Doc N° OD-PRO-HSE-033

Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

INSPECTION DETAILS

RIG

LOCATION

WELL

OIL COMPANY

DATE of INSPECTION
TOOLPUSHER
Name & Signature

CHECKLIST CONTENTS

Page
Section 1. Offices and Rig Site Accommodation 2
Section 2. Diesel Engines & Generators 3
Section 3. Power Control Room 3
Section 4. Accumulator Unit 3
Section 5. Slush Pumps 4
Section 6. Mud Tanks 5
Section 7. Substructure, Cellar & BOP 5
Section 8. Air Compressors Unit 6
Section 9. Drill Floor 6
Section 10. Dog House 8
Section 11. Mast 8
Section 12. