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Department
Document
Version
Creation Date
Last Revision
SFTY
HSE 006
01
22.09.10
31.08.11
DRILL RIG INSPECTION CHECKLIST
SECTION 1 - GENERAL INFORMATION DATE:
RIG NO:
LOCATION:
TIME:
INSPECTED BY:
SECTION 2 - PPE (Behavioural)
Compliance
All using appropriate PPE and in good condition?
N/A
YES
NO
Comments
NO
Comments
NO
Comments
NO
Comments
NO
Comments
NO
Comments
1. Ear Protection 2. Gloves 3. Hardhat 4. Overalls 5. Safety Boots 6. Safety Glasses 7. Dust Mask 8. Safety Harness Total Behavioural: SECTION 3 - WORK AREA
Compliance
Description of condition 1. Free from slippery substances?
N/A
YES
2. Trip or other obstruction hazards? 3. Adequate lighting (illumination) for work at night? SECTION 4 - DRILL RIG
Compliance
Description of condition 1. Inspection list and Toolbox talk completed?
N/A
YES
2. Equipment in good condition? 3. All hazardous machine parts guarded? 4. Whip checks on all air hoses secure? SECTION 5 - ENVIRONMENT AL
Compliance
Description of condition 1. Waste / rubbish adequately controlled?
N/A
YES
2. Oil / Hazardous Substance Spillages controlled? 3. Adequate disposal systems and spill kits? SECTION 6 - DEMARCATION DEMARC ATION
Compliance
Description of condition 1. Access and exit routes demarcated?
N/A
YES
2. Demarcation around work area and sumps? 3. Demarcation / Barricading in good condition? SECTION 7 - HOUSEKEEPING HOUSEKEE PING
Compliance
Description of condition 1. Working area clean and tidy?
N/A
2. No redundant materials? 3. Tools and Items stored away after use? 4. Adequate storing space? 5. Stacking of Drill Rods safe? Page 1 of 2
YES
Department
Document
Version
Creation Date
Last Revision
SFTY
HSE 006
01
22.09.10
31.08.11
DRILL RIG INSPECTION CHECKLIST
SECTION 8 - SAFETY & EMERGENCY
Compliance
Description of condition 1. Stretcher in place?
N/A
YES
NO
Comments
2. First Aid boxes available and Contents correct? 3. Trained First Aiders available on site? 4. Safety Signage displayed? 5. 2 x Fire Extinguishers available and checked? Total Operational: SECTION 9 - TOTAL OBSERVATIONS
Safe
Unsafe
% Safe
Behavioural Operational Total SECTION 10 - RECOMMENDATIONS / COMMENTS
SECTION 11 - SUPERVISOR ACTION PLAN - Action to be taken
