2. final inspection report with codes example

8/13/2019 2. Final Inspection Report With Codes Example

1/23

OPERATOR: DATE / TIME OF INSPECTION: LEASE NAME AND NUMBER:

Company Name Sunday, January 01, 2012 Lease Name

8:00 AM

DRILLING CONTRACTOR / RIG #: STATE / COUNTY INSPECTED BY:

OIL AND GAS DRILLING RIG

INSPECTION FORM

,

DRILLING FOREMAN: TOOL PUSHER: DRILLER

Drilling Foreman Tool Pusher Name Driller Name

Compliant - Condition meets compliance Total Deficiencies: 27 out of 363

Non-Complaint - Condition does not meet compliance

Yes - Condition meets compliance

No - Condition does not meet compliance

N/A- Not Applicable

StandardApplicable-OSHA, API, ANSI, RAPPS, IADC or other government or industry recognized standard.

(RAGAGEP) Recognized And Generally Accepted Good Engineering Practice per "OSHA"


2/23

No. Condition Rating Standard Comments

I. DRILL SITE/LOCATION1 Authorized Personnel Sign posted at

entrance to site identifying requirements

for hard hat, safety glasses, safety toe

footwear.

Non

Compliant

1910.145(c)(2)(i), RP54 7.1.2-3 No signs at entrance.

2 No Smoking Areas Designated & Posted. Non

Compliant

RP54 7.1.2-3 1910.145(c)(2)(i) Need signs for designated areas.

3 No Parking within 100 ft of the rig.Compliant

RP54 6.1.15 No one parked within 100 feet with the exception of the BOP

testing equipment.

4 Are H2S controls in place where applicable

including; warning signs, H2S monitors,

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

certification training?

N/A

1910.145(c)(2)(i), 1910.1000(e), 1910.1000(e),

1910.1200(f)(5-6), RP54 7.1.2-3

5 Escape & Guy wires flagged with visible

material.

Non

Compliant

RP4G 14.5.f No flagging and no tie wire on shackle. Min 3 clamps with 3 inch

spacing

5.1 Capacity of guywire anchors verified RP4G 14.1-4 No verification or certification tag found.

OIL AND GAS DRILLING LAND RIG

INSPECTION FORM

Base Beam Anchor Screw-type Anchor

Permanent (Cement) Anchor Other____________ Verification

Method:____________________________

No

6 Outhouse/restroom facility provided. Compliant 1910.141(c)(1)(i)

7 Hard hats & Safety glasses available for

visitors at Tool Pusher/Drilling Foreman's

office?

Yes

1910.132(a)

8 All temporary housing/offices must be

securely positioned and properly grounded. Compliant

RP54 6.1.16

9 Housekeeping, Is the area clean and free of

debris and tripping hazards?Yes

1910.22(a)(1), RP54 6.5.1

10 Distance from overhead power lines GT 10

ft.N/A

RP54 10.1.1

11 Muster area designated and posted? Non

Compliant

1910.38(c)(4) Required signs are not available for area.

12 Sign posted directing visitors to report to

the Drilling Foreman / Toolpusher upon

entry, visitors signed in and out?

NonCompliant

1910.145(c)(3) No signs posted for sign in & out.

Confidential

Page 2

11/9/2012

Form: DCI LR Audit (Comprehensive).xlsx

Updated on 11/06/2012


3/23



INSPECTION FORM

II. TRAINING, PPE & GENERAL SAFETY1 First Aid Training provided, minimum of 2

certified per location.Compliant

1910.151(b), RP54 4.3.1

2 H2S Training provided, if applicable Compliant RP55 5.1-8

3 Face shield provided for removing tong dies

with proper toolYes

1910.133

4 Any prior incidents, near miss,

observations, etc. if any, are discussed

during safety meeting

Yes

RP54 6.1.7

5 No smoking rules observed Compliant RP54 7.1.3

6 Emergency Phone numbers posted Non

Compliant

RP54 4.2.1, RP55 4.6 Not in Dog House. Need to place in dog house area. Place inside

board area on picture.

7 Do Employees know were designated

smoking areas are located?Yes

RP54 8.3.2, 1910.145(c)(2)(i)

8 Do employees know were SPCC plan is

located?Yes

Best Practice Tool pusher house

9 Are full body harness and lanyard

inspections being conducted monthly anddocumented?

Non

Compliant

1910.66 Monthly inspection must be done on lanyard and harness. Systems

are in good visual shape, no paperwork for monthly inspectionskept.

10 SRL's being inspected monthly and copies

being obtained at location?Yes

ANSI Z 3591

11 Rig inspections being performedYes

1910.212; 212(a)(2). 212(a) (3)(ii) HSE inspection being done by HSE department and kept at office.

12 Pre-spud, periodic, HSE, etc.? Yes Best Practice

13 All employees familiar with LOTO

procedures and policies?Yes

29CFR 1910.147

14 Safe work permits being used and properemployees understand how to complete this

form?

NoBest Practice Needs to be performed. No forms being done.

15 Atmospheric tester available? Yes 1910.146 (B)

16 Near Miss program being utilized on this

location?Yes

29 C.F.R. 1904.35(B)(1)

17 Does rig crew know where to dispose of

hazardous waste and are all containers

labeled? (used oil, diapers, etc)

Yes

1910.12 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.

