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

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Table of Contents
DRILLING LAND INSPECTION FORM Disclaimer Confidentiality Statement RIG INSPECTION CHECKLIST DRILLING / LOCATION TRAINING, PPE & GENERAL SAFETY MUD PUMP AREA MUD MIXING AREA MUD TANKS & PITS MATERIAL HANDLING EQUIPMENT ELECTRICAL SPECIFIC INSPECTION GENERATOR AREA FIRE PROTECTION FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS PIPE RACK AREA BLOW-OUT PREVENTERS All additional questions (1-51) in Section 9 will be used at the discretion of the DCI customer and their individual needs. DERRICK & SUBSTRUCTURE DRILL FLOOR AREA Top Drive Iron Roughneck HOISTING TOOLS, HOOKS, BAILS, ELEVATORS HOTWORK AND CONFINED SPACES ENVIRONMENTAL STAIRS, LADDERS, HANDRAILS & GUARDRAILS ADDITIONAL FINDINGS MEDIA 1 2 2 4 4 5 8 9 10 11 12 12 14 15 16 17 18

22 23 26 27 27 28 29 29 30 31

DCInt000018DLR Inspection report

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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. No Smoking Area?s Designated & Posted. No Parking within 100 ft of the rig. No signs at entrance. noncompliant noncompliant compliant

Need signs for designated areas. 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? Escape & Guy wires flagged with visible material.

N/A

noncompliant

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:____________________________ 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.

No verification or certification tag found. No

compliant

Yes

compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Housekeeping, Is the area clean and free of debris and tripping hazards? Distance from overhead power lines GT 10 ft. Muster area designated and posted? Sign posted directing visitors to report to the Drilling Foreman / Toolpusher upon entry, visitors signed in and out?

Response
Yes

Details

N/A noncompliant noncompliant Required signs are not available for area. No signs posted for sign in & out.

TRAINING, PPE & GENERAL SAFETY

First Aid Training provided, minimum of 2 certified per location. H2S Training provided, if applicable Face shield provided for removing tong dies with proper tool Any prior incidents, near miss, observations, etc. if any, are discussed during safety meeting No smoking rules observed Emergency Phone numbers posted compliant compliant Yes

Score (32/38) 84.2%

Yes

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? Do employees know were SPCC plan is located?

Yes Tool pusher house

Yes

DCInt000018DLR Inspection report Score (336/363) 92.6%

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

Response

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

noncompliant

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

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

Yes Yes Yes

Pre-spud, periodic, HSE, etc.? All employees familiar with LOTO procedures and policies? Safe work permits being used and proper employees understand how to complete this form? Atmospheric tester available? Near Miss program being utilized on this location? Does rig crew know where to dispose of hazardous waste and are all containers labeled? (used oil, diapers, etc)

No

Needs to be performed. No forms being done.

Yes 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.

Yes

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? Are fuel transfer sheets being performed?

Yes Yes

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Is the escape buggy getting inspected monthly?

Response

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

No

Is the Confined Space Entry equipment in good working order? Is the Gas Detector in working order (charged) and calibrated? How is the general safety culture on this location? Safety meetings conducted and properly documented: pre-tour, pre-job/JSAs, weekly? Accidents, if any, are discussed during safety meetings. Proper clothing worn by crew; no loose clothing or jewelry, hard hat, glasses, safety shoes, gloves, fall protection other PPE as necessary? Are designated "Smoking Areas" established? Are smoking rules observed?

N/A

Yes

Yes

Yes

Yes

Yes

No

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

Injuries reported and documented immediately. 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.

Yes

Are all containers properly labeled per HAZCOM? 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.

compliant

Does contractor have a Hazard Recognition Program in use?

Yes

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
BOP training provided for Pushers and Drillers? Is BOP training documented at the rig? Written Contractor Safety Program in place? Hearing protection required and provided. Does the Operator / Drilling Contractor have a New Hire Training Program in place? Explain-Type? 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? Is there an Emergency Response Plan available? Has personnel been trained on the plan?

Response

Details

Yes

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

Yes

Yes

Yes

MUD PUMP AREA

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

Score (6/7) 85.7%

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

Appendix 7

Head and valve covers fully bolted. Shear pin pop-off valve present and covered. Ends of relief lines secured with adequate safety cable.

compliant compliant

compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Ends of mud vibrator hose snubbed with adequate safety cable. Housekeeping - Is area clean and free of debris and tripping hazards? Adequate lighting provided.

