Toolpusher Client Name Drilling Rig Company Man

Completed on 10:10 AM 11/9/12

Disclaimer The assessors believe the information contained within this inspection report to be correct at the time of printing. The assessors do not accept responsibility for any consequences arising from the use of the information herein. The report is based on matters which were observed or came to the attention of the assessors during the day of the assessment and should not be relied upon as an exhaustive record of all possible risks or hazards that may exist or potential improvements that can be made. Information on the latest workers compensation and OHS / WHS laws can be found at the relevant State WorkCover / WorkSafe Authority. Confidentiality Statement In order to maintain the integrity and credibility of the inspection assessment processes and to protect the parties involved, it is understood that the assessors will not divulge to unauthorized persons any information obtained during this risk assessment unless legally obligated to do so.

DCInt000018DLR Inspection report

-2-

Table of Contents DRILLING LAND INSPECTION FORM

1

Disclaimer

2

Confidentiality Statement

2

RIG INSPECTION CHECKLIST

4

DRILLING / LOCATION

4

TRAINING, PPE & GENERAL SAFETY

5

MUD PUMP AREA

8

MUD MIXING AREA

9

MUD TANKS & PITS

10

MATERIAL HANDLING EQUIPMENT

11

ELECTRICAL SPECIFIC INSPECTION

12

GENERATOR AREA

12

FIRE PROTECTION

14

FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS

15

PIPE RACK AREA

16

BLOW-OUT PREVENTERS

17

All additional questions (1-51) in Section 9 will be used at the discretion of the DCI customer and their individual needs.

18

DERRICK & SUBSTRUCTURE

22

DRILL FLOOR AREA

23

Top Drive

26

Iron Roughneck

27

HOISTING TOOLS, HOOKS, BAILS, ELEVATORS…

27

HOTWORK AND CONFINED SPACES

28

ENVIRONMENTAL

29

STAIRS, LADDERS, HANDRAILS & GUARDRAILS

29

ADDITIONAL FINDINGS

30

MEDIA

31


-3-

Rig Inspection Checklist Question

Response

Details

DRILLING / LOCATION No signs at entrance.

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

noncompliant

No Smoking Area?s Designated & Posted.

noncompliant

Need signs for designated areas.

compliant

No one parked within 100 feet with the exception of the BOP testing equipment.

No Parking within 100 ft of the rig.

Are H2S controls in place where applicable including; warning signs, H2S monitors, SCBA(s) or escape air, wind socks and H2S certification training? Escape & Guy wires flagged with visible material.

Appendix 1

Appendix 2

noncompliant

No flagging and no tie wire on shackle. Min 3 clamps with 3 inch spacing

Appendix 3

Capacity of guywire anchors verified ? Base Beam Anchor ? Screw-type Anchor ? Permanent (Cement) Anchor ? Other____________ Verification Method:____________________________ Outhouse/restroom facility provided. Hard hats & Safety glasses available for visitors at Tool Pusher/Drilling Foreman's office? All temporary housing/offices must be securely positioned and properly grounded.

DCInt000018DLR Inspection report Score (336/363) 92.6%

N/A

No verification or certification tag found. No

compliant

Yes

compliant

-4-

Question

Response

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

Yes

Distance from overhead power lines GT 10 ft.

N/A

Muster area designated and posted?

noncompliant

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

noncompliant

Details

Required signs are not available for area. No signs posted for sign in & out.

TRAINING, PPE & GENERAL SAFETY

Score (32/38) 84.2%

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

compliant

H2S Training provided, if applicable

compliant

Face shield provided for removing tong dies with proper tool

Yes

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

Yes

No smoking rules observed Emergency Phone numbers posted

compliant noncompliant

Not in Dog House. Need to place in dog house area. Place inside board area on picture.

Appendix 4

Do Employees know were designated smoking areas are located?

Yes

Do employees know were SPCC plan is located?

Yes


Tool pusher house

-5-

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

SRL's being inspected monthly and copies being obtained at location? Rig inspections being performed

Response

noncompliant

Yes Yes

All employees familiar with LOTO procedures and policies?

Yes

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

No

Atmospheric tester available?