Confidential

Page 3

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4/23



INSPECTION FORM

18 Does the rig crew know how to perform aBOP Drill? No

1926.21 Need to have record on location. Need to have (at the minimum) anonline copy that can be pulled during inspections.

19 Are the rig crew training records on site

and current?Yes

RP54 4.3.1

20 Are fuel transfer sheets being performed?Yes

Best Practice

21 Is the escape buggy getting inspected

monthly?No

RP54 6.10.1 When rigged up. Documented needs to be done monthly. Currently

rigged up with improper clamping.

22 Is the Confined Space Entry equipment in

good working order?N/A

29 CFR 1910.146(d)(1)

23 Is the Gas Detector in working order

(charged) and calibrated?Yes

Best Practices

24 How is the general safety culture on this

location?Yes

Opinionated. Think if you would want to

work on this rig?

25 Safety meetings conducted and properly RP54 6.1.7

ocumen e : pre- our, pre- o s,

weekly?

es

26 Accidents, if any, are discussed during

safety meetings.Yes

RP54 6.1.7

27 Proper clothing worn by crew; no loose

clothing or jewelry, hard hat, glasses, safety

shoes, gloves, fall protection other PPE as

necessar ?

Yes

RP54 5.1, RP54 5.2 1-8, 1910.132(a)

28 Are designated "Smoking Areas"

established? Are smoking rules observed? No

RP54 7.1.3 Needs to be established "Smoking Area" with signs

and insure all are following designated area.

29 Injuries reported and documented

immediately.Yes

RP54 4.1.1-2

30 First Aid Kit/Bloodborne Pathogen Kit

available on site.Yes

RP54 4.3.2, 1910.151(b), At pusher house. Tool pusher knows the incidents when first aid

kept in his office. One on rig floor also.

31 Are all containers properly labeled per

HAZCOM?Compliant

1910.1200(e)(1-5)

32 Are MSDS available and accessible at all

times?Compliant

1910.1200 (g) (1) MSDS sheet need to be in shaker area if doors are available. No

doors on shaker system. Compliant results good.

33 Does contractor have a Hazard RecognitionProgram in use?

YesIADC

Confidential

Page 4

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5/23



INSPECTION FORM

34 BOP training provided for Pushers andDrillers? Is BOP training documented at

the rig?

YesRP54 6.4.4

35 Written Contractor Safety Program in

place?Yes

RP54 6.1.7

36 Hearing protection required and provided. Compliant RP54 5.3.1-2, 1910.95(a)

37 Does the Operator / Drilling Contractor

have a New Hire Training Program in

place? Explain-Type?

Yes

IADC and RP54 6.1.7b. Yellow for new employee. Green, grey, black, and white for other

employee. See Justiss SOP.

38 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

revent recurrence?

Yes

RP54 4.1.1-3

39 Is there an Emergency Response Plan 1910.38 (b)

ava a e as personne een ra ne on

the plan?

es

IIIA. MUD PUMP AREA1 Is all rotating equipment properly guarded;

drive belts, shafts, pony rods, etc.?Non

Compliant

RP54 6.8.2-3, 1910.219(e)(1-6),

1910.219(c)(2)(i)

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

possible.

2 Head and valve covers fully bolted. Compliant

3 Shear pin pop-off valve present and

covered.Compliant

1910.169(b)(3)(i-iv)

4 Ends of relief lines secured with adequate

safety cable.Compliant

IADC

5 Ends of mud vibrator hose snubbed with

adequate safety cable.Compliant

IADC

6 Housekeeping - Is area clean and free of

debris and tripping hazards?Yes

RP54 6.5.1, 1910.22(a)(1)

7 Adequate lighting provided. Compliant RP54 9.14.7

IIIB. MUD MIXING AREA1 Bagged material properly stacked and

protected from the weather?

Compliant1910.176(b)

Confidential

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INSPECTION FORM

2 Gloves, Aprons, Boots, or other PPE, asappropriate, available and in good

condition?

Compliant RP54 5.2.4, RP54 6.13.2, 1910.132(a),

1910.133(a), 1910.134(a)(2), 1910.138(a)(1)

3 Employees using all required PPE? N/A 1910.132(a), 1910.133(a), 1910.138(a)(1)

4 All chemicals are properly labeled

including PPE Required warning signs

(Grouped or individual signs).

Compliant

1910.145(c)(2)(i), 1910.145(c)(3)

5 Personal protective equipment properly

maintained and in a clean & sanitary

condition.

Compliant

RP54 6.13.2, 1910.132(a), 1910.134(h)(2)(i)

6 Eye wash station and emergency shower;

unobstructed and in close proximity,

properly designed in good working order

and lumed with a clean water su l ?

Compliant

1910.151(c) , Z358.1 5.4.2, RP54 4.4.1

7 Adequate ventilation in mud mixing area? Compliant IADC

8 Elevated loading door opening protected? Compliant 1910.23(c)(1)

equa e g ng prov e omp an . .


debris and tripping hazards? Compliant1910.22(a)(1)

11 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

mixin .