Response
compliant

Details

Yes compliant

MUD MIXING AREA

Bagged material properly stacked and protected from the weather? Gloves, Aprons, Boots, or other PPE, as appropriate, available and in good condition? Employees using all required PPE? compliant

Score (10/10) 100.0%

compliant

N/A

Appendix 8

All chemicals are properly labeled including ?PPE Required? warning signs (Grouped or individual signs). Personal protective equipment properly maintained and in a clean & sanitary condition. Eye wash station and emergency shower; unobstructed and in close proximity, properly designed in good working order and plumed with a clean water supply? Adequate ventilation in mud mixing area? Elevated loading door opening protected? Adequate lighting provided?

compliant

compliant

compliant

compliant compliant compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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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
compliant

Details

Yes

MUD TANKS & PITS

Adequate stairs with handrails properly secured? Adequate walkways and guardrails. Guardrails installed on all raised platforms, walkways, etc above 48?? Walkways free from obstruction and/or damage? Guardrails provided on crossovers? ?PPE Required? warning signs erected (grouped or individual signs). compliant compliant compliant

Score (16/18) 88.9%

compliant compliant noncompliant Need to be signs on PPE

Appendix 9

Chemical hazard warning signs erected? Shale shakers, agitator shafts, and all other rotating equipment properly guarded? Explosion proof equipment, fixtures and wiring used. Class 1 Div 1/2. Data plates on equipment legible?

noncompliant compliant

Needs signs on chemical hazards

compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Adequate lighting provided? Employees using all required PPE? Jetting hoses properly secured if applicable Personal protective equipment properly stored? Housekeeping - Is the area clean and free of debris and tripping hazards? All unused floor holes covered? Electric wiring in good condition? Drive belts and shafts guarded? Permitted and non permitted signage is in appropriate area's

Response
compliant N/A compliant compliant

Details

compliant compliant compliant compliant Yes

MATERIAL HANDLING EQUIPMENT

Material Handling Equipment (fork lift) operators trained and certified? Personnel basket securely attached to forks? (If applicable). Personnel wearing proper fall protection while in basket? Backup alarm operational? compliant

Score (12/14) 85.7%

N/A

compliant noncompliant No backup alarm on forklift not working. Need fixed.

Appendix 10

Fork Lift equipped with seat belts? Seat belts in use by operators?

compliant compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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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? Are the electrical panels accessible? (No boxes, etc. stacked in front of them?) Are the electrical lines in good condition? (No splices, cuts, black tape: look for things OSHA would look for) Are the electrical lines in good condition? (wire no pulled away from the connector, strain relief in place, etc.) All power strips in the work area (Doghouse, SCR house, etc.) GFIC protected? Yes

Yes

Yes

Yes

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

Yes

Yes

GENERATOR AREA
Moving parts guarded? Generators properly grounded? compliant noncompliant

Score (18/21) 85.7%

Ground clamp incorrect, hose clamp shown below

Appendix 11

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Cover panels on electrical control boxes installed and closed? All electrical controls marked as to their function and legible? ?HIGH VOLTAGE? warning signs erected? Insulating mats available at electrical panels? Condition of electrical wiring, no splices or visible damage? Rig wiring properly installed to prevent abrasion, vehicular and foot traffic, burns, cuts and damage from other sources? Unused electrical outlets covered?

Response
compliant

Details

compliant compliant noncompliant compliant Not installed

compliant

compliant

One in electrical room not covered

Appendix 12

Air compressors properly guarded? Air storage tanks equipped with pop-off valve? Lockout/Tagout program utilized? Adequate Lockout/Tagout devices available? ?Hearing Protection Required? warning signs erected? Hearing protection available?

compliant compliant

compliant

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

Adequate lighting installed?

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Housekeeping - Is area clean and free of debris and tripping hazards? Wires are note running along the ground All light fixtures properly guarded from damage? Receptacles and plugs in good condition? Water hose used for washing area kept away from generator skid/SCR/VFD House? Generator skid door props properly pinned?

Response
compliant compliant compliant compliant

Details

compliant

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?

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

DCInt000018DLR Inspection report Score (336/363) 92.6%

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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 All storage valve connections identified as to their function Discharge nozzles, hoses, valves in good condition Piping and fuel lines in good condition Stationary ladders on storage tanks in good condition Adequate lighting provided "Flammable" warning signs erected on all sides "No Smoking" signs erected on all sides B/C Class fire extinguisher available and identified Fuel tanks properly labeled, "NFPA HazCom", "Off Road Usage", "Flammable", "No Smoking" Flammable warning signs erected on all sides "No Smoking" signs erected on all sides compliant compliant

Score (16/16) 100.0%

compliant compliant compliant compliant compliant compliant compliant

compliant

compliant compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Vapor release vents elevated & away from ignition sources B/C Class fire extinguisher available and identified Housekeeping - Is area clean and free of debris and tripping hazards All open valves/piping capped, bull plugged, etc.