Yes

Near Miss program being utilized on this location?

Yes

Appendix 5

HSE inspection being done by HSE department and kept at office.

Needs to be performed. No forms being done.

Yes

DOT drums are not marked and one drum needs to be emptied and properly disposed of by rig company. Personnel are disposing of product properly in drums.

No

Need to have record on location. Need to have (at the minimum) an online copy that can be pulled during inspections.

Appendix 6

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

Are the rig crew training records on site and current?

Yes

Are fuel transfer sheets being performed?

Yes


Monthly inspection must be done on lanyard and harness. Systems are in good visual shape, no paperwork for monthly inspections kept.

Yes

Pre-spud, periodic, HSE, etc.?

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

Details

-6-

Question Is the escape buggy getting inspected monthly?

Response

No

Is the Confined Space Entry equipment in good working order?

N/A

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

Yes

How is the general safety culture on this location?

Yes

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

Yes

Accidents, if any, are discussed during safety meetings.

Yes

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

Yes

Are designated "Smoking Areas" established? Are smoking rules observed?

Injuries reported and documented immediately. First Aid Kit/Bloodborne Pathogen Kit available on site.

Are all containers properly labeled per HAZCOM? Are MSDS available and accessible at all times?

Does contractor have a Hazard Recognition Program in use?


No

Details When rigged up. Documented needs to be done monthly. Currently rigged up with improper clamping.

Needs to be established "Smoking Area" with signs and insure all are following designated area.

Yes

Yes

At pusher house. Tool pusher knows the incidents when first aid kept in his office. One on rig floor also.

compliant

compliant

MSDS sheet need to be in shaker area if doors are available. No doors on shaker system. Compliant results good.

Yes

-7-

Question

Response

BOP training provided for Pushers and Drillers? Is BOP training documented at the rig?

Yes

Written Contractor Safety Program in place?

Yes

Hearing protection required and provided.

compliant

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

Yes

Are all injuries and illnesses reported immediately to a supervisor? Are written reports prepared as soon as practical and is every incident involving an injury being investigated and are steps being taken to prevent recurrence?

Yes

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

Yes

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

Details

Yellow for new employee. Green, grey, black, and white for other employee. See Justiss SOP.

Score (6/7) 85.7% noncompliant

Need to use guards on hole open area. Reposition meters if possible.

Appendix 7

Head and valve covers fully bolted.

compliant

Shear pin pop-off valve present and covered.

compliant

Ends of relief lines secured with adequate safety cable.

compliant


-8-

Question

Response

Ends of mud vibrator hose snubbed with adequate safety cable.

compliant

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

Yes

Adequate lighting provided.

compliant

MUD MIXING AREA

Score (10/10) 100.0%

Bagged material properly stacked and protected from the weather?

compliant

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

compliant

Employees using all required PPE?

Details

N/A

Appendix 8

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

compliant

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

compliant

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

Adequate ventilation in mud mixing area?

compliant

Elevated loading door opening protected?

compliant

Adequate lighting provided?

compliant


-9-

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

Response

Details

compliant

Yes

MUD TANKS & PITS

Score (16/18) 88.9%

Adequate stairs with handrails properly secured?

compliant

Adequate walkways and guardrails.

compliant

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

compliant

Walkways free from obstruction and/or damage?

compliant

Guardrails provided on crossovers?

compliant

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

noncompliant

Need to be signs on PPE

Appendix 9

Chemical hazard warning signs erected?

noncompliant

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

compliant

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

compliant


Needs signs on chemical hazards

- 10 -

Question Adequate lighting provided? Employees using all required PPE?

Response compliant N/A

Jetting hoses properly secured if applicable

compliant

Personal protective equipment properly stored?

compliant

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

compliant

All unused floor holes covered?

compliant

Electric wiring in good condition?

compliant

Drive belts and shafts guarded?

compliant

Permitted and non permitted signage is in appropriate area's

Yes

MATERIAL HANDLING EQUIPMENT

Score (12/14) 85.7%

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

compliant

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

N/A

Personnel wearing proper fall protection while in basket? Backup alarm operational?