Yes

1910.1200 (g) (1)

IIIC. MUD TANKS & PITS1 Adequate stairs with handrails properly

secured?Compliant

1910.24(h), 1910.23(d)(1)

2 Adequate walkways and guardrails. Compliant 1910.23(c)(1)

3 Guardrails installed on all raised platforms,

walkways, etc above 48?Compliant

1910.23(c)(1), 1910.23(d)(1)

4 Walkways free from obstruction and/or

damage?Compliant

1910.23(c)(1)

5 Guardrails provided on crossovers? Compliant 1910.23(c)(1)

6 PPE Required warning signs erected

(grouped or individual signs).

Non

Compliant

1910.145(c)(2)(i), 1910.145(c)(3) Need to be signs on PPE

Confidential

Page 6

11/9/2012




7/23



INSPECTION FORM

7 Chemical hazard warning signs erected? NonCompliant

1910.145(c)(2)(i) Needs signs on chemical hazards

8 Shale shakers, agitator shafts, and all other

rotating equipment properly guarded? Compliant

1910.23(c)(3)

9 Explosion proof equipment, fixtures and

wiring used. Class 1 Div 1/2. Data plates on

equipment legible?

Compliant

1910.307(b)(1-3) & subsections, 1910.307(c),

RP500 5.3, RP500 10.1-16

10 Adequate lighting provided? Compliant RP54 9.14.7

11 Employees using all required PPE? N/A 1910.132(a), 1910.133(a), 1910.138(a)(1)12 Jetting hoses properly secured if applicable

CompliantRP54 9.11.2

13 Personal protective equipment properly

stored?Compliant

RP54 6.13.2, 1910.132(a), 1910.134(h)(2)(i)

14 Housekeeping - Is the area clean and free of

debris and tripping hazards?Compliant

1910.22(a)(1), RP54 6.5.1

. , .

16 Electric wiring in good condition? Compliant 1910.303(b)(1-2), 1910.303(c)

17 Drive belts and shafts guarded? Compliant 1910.219(e)(1-6, 1910.219(c)(2)(i)

18 Permitted and non permitted signage is in

appropriate area'sYes

IADC

IV. MATERIAL HANDLING EQUIPMENT1 Material Handling Equipment (fork lift)

operators trained and certified?Compliant

1910.178(l)(1-8), B56.6 5.16, B56.6 5.17.1-4

2 Personnel basket securely attached to

forks? (If applicable).N/A

1910.178(m)(12)(i), B56.6 5.15.1(b)

3 Personnel wearing proper fall protection

while in basket?Compliant

B56.6 5.15.1(k)

4 Backup alarm operational? Non

Compliant

B56.1 4.15.1, B56.6 5.13.1-2 No backup alarm on forklift not working. Need fixed.

5 Fork Lift equipped with seat belts? Compliant B56.1 5.3.19

6 Seat belts in use by operators? Compliant B56.1 5.3.19

7 Fork Lift inspected prior to use? (daily). Compliant 1910.178(p)(7), B56.6 6.5.1-2 Every tower, insure all paperwork available for inspections.

V. Electrical Specific Inspection

1 Are the breakers in the electrical panelproperty labeled?

Yes 1910.303(f)

Confidential

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INSPECTION FORM

2 Are the electrical panels accessible? (Noboxes, etc. stacked in front of them?)

Yes RP54 6.5.1

3 Are the electrical lines in good condition?

(No splices, cuts, black tape: look for things

OSHA would look for)

Yes

1910.303(b)(1-2),1910.305(a)(2)(iii),

RP54 10.2.3,RP54 9.13.3

4 Are the electrical lines in good condition?

(wire no pulled away from the connector,

strain relief in place, etc.)

Yes

1910.303(b)(1-2),1910.305(a)(2)(iii), RP54

10.2.3, RP54 9.13.3

5 All power strips in the work area

(Doghouse, SCR house, etc.) GFIC

protected?

No

RP54 10.2.1, 1910.307(b)(1-2), RP500 5.3,

RP500 6.1-2

Vendor power strips need to be reviewed. Two separate power

strips pointed out to Customer. Surge protector strips only, not

GFIC strips.

6 Do all lights have covers and are secure? Yes 1910.307(b)(1-2)

7 Is the equipment on location properly

grounded /bonded? (Have RM show you

how grounding and bonding is tied into all

mobile equipment.

Yes

RP54 9.14.11

.

1 Moving parts guarded? Compliant 1910.212(a)(1)2 Generators properly grounded? Non

Compliant

RP54 9.14.11 Ground clamp incorrect, hose clamp shown below

3 Cover panels on electrical control boxes

installed and closed?Compliant

1910.305(b)(2), 1910.335(a)(2)(ii)

4 All electrical controls marked as to their

function and legible?Compliant

1910.303(f)

5 HIGH VOLTAGE warning signs

erected?Compliant

1910.145(c)(2)(i), 1910.305(b)(2)(ii)

6 Insulating mats available at electricalpanels?

NonCompliant

1910.335(a)(2)(ii) Not installed

7 Condition of electrical wiring, no splices or

visible damage?Compliant

1910.303(b)(1-2)

8 Rig wiring properly installed to prevent

abrasion, vehicular and foot traffic, burns,

cuts and damage from other sources?