Response
compliant

Details

compliant

compliant

compliant

PIPE RACK AREA

Ends of pipe racks and separate layers of pipe properly chocked? Spacers used to separate layers of pipe Pipe racks are level and stable Pipe rack catwalk in good condition and at the same height? V-door slide in good condition including stops on V-door or catwalk? Derrick stand and ladder in good condition Adequate lighting provided Housekeeping - Is area clean and free of debris and tripping hazards Drilling line from spool elevated off ground N/A N/A N/A N/A Pipe in use at this time

Score (9/9) 100.0%

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

compliant

Appendix 14

DCInt000018DLR Inspection report Score (336/363) 92.6%

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

Response
N/A

Details
Standard system with warnings available

BLOW-OUT PREVENTERS
BOP properly installed, 3rd party tested, and properly documented? 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. Wheels and stems in place, if automatic device is not available? BOP stack properly stabilized? All hydraulic lines connected ? All unused hydraulic lines capped and secured? Accumulator bottles labeled with contents, and other appropriate warning signs? Accumulator valves in appropriate position, open or closed (never neutral), properly identified both purpose and position? 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. Choke manifold and line secured and accessible? Blooey line with pilot installed if applicable? Adequate lighting provided? compliant

Score (66/67) 98.5%

compliant

compliant compliant compliant N/A

compliant

compliant

compliant

compliant compliant compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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

Response

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

noncompliant

Appendix 15

Appendix 16

Proper drainage provided and general housekeeping of koomey and cellar area? Hydraulic lines protected? 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" Metal clad lines secured with adequate safety cables?

compliant compliant Armor core on lines.

compliant

compliant

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? Remote unit used to actuate pipe rams once a week? Off floor controls are effective if floor unit is destroyed. Alternate power source exists for accumulator : Type_________________ Yes

Yes

Yes Electric, air, and nitrogen bottle accumulator exists

Yes

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Light on rig floor in plain view of driller? Operating ranges of accumulator pumps regulated from 2700 PSI to 3000 PSI? Accumulator pump charging time less than 15 minutes: Ensure 1000 PSI to 3000 PSI rise? Accumulator fluid and strainers in good condition: Inspected_________________ Accumulator bottle isolation valve open? Accumulator pre-charge pressure _______ Last inspected_________ Accumulator _________ Annular ________ Manifold ________ (Pressures) Accumulator air pressure at least 75 PSI Drawings available showing BOP stack, lines, valves and manifold used? Assembly rating greater than or equal to casing burst pressure or formation breakdown pressure (whichever is less). Weco 1502 hammer unions used on surface casing valves? Necessary manipulations of BOP stack can be made without going under rig floor? Well can be closed in quickly while observing and controlling casing pressure? Hydraulic or Manual locks on preventers: If manual, are hand wheels and shafts attached? Clearance for tool joints between pipe rams (pipe can be stripped through rams).

Response
Yes Yes

Details

Yes

Yes Yes Yes

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

1500 psi per charge

Yes Yes Yes

Yes

Yes

Yes

Yes

N/A

Yes

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Is it possible to pump into well with blind rams closed? Blind rams equipped with cover but no lock? Choke flow line equipped with master valves on each choke manifold wing? Is the fill up line separate from the kill line? Choke line straight, free of bends? Hydraulic choke equipped with emergency back- up. Type: ____________________ Choke manifold pressure rating __________ Is it correct for this application? Upper Kelly valve or Top Drive Unit with manual & hydraulic valves? Is drill pipe float used? Are crossover subs available for IBOP & TIW? Pit volume totalizer & recorder mounted in plain view of driller? Flow indicator available, if flow line can't be seen from rig floor? Pump stroke counter and/or trip tank for use in critical hole filling checks? Sufficient way to monitor casing wear? Maximum allowable surface pressures upon closing in well specified and posted? Surface casing held in tension until cement set to avoid misalignment?

Response
Yes

Details

Yes

Yes Yes Yes Yes 10000 psi front end, 5000 psi on back side

Yes

Yes Yes Yes Canrig Top Drive, subs ready to go.