Details

compliant noncompliant

No backup alarm on forklift not working. Need fixed.

Appendix 10

Fork Lift equipped with seat belts?

compliant

Seat belts in use by operators?

compliant


- 11 -

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

Response compliant

Details Every tower, insure all paperwork available for inspections.

ELECTRICAL SPECIFIC INSPECTION Are the breakers in the electrical panel property labeled?

Yes

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

Yes

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

Yes

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

Yes

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

No

Do all lights have covers and are secure?

Yes

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

Yes

GENERATOR AREA

Vendor power strips need to be reviewed.Two separate power strips pointed out to Customer. Surge protector strips only, not GFIC strips.

Score (18/21) 85.7%

Moving parts guarded?

compliant

Generators properly grounded?

noncompliant

Ground clamp incorrect, hose clamp shown below

Appendix 11


- 12 -

Question

Response

Cover panels on electrical control boxes installed and closed?

compliant

All electrical controls marked as to their function and legible?

compliant

?HIGH VOLTAGE? warning signs erected?

compliant

Insulating mats available at electrical panels?

noncompliant

Condition of electrical wiring, no splices or visible damage?

compliant

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

compliant

Unused electrical outlets covered?

compliant

Details

Not installed

One in electrical room not covered

Appendix 12

Air compressors properly guarded?

compliant

Air storage tanks equipped with pop-off valve?

compliant

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

compliant

?Hearing Protection Required? warning signs erected?

compliant

Hearing protection available?

noncompliant

Adequate lighting installed?

compliant


Needs to have box of plugs available. No plugs available in high noise area.

- 13 -

Question

Response

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

compliant

Wires are note running along the ground

compliant

All light fixtures properly guarded from damage?

compliant

Receptacles and plugs in good condition?

compliant

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

compliant

Generator skid door props properly pinned?

compliant

FIRE PROTECTION A minimum of 4 No. 20 fire extinguishers with a Class BC rating available at the drill site. This a minimum requirement and operations may dictate use of more or larger sized equipment. Fire extinguishers fully charged, current inspection, proper gauges, properly located at their assigned locations?

Details

Score (5/6) 83.3%

compliant

noncompliant

Tags missing inspection tags. Accumulator system for BOP system. One located in incorrect area as opposed to sign pointing to fire Extinguisher.

Appendix 13

Are crew members familiarized with the location of fire control equipment and trained in the use of such equipment? Portable containers for storing flammable liquids should be UL or FM approved or equivalent.


Yes

compliant

- 14 -

Question Any area that has flammable containers stored should be posted with a sign, "NO SMOKING OR OPEN FLAME", or equivalent. Spark arrestors or equivalent equipment shall be provided on all internal combustion engine exhausts located within 100' of the wellbore.

Response

Details

compliant

Not within 100 ft of well area N/A

FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS Fuel storage tanks properly located

compliant

All storage valve connections identified as to their function

compliant

Discharge nozzles, hoses, valves in good condition

compliant

Piping and fuel lines in good condition

compliant

Stationary ladders on storage tanks in good condition

compliant

Adequate lighting provided

compliant

"Flammable" warning signs erected on all sides

compliant

"No Smoking" signs erected on all sides

compliant

B/C Class fire extinguisher available and identified

compliant

Fuel tanks properly labeled, "NFPA HazCom", "Off Road Usage", "Flammable", "No Smoking"

compliant

Flammable warning signs erected on all sides

compliant

"No Smoking" signs erected on all sides

compliant


Score (16/16) 100.0%

- 15 -

Question

Response

Vapor release vents elevated & away from ignition sources

compliant

B/C Class fire extinguisher available and identified

compliant

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

compliant

All open valves/piping capped, bull plugged, etc.

compliant

Details

PIPE RACK AREA

Score (9/9) 100.0%

Ends of pipe racks and separate layers of pipe properly chocked?

N/A

Spacers used to separate layers of pipe

N/A

Pipe racks are level and stable

N/A

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

N/A

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

N/A

Derrick stand and ladder in good condition

N/A

Adequate lighting provided

N/A

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

N/A

Drilling line from spool elevated off ground

compliant

Pipe in use at this time

Need to put guard on skid system. Was previously installed but removed.