Compliant

1910.305(a)(2)(iii), RP54 10.2.3

9 Unused electrical outlets covered? Compliant 1910.305(b)(1-3) One in electrical room not covered

10 Air compressors properly guarded? Compliant 1910.212(a)(1)

11 Air storage tanks equipped with pop-off

valve?Compliant

1910.169(b)(3)(i-iv)

Confidential

Page 8

11/9/2012




9/23



INSPECTION FORM

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

available?

CompliantRP54 6.9.1, RP54 9.14.9

13 Hearing Protection Required warning

signs erected?Compliant

1910.145(c)(2)(i)

14 Hearing protection available? Non

Compliant

1910.95(a) Needs to have box of plugs available. No plugs available in high

noise area.

15 Adequate lighting installed?Compliant

RP54 9.14.7, RP54 9.14.4, 1910.303(h)(3)(ii)

16 Housekeeping - Is area clean and free ofdebris and tripping hazards?

CompliantRP54 6.5.1

17 Wires are note running along the ground Compliant RP54 10.2.3, 1910.305(a)(1)(iii) (G)

18 All light fixtures properly guarded from

damage?Compliant

1910.307(b)(1-2)

19 Receptacles and plugs in good condition? Compliant 1910.303(b)(1)

20 Water hose used for washing area kept IADC

away rom genera or s

House?

omp an

21 Generator skid door props properly

pinned?Compliant

IADC

VII. FIRE PROTECTION1 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

lar er sized e ui ment.

Compliant

RP54 7.2.4, RP54 7.2.5

2 Fire extinguishers fully charged, currentinspection, proper gauges, properly located

at their assigned locations?

Non

Compliant

1910.157(c)(4) Tags missing inspection tags. Accumulator system for BOPsystem. One located in incorrect area as opposed to sign

pointing to fire Extinguisher.

3 Are crew members familiarized with the

location of fire control equipment and

trained in the use of such equipment?

Yes

1910.157(g)(1), 1910.157(g)(2)

4 Portable containers for storing flammable

liquids should be UL or FM approved or

equivalent.

Compliant

1910.106(d)(2), RP54 8.1.1

Confidential

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INSPECTION FORM

5 Any area that has flammable containersstored should be posted with a sign, "NO

SMOKING OR OPEN FLAME", or

equivalent.

Compliant

RP54 7.1.2

6 Spark arrestors or equivalent equipment

shall be provided on all internal combustion

engine exhausts located within 100' of the

wellbore.

N/A

RP54 9.15.3 Not within 100 ft of well area

VIII. FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS1 Fuel storage tanks properly located Compliant RP54 8.3.5, 1910.106(b)

2 All storage valve connections identified as

to their functionCompliant

1910.106(b)

3 Discharge nozzles, hoses, valves in good

conditionCompliant

1910.106(b)

4 Piping and fuel lines in good condition Compliant 1910.106(b)

5 Stationary ladders on storage tanks in good 1910.27(f)

condition

6 Adequate lighting provided Compliant RP54 9.14.77 "Flammable" warning signs erected on all

sidesCompliant

1910.145(2)(i), 1910.1200(f)(5-6), RP54

7.1.2-6, RP54 8.4.1d

8 "No Smoking" signs erected on all sidesCompliant

RP54 7.1.2-6, 1910.145(c)(2)(i), RP54 8.4.1d

9 B/C Class fire extinguisher available and

identifiedCompliant

RP54 7.1.2-6, 1910.145(c)(2)(i),

1910.157(d)(1)

10 Fuel tanks properly labeled, "NFPA Haz-

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

"No Smoking"

Compliant

RP54 8.4.1d, 1910.1200(f)(4-5)

11 Flammable warning signs erected on all

sidesCompliant

1910.145(2)(2)(i), 1910.1200(f)(5-6), RP54

7.1.2-6, RP54 8.4.1d

12 "No Smoking" signs erected on all sidesCompliant

RP54 7.1.2-6, 1910.145(2)(i), RP54 8.4.1d

13 Vapor release vents elevated & away from

ignition sourcesCompliant

1910.106(b)(2)(iv)(c), 1910.106(b)(2)(v)(g)

14 B/C Class fire extinguisher available and

identifiedCompliant

RP54 8.4.1e, 1910.157(c)(1), 1910.157(d)(1)


debris and tripping hazardsCompliant

RP54 6.5.1, 1910.22(a)(1)

Confidential

Page 10

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INSPECTION FORM

16 All open valves/piping capped, bullplugged, etc.

Compliant RP54 8.3.3

IX. PIPE RACK AREA1 Ends of pipe racks and separate layers of

pipe properly chocked?N/A

1910.176(b), RP54 9.12.3 Pipe in use at this time

2 Spacers used to separate layers of pipe N/A RP54 9.12.5

3 Pipe racks are level and stable N/A IADC

4 Pipe rack catwalk in good condition and at

the same height?N/A

IADC

5 V-door slide in good condition including

stops on V-door or catwalk?N/A

IADC

6 Derrick stand and ladder in good conditionN/A

1910.27

7 Adequate lighting provided N/A RP54 9.14.7


debris and tripping hazardsN/A

1910.176(c), RP54 6.5.1

Confidential

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12/23



INSPECTION FORM

9 Drilling line from spool elevated off ground Compliant IADC Need to put guard on skid system. Was previously installed butremoved.

