1. Field Inspection Report Example

10:10 AM 11/9/12

Completed on

DC International, In.

DC International, Inc.

Drilling Rig HSE Manager

Drilling Rig Superintendent

Drilling Rig.Toolpusher

Client Name

Drilling Rig Company Man

Personnel

701 Robley Dr

Lafayette, LA 70503

United States

Location

DC International, Inc.

Prepared by

8:00 AM 11/7/12

Conducted on

Inspection report

DC International Rig Inspection Form

DCInt000018DLR

Document No.

Drilling Land Inspection Formconducted for

Customer Name

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.

Confidentiality Statement

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.

Disclaimer

DCInt000018DLRInspection 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


Rig Inspection Checklist

Question Response Details

DRILLING / LOCATION

Authorized Personnel Sign posted at

entrance to site identifying requirements for

hard hat, safety glasses, safety toe

footwear.

non-

compliant

No signs at entrance.

No Smoking Area?s Designated & Posted.non-

compliantNeed signs for designated areas.

No Parking within 100 ft of the rig.compliant

No one parked within 100 feet with the

exception of the BOP testing equipment.

Are H2S controls in place where applicable

including; warning signs, H2S monitors,

SCBA(s) or escape air, wind socks and H2S

certification training?

N/A

Escape & Guy wires flagged with visible

material.

non-

compliant

No flagging and no tie wire on shackle. Min

3 clamps with 3 inch spacing

Appendix 1 Appendix 2 Appendix 3

Capacity of guywire anchors verified ? Base

Beam Anchor ? Screw-type Anchor ?

Permanent (Cement) Anchor ?

Other____________ Verification

Method:____________________________

No

No verification or certification tag found.

Outhouse/restroom facility provided. compliant

Hard hats & Safety glasses available for

visitors at Tool Pusher/Drilling Foreman's

office?

Yes

All temporary housing/offices must be

securely positioned and properly grounded.compliant

DCInt000018DLRInspection reportScore (336/363) 92.6% - 4 -


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?non-

compliantRequired signs are not available for area.

Sign posted directing visitors to report to

the Drilling Foreman / Toolpusher upon

entry, visitors signed in and out?

non-

compliant

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 toolYes

Any prior incidents, near miss,

observations, etc. if any, are discussed

during safety meeting

Yes

No smoking rules observed compliant

Emergency Phone numbers postednon-

compliant

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



Are full body harness and lanyard

inspections being conducted monthly and

documented?

non-

compliant

Monthly inspection must be done on

lanyard and harness. Systems are in good

visual shape, no paperwork for monthly

inspections kept.

SRL's being inspected monthly and copies

being obtained at location?Yes

Rig inspections being performedYes

HSE inspection being done by HSE

department and kept at office.

Pre-spud, periodic, HSE, etc.? 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

Needs to be performed. No forms being

done.

Atmospheric tester available? Yes

Near Miss program being utilized on this

location?Yes

Does rig crew know where to dispose of

hazardous waste and are all containers

labeled? (used oil, diapers, etc)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.

Appendix 5 Appendix 6

Does the rig crew know how to perform a

BOP Drill? No

Need to have record on location. Need to

have (at the minimum) an online copy that

can be pulled during inspections.

Are the rig crew training records on site and

current?Yes

Are fuel transfer sheets being performed? Yes



Is the escape buggy getting inspected

monthly? No

When rigged up. Documented needs to be

done monthly. Currently rigged up with

improper clamping.

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? No

Needs to be established "Smoking Area"

with signs and insure all are following

designated area.

Injuries reported and documented

immediately.Yes

First Aid Kit/Bloodborne Pathogen Kit

available on site. Yes

At pusher house. Tool pusher knows the

incidents when first aid kept in his office.

One on rig floor also.

Are all containers properly labeled per

HAZCOM?compliant

Are MSDS available and accessible at all

times? compliant

MSDS sheet need to be in shaker area if

doors are available. No doors on shaker

system. Compliant results good.

Does contractor have a Hazard Recognition

Program in use?Yes



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

Yellow for new employee. Green, grey,

black, and white for other employee. See

Justiss SOP.

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 Score (6/7) 85.7%

Is all rotating equipment properly guarded;

drive belts, shafts, pony rods, etc.?

non-

compliant

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



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? 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




debris and tripping hazards?compliant

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

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).

non-

compliant

Need to be signs on PPE

Appendix 9

Chemical hazard warning signs erected?non-

compliantNeeds signs on chemical hazards

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




Employees using all required PPE? 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'sYes

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?compliant

Backup alarm operational? non-

compliant

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



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

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

Vendor power strips need to be

reviewed.Two separate power strips

pointed out to Customer. Surge protector

strips only, not GFIC strips.