Appendix 14


- 16 -

Question

Response

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

N/A

BLOW-OUT PREVENTERS compliant

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

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

compliant

BOP stack properly stabilized?

compliant

All hydraulic lines connected ?

compliant N/A

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

compliant

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

compliant

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

Choke manifold and line secured and accessible?

compliant

Blooey line with pilot installed if applicable?

compliant


compliant


Standard system with warnings available

Score (66/67) 98.5%

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

All unused hydraulic lines capped and secured?

Details

- 17 -

Question

Response

Details

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

noncompliant

Signs needs to be displayed . Fire extinguisher not with proper tag. Black tape on electrical cord and plug need to be replaced.

Appendix 15

Appendix 16

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

compliant

Hydraulic lines protected?

compliant

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

Metal clad lines secured with adequate safety cables?

compliant

Armor core on lines.

All additional questions (1-51) in Section 9 will be used at the discretion of the DCI customer and their individual needs. Floor mounted and remote accumulator controls available?

Yes

Remote unit used to actuate pipe rams once a week?

Yes

Off floor controls are effective if floor unit is destroyed.

Yes

Alternate power source exists for accumulator : Type_________________

Yes


Electric, air, and nitrogen bottle accumulator exists

- 18 -

Question

Response

Light on rig floor in plain view of driller?

Yes

Operating ranges of accumulator pumps regulated from 2700 PSI to 3000 PSI?

Yes

Accumulator pump charging time less than 15 minutes: Ensure 1000 PSI to 3000 PSI rise?

Yes

Accumulator fluid and strainers in good condition: Inspected_________________

Yes

Accumulator bottle isolation valve open?

Yes

Accumulator pre-charge pressure _______ Last inspected_________

Yes

Accumulator _________ Annular ________ Manifold ________ (Pressures)

Yes

Accumulator air pressure at least 75 PSI

Yes

Drawings available showing BOP stack, lines, valves and manifold used?

Yes

Assembly rating greater than or equal to casing burst pressure or formation breakdown pressure (whichever is less).

Yes

Weco 1502 hammer unions used on surface casing valves?

Yes

Necessary manipulations of BOP stack can be made without going under rig floor?

Yes

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

Yes

Hydraulic or Manual locks on preventers: If manual, are hand wheels and shafts attached?

N/A

Clearance for tool joints between pipe rams (pipe can be stripped through rams).

Yes


Details

Tank in front of system that is in good condition. Attached to skid.

1500 psi per charge

- 19 -

Question

Response

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

Yes

Blind rams equipped with cover but no lock?

Yes

Choke flow line equipped with master valves on each choke manifold wing?

Yes

Is the fill up line separate from the kill line?

Yes

Choke line straight, free of bends?

Yes

Hydraulic choke equipped with emergency backup. Type: ____________________

Yes

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

Yes

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

Yes

Is drill pipe float used?

Yes

Are crossover subs available for IBOP & TIW?

Yes

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

Yes

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

Yes

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

Yes

Sufficient way to monitor casing wear?

Yes

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

Yes

Surface casing held in tension until cement set to avoid misalignment?

Yes


Details

10000 psi front end, 5000 psi on back side

Canrig Top Drive, subs ready to go.

- 20 -

Question

Response

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

Yes

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

Yes

"drill collar" drills held at intervals, timed & recorded on IADC?

Yes

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

Yes

Slow pump rates recorded hourly & after mud density changes?

Yes

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

Yes

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

Yes

During trips are ram-type BOP's operated and choke and kill valves flushed?

Yes

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

Yes

Rig equipped with trip tank?

Yes

Written trip records kept by crew?

Yes

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

Yes

Are approved kill sheets used & updated daily?

Yes

Leakoff pressure recalculated & posted after every mud density change?

Yes

Maximum allowable mud density posted?

Yes

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

Yes


Details

- 21 -

Question

Response

DERRICK & SUBSTRUCTURE Derrick/A-Frame assembly and substructure pins with keepers in place?

Score (27/27) 100.0% compliant

Derrick guyed, if applicable.