10 Safety Warnings in place for Hydraulic

Pipe Rack and verification of HPR

inspection?

N/A

RAGAGEP Standard system with warnings available

X. BLOW-OUT PREVENTERS1 BOP properly installed, 3rd party tested,

and properly documented?Compliant

RP54 6.4.1, RP54 6.4.41, RP 54 6.4.13

2 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

RP53 10.2.1

3 Wheels and stems in place, if automatic

device is not available?Compliant

IADC

4 BOP stack properly stabilized? Compliant RP54 6.4.10

5 All hydraulic lines connected ?Compliant

RP54 6.4.186 All unused hydraulic lines capped and

secured?N/A

RP54 6.4.18, RP53 10.2.1i

7 Accumulator bottles labeled with contents,

and other appropriate warning signs?Compliant

1910.1200(f)(5-6)

8 Accumulator valves in appropriate

position, open or closed (never neutral),

properly identified both purpose and

position?

Compliant

RP54 7.2.2

9 Gauges suitable for operating pressure anddrilling 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

RP53 8.2i

10 Choke manifold and line secured and

accessible?Compliant

RP54 6.4.18

11 Blooey line with pilot installed if

applicable?Compliant

IADC

Confidential

Page 12

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INSPECTION FORM

12 Adequate lighting provided? Compliant RP54 9.14.713 Warning signs erected (Flammable,

Hard Hat, H2S, Eye Protection,

Confined Space, Authorized Personnel)

Non

Compliant

1910.145(c)(2)(i), RP54 7.1.2-3 Signs needs to be displayed . Fire extinguisher not with proper tag.

Black tape on electrical cord and plug need to be replaced.

14 Proper drainage provided and general

housekeeping of koomey and cellar area?Compliant

RP54 6.5.2

15 Hydraulic lines protected? Compliant RP53 12.5.2 Armor core on lines.

16 BOP spare parts (for the service intended)

are carefully stored, maintained andreadily 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

Compliant

RP53 6.4

flexible choke or kill line if in use. "Ask

Tool usher"17 Metal clad lines secured with adequate

safety cables?Compliant

"General Duty Clause" OSHA

All additional questions (1-51) in

Section 9 will be used at the discretion

of the DCI customer and their

individual needs.

1 Floor mounted and remote accumulator

controls available?Yes

RAGAGEP

2 Remote unit used to actuate pipe rams oncea week?

Yes RAGAGEP

3 Off floor controls are effective if floor unit

is destroyed.Yes

RAGAGEP

4 Alternate power source exists for

accumulator : Type_________________Yes

RAGAGEP Electric, air, and nitrogen bottle accumulator exists

5 Light on rig floor in plain view of driller? Yes RAGAGEP

6 Operating ranges of accumulator pumps

regulated from 2700 PSI to 3000 PSI?Yes

RAGAGEP

Confidential

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INSPECTION FORM

7 Accumulator pump charging time less than15 minutes: Ensure 1000 PSI to 3000 PSI

rise?

YesRAGAGEP

8 Accumulator fluid and strainers in good

condition: Inspected_________________Yes

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

skid.

9 Accumulator bottle isolation valve open? Yes RAGAGEP

10 Accumulator pre-charge pressure _______

Last inspected_________Yes

RAGAGEP 1500 psi per charge

11 Accumulator _________ Annular ________

Manifold ________ (Pressures) Yes

RAGAGEP

12 Accumulator air pressure at least 75 PSI Yes RAGAGEP

13 Drawings available showing BOP stack,

lines, valves and manifold used?Yes

RAGAGEP

14 Assembly rating greater than or equal to

casing burst pressure or formation Yes

RAGAGEP

rea own pressure w c ever s ess .

15 WECO 1502 hammer unions used on

surface casing valves? YesRAGAGEP

16 Necessary manipulations of BOP stack can

be made without going under rig floor? Yes

RAGAGEP

17 Well can be closed in quickly while

observing and controlling casing pressure? Yes

RAGAGEP

18 Hydraulic or Manual locks on preventers:

If manual, are hand wheels and shaftsattached?

N/A

RAGAGEP

19 Clearance for tool joints between pipe rams

(pipe can be stripped through rams).Yes

RAGAGEP

20 Is it possible to pump into well with blind

rams closed?Yes

RAGAGEP

21 Blind rams equipped with cover but no

lock?Yes

RAGAGEP

22 Choke flow line equipped with master

valves on each choke manifold wing?Yes

RAGAGEP

23 Is the fill up line separate from the kill line?Yes

RAGAGEP

Confidential

Page 14

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INSPECTION FORM

24 Choke line straight, free of bends? Yes RAGAGEP25 Hydraulic choke equipped with emergency

backup. Type: ____________________Yes

RAGAGEP

26 Choke manifold pressure rating

__________ Is it correct for this

application?

Yes

RAGAGEP 10000 psi front end, 5000 psi on back side

27 Upper Kelly valve or Top Drive Unit with

manual & hydraulic valves?Yes

RAGAGEP

28 Is drill pipe float used? Yes RAGAGEP

29 Are crossover subs available for IBOP &TIW?

Yes RAGAGEP Canrig Top Drive, subs ready to go.