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 Score (18/21) 85.7%

Moving parts guarded? compliant

Generators properly grounded? non-

compliant

Ground clamp incorrect, hose clamp shown

below

Appendix 11



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?

non-

compliant

Not installed

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 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? non-

compliant

Needs to have box of plugs available. No

plugs available in high noise area.

Adequate lighting installed? compliant




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 Score (5/6) 83.3%

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.

compliant

Fire extinguishers fully charged, current

inspection, proper gauges, properly located

at their assigned locations?

non-

compliant

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?

Yes

Portable containers for storing flammable

liquids should be UL or FM approved or

equivalent.

compliant



Any area that has flammable containers

stored should be posted with a sign, "NO

SMOKING OR OPEN FLAME", or

equivalent.

compliant

Spark arrestors or equivalent equipment

shall be provided on all internal combustion

engine exhausts located within 100' of the

wellbore.

N/A

Not within 100 ft of well area

FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS Score (16/16) 100.0%

Fuel storage tanks properly located compliant

All storage valve connections identified as

to their functioncompliant

Discharge nozzles, hoses, valves in good

conditioncompliant

Piping and fuel lines in good condition compliant

Stationary ladders on storage tanks in good

conditioncompliant

Adequate lighting provided compliant

"Flammable" warning signs erected on all

sidescompliant

"No Smoking" signs erected on all sides compliant

B/C Class fire extinguisher available and

identifiedcompliant

Fuel tanks properly labeled, "NFPA Haz-

Com", "Off Road Usage", "Flammable",

"No Smoking"

compliant

Flammable warning signs erected on all

sidescompliant

"No Smoking" signs erected on all sides compliant



Vapor release vents elevated & away from

ignition sourcescompliant

B/C Class fire extinguisher available and

identifiedcompliant


debris and tripping hazardscompliant

All open valves/piping capped, bull

plugged, etc.compliant

PIPE RACK AREA Score (9/9) 100.0%

Ends of pipe racks and separate layers of

pipe properly chocked?N/A

Pipe in use at this time

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


debris and tripping hazardsN/A

Drilling line from spool elevated off groundcompliant

Need to put guard on skid system. Was

previously installed but removed.

Appendix 14



Safety Warnings in place for Hydraulic Pipe

Rack and verification of HPR inspection?N/A

Standard system with warnings available

BLOW-OUT PREVENTERS Score (66/67) 98.5%

BOP properly installed, 3rd party tested,

and properly documented?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

All unused hydraulic lines capped and

secured?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




Warning signs erected (Flammable, Hard

Hat, H2S, Eye Protection, Confined Space,

Authorized Personnel)

non-

compliant

Signs needs to be displayed . Fire

extinguisher not with proper tag. Black tape

on electrical cord and plug need to be

replaced.


Proper drainage provided and general

housekeeping of koomey and cellar area? compliant

Hydraulic lines protected? compliant Armor core on lines.

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

All additional questions (1-51) in Section 9 will be used at the discretion of the DCIcustomer 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



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

Tank in front of system that is in good

condition. Attached to skid.

Accumulator bottle isolation valve open? Yes

Accumulator pre-charge pressure _______

Last inspected_________Yes

1500 psi per charge

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



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

10000 psi front end, 5000 psi on back side

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

Canrig Top Drive, subs ready to go.

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



"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 &


"out of hole" drills held at intervals, timed &


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



DERRICK & SUBSTRUCTURE Score (27/27) 100.0%

Derrick/A-Frame assembly and

substructure pins with keepers in place?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



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


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 Need fire, ambulance, closes hospital

Emergency phone numbers posted in Dog

House?N/A



Safety (stabbing) valve and handle with

cross over sub if necessary properly

located on floor?

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?non-

compliantGate or Net needed

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



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?

Safe

Dog knot secure? 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?non-

compliantNeed 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



Crown-o-Matic device operational, logged

on IADC?

non-

compliant

Needs to be on system


Safety signage posted? Yes

All overhead lights have safety cables? 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



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 2200-

2500 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 Score (8/9) 88.9%

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



Hoisting hook equipped with safety latch or

equivalent?compliant

Crown block assembly secured? compliant

Suspension cables and lifting chains are

grade 8 and tagged?non-

compliant

No tags on cable for Spinner. Cotter pin

needs to change on overhead shackle

system. See picture on replacement part.


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



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 Score (7/7) 100.0%

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 non-

skid material?compliant



Stair treads free of damaged?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 #6 N/A






Media



1. Field Inspection Report Example

Documents

Transcript of 1. Field Inspection Report Example