N/A

Condition of guy lines.

N/A

Clamps properly installed.

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

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

N/A

Condition of derrick ladder?

Yes

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

Yes

Boatswains chair available for hoisting personnel and utilized when necessary?

Yes

Full body harness with lanyard available and in good condition?

Yes

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

compliant

"Fall Protection Required" warning signs erected?

compliant

Verify that contractor has a Cat. 1,2,3,4 process in place to identify structural issues. The remaining questions are designed to identify any noticeable items from the floor or ground.

compliant


Details

- 22 -

Question

Response

Derrick/Tubing boards in good condition?

compliant

Guardrails installed on derrick board?

compliant

Pipe fingers in good condition, safety cables attached?

compliant

Crown guardrails installed?

compliant

Crown sheave guards in place?

compliant

Safety retainers in use on hinge pins?

compliant

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

N/A

Dead line properly anchored?

compliant

Booms and boom lines in good condition?

compliant


compliant

Drreick free of loose and unnecessary objects.

compliant

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

compliant

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

compliant

Mud standpipe secured, mudhose snubbed at both ends?

compliant

Rotary beams and all braces are in good condition?

compliant

DRILL FLOOR AREA

Score (35/39) 89.7%

OSHA poster posted in Dog House?

No

Emergency phone numbers posted in Dog House?

N/A


Details

Need fire, ambulance, closes hospital

- 23 -

Question Safety (stabbing) valve and handle with cross over sub if necessary properly located on floor?

Response

Yes

Remote BOP hydraulic controls accessible?

compliant

Rotary floor in good condition?

compliant

Rotary chain drive guarded?

compliant

All unused floor holes covered with a secure cover?

compliant

"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

Drillers controls properly labeled/identified?

compliant

Pipe slips & Dies in good condition?

compliant

Racking floor area in good condition?

compliant

V-door gate or net provided and in place?

noncompliant

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

compliant

Cathead friction surface in good condition?

N/A

Cathead line divider/grip in good condition?

N/A

Catline not worn or kinked?

N/A

Kelly cock wrench and safety valve accessible?

N/A

Drilling Line in good condition?

compliant

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

compliant


Details

Gate or Net needed

- 24 -

Question

Response

Drawworks properly guarded?

compliant

Drill line slip/cut recorded on ton mile book?

compliant

Proper lay of drill line and sufficient wraps left on drum with blocks in down position? (minimum 10 wraps).

compliant

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

Details

Safe

Dog knot secure?

compliant


compliant

General housekeeping.

compliant

Minimum 2 exits from drill floor doghouse?

Yes

Drill floor doghouse doors installed properly?

Yes

Drinking water available?

compliant

MSDS Station readily available?

noncompliant

Need it in the dog house

Life basket/Fire Blanket available

compliant

Not

Factory ends of snub line?

compliant

First aid kit available in doghouse?

Yes

Non skid material used around rotary?

compliant

Guardrails installed along open edges of drill floor?

compliant

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

compliant

Tong safety handles installed?

compliant


- 25 -

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

Appendix 17

Response noncompliant

Details Needs to be on system

Appendix 18

Safety signage posted? All overhead lights have safety cables?

Yes compliant

Top Drive

Score (21/21) 100.0%

TD: Guard Bolts.

compliant

TD: Blower Motor Mounts.

compliant

TD: Oil Cooler Bolts.

compliant

TD: Housing To Frame Bolts.

compliant

TD: Lube Pump Assembly Mounts.

compliant

TD: Guard Deflector.

compliant

TD: Link Tilt Cylinder Retainer.

compliant

TD: Link Tilt Mount.

compliant

TD: Bail Clamp Cylinder Pins.

compliant

TD: Lower Link Support Pins.

compliant

TD: Spark Arrestor Screen.

compliant

TD: Elevator Alarm Targets.

compliant

TD: BUW Mounts.

compliant

TD: BUW Positioning Cylinder.

compliant

TD: BUW Stop Pins (L-shaped pins).

compliant


- 26 -

Question

Response

TD: BUW Gripper Cylinder.

compliant

TD: BUW Slides.

compliant

TD: BUW Stabbing Guide.

compliant

TD: Tool Joint Clamp(s) & Bolts.

compliant

TD: Actuator Valve / Covers.

compliant

TD: LWCV Pinion Retainer Bolts.

compliant

Iron Roughneck

Score (10/10) 100.0%

Iron Roughneck (IR): HPU Showing 22002500 psi.