30 Pit volume totalizer & recorder mounted in

plain view of driller?Yes

RAGAGEP

31 Flow indicator available, if flow line can't

be seen from rig floor?Yes

RAGAGEP

32 Pump stroke counter and/or trip tank forYes

RAGAGEP

use n cr ca o e ng c ec s

33 Sufficient way to monitor casing wear? Yes RAGAGEP

34 Maximum allowable surface pressures

upon closing in well specified and posted?Yes

RAGAGEP

35 Surface casing held in tension until cement

set to avoid misalignment?Yes

RAGAGEP

36 "on bottom" drills held at intervals, timed,

& recorded on IADC?Yes

RAGAGEP

37 "while tripping" drills held at intervals,

timed & recorded on IADC?Yes

RAGAGEP

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

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

& recorded on IADC?Yes

RAGAGEP

40 Slow pump rates recorded hourly & after

mud density changes?Yes

RAGAGEP

41 Pipe slugged with sufficient time allowed

for fluid level to balance before TOOH?Yes

RAGAGEP

42 Flow checks made prior to TOOH, at the

casing shoe & at collars?Yes

RAGAGEP

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INSPECTION FORM

43 During trips are ram-type BOP's operatedand choke and kill valves flushed? Yes

RAGAGEP

44 Is hole filled continuously from trip tank

(preferred) is there a specified number of

stands:

Yes

RAGAGEP

45 Rig equipped with trip tank? Yes RAGAGEP

46 Written trip records kept by crew? Yes RAGAGEP

47 Crew instructed in procedures during trip

if swabbing or lost circulation occurs?Yes

RAGAGEP

48 Are approved kill sheets used & updated

daily?Yes

RAGAGEP

49 Leakoff pressure recalculated & posted

after every mud density change?Yes

RAGAGEP

50 Maximum allowable mud density posted? Yes RAGAGEP

51 DC, DP, hole & mud pump capacity figuresYes

RAGAGEP

ava a e

XI. DERRICK & SUBSTRUCTURE1 Derrick/A-Frame assembly and

substructure pins with keepers in place?Compliant

RP54 9.2.8

2 Derrick guyed, if applicable. N/A RP4G 13.1

3 Condition of guy lines. N/A RP4G 13.1.1

4 Clamps properly installed. N/A RP9B 3.7.4

5 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 andwhether guying is applicable and if so the

recommended u in attern.

Compliant

RP54 9.2.2

6 Damage and/or corrosion visible in derrick

and/or substructure? (waste metal). N/A

RP54 9.16.1

7 Condition of derrick ladder? Yes RP54 9.3.1-2

8 Climb assist device available, in good

condition, adequate number of clamps?Yes

1910.27(d)(5)

9 Boatswains chair available for hoisting

personnel and utilized when necessary?Yes

IADC

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INSPECTION FORM

10 Full body harness with lanyard availableand in good condition?

Yes 1910.132(c), RP54 5.5.1

11 Fall protection devices in use: Derrick

Board, Crown Section, Backside of derrick

(stabber), Substructure?

Compliant

1910.132(c), RP54 5.5.1

12 Fall Protection Required warning signs

erected?Compliant

1910.145(c)(2)(i)

13 Verify that contractor has a Cat. 1,2,3,4

process in place to identify structural

issues. The remaining questions aredesigned to identify any noticeable items

from the floor or round.

Compliant

RAGAGEP

14 Derrick/Tubing boards in good condition? Compliant RP54 9.2.17

15 Guardrails installed on derrick board? Compliant RP54 9.3.17, RP54 5.5.1

16 Pipe fingers in good condition, safety cables

attached?Compliant

RP54 9.2.17

rown guar ra s ns a e omp an . . , . c

18 Crown sheave guards in place? Compliant RP54 9.7.5

19 Safety retainers in use on hinge pins? Compliant RP54 9.2.8

20 Derrick hydraulic system free of leaks? (if

applicable).N/A

IADC

21 Dead line properly anchored? Compliant RP54 9.6.5, RP9B 3.3.9

22 Booms and boom lines in good condition? Compliant IADC

23 Adequate lighting provided? Compliant RP54 9.14.7

24 Derrick free of loose and unnecessary

objects.Compliant

RP54 8.2.5

25 Derrick emergency escape line properlyinstalled, Geronimo on line, anchored with

a clear path?

Compliant RP54 6.10.1

26 Tubulars, Drill Pipe, etc racked or hung in

derrick are secured to prevent them from

falling?

Compliant

RP54 6.12.1

27 Mud standpipe secured, mudhose snubbed

at both ends?Compliant

IADC

28 Rotary beams and all braces are in good

condition?

CompliantIADC

XII. DRILL FLOOR AREA

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INSPECTION FORM

1 OSHA poster posted in Dog House? No 1903.2(a)(1) Need fire, ambulance, closes hospital2 Emergency phone numbers posted in Dog

House?N/A

RP54 4.2.1 RP55 4.6

3 Safety (stabbing) valve and handle with

cross over sub if necessary properly located

on floor?