Yes

Yes

Yes Yes Yes

Yes

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
"on bottom" drills held at intervals, timed, & recorded on IADC? "while tripping" drills held at intervals, timed & recorded on IADC? "drill collar" drills held at intervals, timed & recorded on IADC? "out of hole" drills held at intervals, timed & recorded on IADC? Slow pump rates recorded hourly & after mud density changes? Pipe slugged with sufficient time allowed for fluid level to balance before TOOH? Flow checks made prior to TOOH, at the casing shoe & at collars? During trips are ram-type BOP's operated and choke and kill valves flushed? Is hole filled continuously from trip tank (preferred) is there a specified number of stands: __________________ Rig equipped with trip tank? Written trip records kept by crew? Crew instructed in procedures during trip if swabbing or lost circulation occurs? Are approved kill sheets used & updated daily? Leakoff pressure recalculated & posted after every mud density change? Maximum allowable mud density posted? DC, DP, hole & mud pump capacity figures available?

Response
Yes

Details

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes Yes Yes

Yes

Yes Yes Yes

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question

Response

Details Score (27/27) 100.0%

DERRICK & SUBSTRUCTURE

Derrick/A-Frame assembly and substructure pins with keepers in place? Derrick guyed, if applicable. Condition of guy lines. Clamps properly installed. 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. Damage and/or corrosion visible in derrick and/or substructure? (waste metal). Condition of derrick ladder? Climb assist device available, in good condition, adequate number of clamps? Boatswains chair available for hoisting personnel and utilized when necessary? Full body harness with lanyard available and in good condition? Fall protection devices in use: Derrick Board, Crown Section, Backside of derrick (stabber), Substructure? "Fall Protection Required" warning signs erected? 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 N/A N/A N/A

compliant

N/A Yes Yes

Yes

Yes

compliant

compliant

compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Derrick/Tubing boards in good condition? Guardrails installed on derrick board? Pipe fingers in good condition, safety cables attached? Crown guardrails installed? Crown sheave guards in place? Safety retainers in use on hinge pins? Derrick hydraulic system free of leaks? (if applicable). Dead line properly anchored? Booms and boom lines in good condition? Adequate lighting provided? Drreick free of loose and unnecessary objects. Derrick emergency escape line properly installed, Geronimo on line, anchored with a clear path? Tubulars, Drill Pipe, etc racked or hung in derrick are secured to prevent them from falling? Mud standpipe secured, mudhose snubbed at both ends? Rotary beams and all braces are in good condition?

Response
compliant compliant compliant compliant compliant compliant N/A compliant compliant compliant compliant

Details

compliant

compliant

compliant

compliant

DRILL FLOOR AREA

OSHA poster posted in Dog House? Emergency phone numbers posted in Dog House? No N/A

Score (35/39) 89.7%

Need fire, ambulance, closes hospital

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Safety (stabbing) valve and handle with cross over sub if necessary properly located on floor? Remote BOP hydraulic controls accessible? Rotary floor in good condition? Rotary chain drive guarded? All unused floor holes covered with a secure cover? "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". Drillers controls properly labeled/identified? Pipe slips & Dies in good condition? Racking floor area in good condition? V-door gate or net provided and in place? Air hoist lines properly guarded in good condition, line properly laid with functional line guide and brake? Cathead friction surface in good condition? Cathead line divider/grip in good condition? Catline not worn or kinked? Kelly cock wrench and safety valve accessible? Drilling Line in good condition? Tail rope being used, rigged up correctly and in good shape?

Response

Details

Yes

compliant compliant compliant compliant

Yes

compliant compliant compliant noncompliant compliant Gate or Net needed

N/A N/A N/A N/A compliant compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Drawworks properly guarded? Drill line slip/cut recorded on ton mile book? Proper lay of drill line and sufficient wraps left on drum with blocks in down position? (minimum 10 wraps). When were the Hydraulic or Hydromatic brakes last serviced and what is the contractor's maintenance schedule? Dog knot secure? Adequate lighting provided? General housekeeping. Minimum 2 exits from drill floor doghouse? Drill floor doghouse doors installed properly? Drinking water available? MSDS Station readily available? Life basket/Fire Blanket available Factory ends of snub line? First aid kit available in doghouse? Non skid material used around rotary? Guardrails installed along open edges of drill floor? Tong body and jaws, keepers, counter weights, snub lines and jerk lines all in good condition? Tong safety handles installed?

Response
compliant compliant

Details

compliant

Safe

compliant compliant compliant Yes Yes compliant noncompliant compliant compliant Yes compliant compliant Need it in the dog house Not

compliant

compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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

Response
noncompliant

Details
Needs to be on system

Appendix 17

Appendix 18

Safety signage posted? All overhead lights have safety cables?