N/A

IR: Line Control Port 1900-1950 psi.

N/A

IR: Hydraulic Lines Not Leaking .

N/A

IR: Unit Properly Stored If Not In Use.

N/A

IR: Unit Turned Off When Not In Use.

N/A

IR: Employees Properly Trained .

N/A

IR: Employee Clear Of Unit If Moving.

N/A

IR: Unit Has Clear Path For Operating.

N/A

IR: Operator Controls Located Properly.

N/A

IR: Preventive Maintenance (Daily) .

N/A

HOISTING TOOLS, HOOKS, BAILS, ELEVATORS… Traveling blocks in good condition?

compliant

Traveling blocks properly guarded?

compliant

Sheave guards in good condition?

compliant

Bales and/or links in good condition?

compliant

Elevators in good condition?

compliant


Details

Score (8/9) 88.9%

- 27 -

Question

Response

Hoisting hook equipped with safety latch or equivalent?

compliant

Crown block assembly secured?

compliant

Suspension cables and lifting chains are grade 8 and tagged?

Appendix 19

noncompliant

Details

No tags on cable for Spinner. Cotter pin needs to change on overhead shackle system. See picture on replacement part.

Appendix 20

Hoisting line inspected daily?

Yes

HOTWORK AND CONFINED SPACES

Score (10/10) 100.0%

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

N/A

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

N/A

Certified welders utilized?

N/A

Appropriate protective attire worn for welding and cutting ops.

N/A

Helmets with face shields used during operations?

N/A

Fire extinguishing equipment available and fire watch utilized?

N/A

Confined spaces properly labeled?

N/A

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

N/A


- 28 -

Question

Response

Permits are completed properly and filed at the job site?

N/A

Gas detection devices are available and calibrated per manufactures specifications?

N/A

ENVIRONMENTAL

Score (11/11) 100.0%

Sediment migrating off location?

N/A

Gullies or ditches forming along location slopes?

N/A

Re-vegetation less than 70%?

N/A

BMPs not present on location?

N/A

BMPs need maintenance or removal?

N/A

Reserve pit free of oil and trash?

N/A

Reserve pit liner, good integrity, anchored properly?

N/A

Reserve pit has sufficient free board?

N/A

Reserve pit fall controls in place?

N/A

Secondary containment (berms/ditches) adequate and maintained?

compliant

Pipe dope is lead free?

compliant

STAIRS, LADDERS, HANDRAILS & GUARDRAILS Adequate stairs provided off rig, min. of 2 for drill floor?

compliant

Stairs level, secure with no obstructions?

compliant

Adequate handrails provided on stairs with 4 or more risers?

compliant

Stair treads of uniform size made with nonskid material?

compliant


Details

Score (7/7) 100.0%

- 29 -

Question Stair treads free of damaged?

Response

Details

compliant

Bottom stair rung on shaker side of catwalk stairs needs to be repaired.

Stairs properly installed and pinned if required?

compliant

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

compliant

ADDITIONAL FINDINGS

Score (10/10) 100.0%

Other remarks #1

N/A

Other remarks #2

N/A

Other remarks #3

N/A

Other remarks #4

N/A

Other remarks #5

N/A

Other Remarks #6

N/A

Other remarks #7

N/A

Other remarks #8

N/A

Other remarks #9

N/A

Other remarks #10

N/A


- 30 -

Media

Appendix 1

Appendix 2

Appendix 3

Appendix 4

Appendix 5

Appendix 6

Appendix 7

Appendix 8

Appendix 9

Appendix 10

Appendix 11

Appendix 12

Appendix 13

Appendix 14

Appendix 15

Appendix 16


Appendix 17

Appendix 18

Appendix 19

Appendix 20

- 35 -

1. Field Inspection Report Example

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