Yes

RP54 6.4.2

4 Remote BOP hydraulic controls accessible?Compliant

IADC

5 Rotary floor in good condition? Compliant IADC

6 Rotary chain drive guarded? Compliant 1910.212(a)(1-3)7 All unused floor holes covered with a secure

cover?Compliant

1910.23(a)(8-9), RP54 9.1.1, RP54 9.3.20,

RP54 9.3.21

8 "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

Yes

RP54 9.4.4

r er .

9 Drillers controls properly

labeled/identified? Compliant

IADC

10 Pipe slips & Dies in good condition? Compliant RP54 9.9.2

11 Racking floor area in good condition? Compliant IADC

12 V-door gate or net provided and in place? Non

Compliant

1910.23(c)(1) Gate or Net needed

13 Air hoist lines properly guarded in good

condition, line properly laid with functional

line guide and brake?

Compliant

RP9B 3.2.7 1910.212(a)(1) RP9B 3.3.3

14 Cathead friction surface in good condition?N/A

RP54 9.5.1

15 Cathead line divider/grip in good

condition?N/A

IADC

16 Catline not worn or kinked? N/A RP54 9.5.10

17 Kelly cock wrench and safety valve

accessible?N/A

IADC

18 Drilling Line in good condition? Compliant RP9B, 3.3.3, RP9B, 3.3.10

19 Tail rope being used, rigged up correctly

and in good shape?

CompliantIADC

20 Drawworks properly guarded? Compliant RP54 9.4.2, RP54 9.6.4

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INSPECTION FORM

21 Drill line slip/cut recorded on ton milebook?

Compliant RAGAGEP

22 Proper lay of drill line and sufficient wraps

left on drum with blocks in down position?

(minimum 10 wraps).

Compliant

RP9B 3.3.10(b)

23 When were the Hydraulic or Hydromatic

brakes last serviced and what is the

contractor's maintenance schedule?

Safe

RAGAGEP

24 Dog knot secure? Compliant IADC

25 Adequate lighting provided? Compliant RP54 9.14.726 General housekeeping. Compliant RP54 6.5.1, 1910.22(a)(1)

27 Minimum 2 exits from drill floor doghouse?Yes

1910.36(b)(1)

28 Drill floor doghouse doors installed

properly?Yes

1910.36(e)(2)

29 Drinking water available? Compliant 1926.51

a on rea y ava a e on

Compliant

. . ee n e og ouse

31 Life basket/Fire Blanket available Compliant I.S. Life Basket in Dog House, No fire blanket on rig32 Factory ends of snub line? Compliant I.S.

33 First aid kit available in doghouse? Yes 1910.151(b)

34 Non skid material used around rotary? Compliant RP54 9.3.11

35 Guardrails installed along open edges of

drill floor?Compliant

RP54 9.3.17, 1910.23(c)(1)

36 Tong body and jaws, keepers, counter

weights, snub lines and jerk lines all in good

condition?

Compliant

IADC

37 Tong safety handles installed? Compliant IADC

38 Crown-o-Matic device operational, logged

on IADC?