Yes compliant

Top Drive
TD: Guard Bolts. TD: Blower Motor Mounts. TD: Oil Cooler Bolts. TD: Housing To Frame Bolts. TD: Lube Pump Assembly Mounts. TD: Guard Deflector. TD: Link Tilt Cylinder Retainer. TD: Link Tilt Mount. TD: Bail Clamp Cylinder Pins. TD: Lower Link Support Pins. TD: Spark Arrestor Screen. TD: Elevator Alarm Targets. TD: BUW Mounts. TD: BUW Positioning Cylinder. TD: BUW Stop Pins (L-shaped pins). compliant compliant compliant compliant compliant compliant compliant compliant compliant compliant compliant compliant compliant compliant compliant

Score (21/21) 100.0%

DCInt000018DLR Inspection report Score (336/363) 92.6%

- 26 -

Question
TD: BUW Gripper Cylinder. TD: BUW Slides. TD: BUW Stabbing Guide. TD: Tool Joint Clamp(s) & Bolts. TD: Actuator Valve / Covers. TD: LWCV Pinion Retainer Bolts.

Response
compliant compliant compliant compliant compliant compliant

Details

Iron Roughneck
Iron Roughneck (IR): HPU Showing 22002500 psi. IR: Line Control Port 1900-1950 psi. IR: Hydraulic Lines Not Leaking . IR: Unit Properly Stored If Not In Use. IR: Unit Turned Off When Not In Use. IR: Employees Properly Trained . IR: Employee Clear Of Unit If Moving. IR: Unit Has Clear Path For Operating. IR: Operator Controls Located Properly. IR: Preventive Maintenance (Daily) . N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Score (10/10) 100.0%

HOISTING TOOLS, HOOKS, BAILS, ELEVATORS

Traveling blocks in good condition? Traveling blocks properly guarded? Sheave guards in good condition? Bales and/or links in good condition? Elevators in good condition? compliant compliant compliant compliant compliant

Score (8/9) 88.9%

DCInt000018DLR Inspection report Score (336/363) 92.6%

- 27 -

Question
Hoisting hook equipped with safety latch or equivalent? Crown block assembly secured? Suspension cables and lifting chains are grade 8 and tagged?

Response
compliant compliant noncompliant

Details

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

Appendix 19

Appendix 20

Hoisting line inspected daily?

Yes

HOTWORK AND CONFINED SPACES

Hot work permitted utilizing customers Hot Work Process which meets minimum industry standards? Drilling Foreman trained on customers Hot Work and Confined Space permitting standards? Certified welders utilized? Appropriate protective attire worn for welding and cutting ops. Helmets with face shields used during operations? Fire extinguishing equipment available and fire watch utilized? Confined spaces properly labeled? Confined Space Entry Permit issued by Drilling Foreman or rig contractor for CS entry?

Score (10/10) 100.0%

N/A

N/A

N/A N/A

N/A

N/A N/A

N/A

DCInt000018DLR Inspection report Score (336/363) 92.6%

- 28 -

Question
Permits are completed properly and filed at the job site? Gas detection devices are available and calibrated per manufactures specifications?

Response
N/A

Details

N/A

ENVIRONMENTAL
Sediment migrating off location? Gullies or ditches forming along location slopes? Re-vegetation less than 70%? BMPs not present on location? BMPs need maintenance or removal? Reserve pit free of oil and trash? Reserve pit liner, good integrity, anchored properly? Reserve pit has sufficient free board? Reserve pit fall controls in place? Secondary containment (berms/ditches) adequate and maintained? Pipe dope is lead free? N/A N/A N/A N/A N/A N/A N/A N/A N/A compliant compliant

Score (11/11) 100.0%

STAIRS, LADDERS, HANDRAILS & GUARDRAILS

Adequate stairs provided off rig, min. of 2 for drill floor? Stairs level, secure with no obstructions? Adequate handrails provided on stairs with 4 or more risers? Stair treads of uniform size made with nonskid material? compliant compliant compliant

Score (7/7) 100.0%

compliant

DCInt000018DLR Inspection report Score (336/363) 92.6%

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Question
Stair treads free of damaged?

Response
compliant

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

Stairs properly installed and pinned if required? Guardrails, Midrails, & Toeboards installed along all open side edges of floors, platforms, etc, 4ft above ground level.

compliant

compliant

ADDITIONAL FINDINGS
Other remarks #1 Other remarks #2 Other remarks #3 Other remarks #4 Other remarks #5 Other Remarks #6 Other remarks #7 Other remarks #8 Other remarks #9 Other remarks #10 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Score (10/10) 100.0%

DCInt000018DLR Inspection report Score (336/363) 92.6%

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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

DCInt000018DLR Inspection report

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