Non

Compliant

IADC Needs to be on system

39 Safety signage posted? Yes IADC

40 All overhead lights have safety cables? Compliant IADC

Top Drive

1 TD: Guard Bolts. Compliant RAGAGEP

2 TD: Blower Motor Mounts. Compliant RAGAGEP

3 TD: Oil Cooler Bolts. Compliant RAGAGEP4 TD: Housing To Frame Bolts. Compliant RAGAGEP

5 TD: Lube Pump Assembly Mounts. Compliant RAGAGEP

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INSPECTION FORM

6 TD: Guard Deflector.Compliant

RAGAGEP7 TD: Link Tilt Cylinder Retainer. Compliant RAGAGEP

8 TD: Link Tilt Mount. Compliant RAGAGEP

9 TD: Bail Clamp Cylinder Pins. Compliant RAGAGEP

10 TD: Lower Link Support Pins. Compliant RAGAGEP

11 TD: Spark Arrestor Screen. Compliant RAGAGEP

12 TD: Elevator Alarm Targets. Compliant RAGAGEP

13 TD: BUW Mounts. Compliant RAGAGEP

14 TD: BUW Positioning Cylinder. Compliant RAGAGEP

15 TD: BUW Stop Pins (L-shaped pins). Compliant RAGAGEP16 TD: BUW Gripper Cylinder. Compliant RAGAGEP

17 TD: BUW Slides. Compliant RAGAGEP

18 TD: BUW Stabbing Guide. Compliant RAGAGEP

19 TD: Tool Joint Clamp(s) & Bolts. Compliant RAGAGEP

20 TD: Actuator Valve / Covers. Compliant RAGAGEP

21 TD: LWCV Pinion Retainer Bolts. Compliant RAGAGEP

Iron Roughneck

1 Iron Roughneck (IR): HPU Showing 2200-2500 psi.N/A RAGAGEP

2 IR: Line Control Port 1900-1950 psi. N/A RAGAGEP

3 IR: Hydraulic Lines Not Leaking . N/A RAGAGEP

4 IR: Unit Properly Stored If Not In Use. N/A RAGAGEP

5 IR: Unit Turned Off When Not In Use. N/A RAGAGEP

6 IR: Employees Properly Trained . N/A RAGAGEP

7 IR: Employee Clear Of Unit If Moving. N/A RAGAGEP

8 IR: Unit Has Clear Path For Operating. N/A RAGAGEP

9 IR: Operator Controls Located Properly. N/A RAGAGEP10 IR: Preventive Maintenance (Daily) . N/A RAGAGEP

XIII. HOISTING TOOLS, HOOKS, BAILS, ELEVATORS1 Traveling blocks in good condition? Compliant RP54 9.7.1

2 Traveling blocks properly guarded? Compliant RP54 9.7.4

3 Sheave guards in good condition? Compliant IADC

4 Bales and/or links in good condition? Compliant RP54 9.7.1

5 Elevators in good condition? Compliant RP54 9.7.1, RP54 9.7.8

6 Hoisting hook equipped with safety latch or

equivalent? CompliantRP54 9.7.3

7 Crown block assembly secured? Compliant RP54 9.7.5

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INSPECTION FORM

8Suspension cables and lifting chains are

grade 8 and tagged? NonCompliant RP54 6.11.1 No tags on cable for Spinner. Cotter pin needs to change onoverhead shackle system. See picture on replacement part.

9 Hoisting line inspected daily? Yes RP54 9.6.1

XIV. HOTWORK AND CONFINED SPACES

1 Hot work permitted utilizing customers Hot

Work Process which meets minimum

industry standards?

N/A

RP54 20.1.1, 1910.252(a)(2)(iv)

2 Drilling Foreman trained on customers Hot

Work and Confined Space permitting

standards?

N/A

RAGAGEP

3 Certified welders utilized? N/A RP54 20.1.4

4 Appropriate protective attire worn for

welding and cutting ops.N/A

RP54 20.1.3, 1910.252(a)(2)(vi)

5 Helmets with face shields used during

operations?N/A

RP54 20.2.1, 1910.252(b)(2)(i)(A-D)

6 Fire extinguishing equipment available and RP54 20.2.2, RP54 20.2.3,

fire watch utilized? 1910.252(b)(2)(i)(A-D)

7 Confined spaces properly labeled?

N/A

1910.146(c)(2)

1910.145(c)(2)(i)

8 Confined Space Entry Permit issued by

Drilling Foreman or rig contractor for CS

entry?

N/A

RAGAGEP

9 Permits are completed properly and filed at

the job site?

N/A

1910.146(d)(1-14)

1910.146(e)-(l)

RP54 6.7.4(b)

RP54 6.7.5(b)

10 Gas detection devices are available and

calibrated per manufactures specifications? N/A

RP54 6.7.4(a)

1910.146(c)(1)

XV. ENVIRONMENTAL1 Sediment migrating off location? N/A RAPPS

2 Gullies or ditches forming along location

slopes?N/A

RAPPS

3 Re-vegetation less than 70%? N/A RAPPS

4 BMPs not present on location? N/A RAPPS

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5 BMPs need maintenance or removal? N/A RAPPS

6 Reserve pit free of oil and trash? N/A RAGAGEP

7 Reserve pit liner, good integrity, anchored

properly?N/A

RAGAGEP

8 Reserve pit has sufficient free board? N/A RAGAGEP

9 Reserve pit fall controls in place? N/A RAGAGEP

10 Secondary containment (berms/ditches)

adequate and maintained?Compliant

RAGAGEP

11 Pipe dope is lead free? Compliant 40CFR 261-262

XVI. STAIRS, LADDERS, HANDRAILS & GUARDRAILS1 Adequate stairs provided off rig, min. of 2

for drill floor?Compliant

RP54 9.3.10, 1910.24(b)

2 Stairs level, secure with no obstructions? Compliant RP54 9.3.9

3 Adequate handrails provided on stairs with

4 or more risers?Compliant

RP54 9.3.8, 1910.24(h)

4 Stair treads of uniform size made with non- RP54 9.3.9, 1910.24(d)

skid material?

5 Stair treads free of damaged?Compliant

RP54 9.3.11 Bottom stair rung on shaker side of catwalk stairs needs to be

repaired.

6 Stairs properly installed and pinned if

required?Compliant

RP54 9.3.8

7 Guardrails, Midrails, & Toeboards

installed along all open side edges of floors,

platforms, etc, 4ft above ground level.Compliant

1910.23(c)(1), RP54 9.3.17

XVII. ADDITIONAL FINDINGS

1 N/A RAGAGEP2 N/A RAGAGEP

3 N/A RAGAGEP

4 N/A RAGAGEP

5 N/A RAGAGEP

6 N/A RAGAGEP

7 N/A RAGAGEP

8 N/A RAGAGEP

9 N/A RAGAGEP

10 N/A RAGAGEP

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Definitions : SPCC (Spill Prevention, Control, and Contamination), SRL (Self Retracting Lanyard), HSE (Health, Safety, & Environmental), BOP (Blow Out Preventor), SCR (System Control Room), VFD

(Variable Frequency Drive), RM (Rig Manager), TOOH (Trip out of hole), GFIC (General Fault Interuption circuit), JSA (Job Safety Analysis), OSHA (Occupational Safety and Health Administration), LOTO

(Lock Out/Tag Out), SCBA (Self Contained breathing apparatus), RAGAGEP (Recognized And Generally Accepted Good Engineering Practice), RAPPS (Reasonable and prudent practices for stabilization

(Clean Water Act))

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2. final inspection report with codes example

Documents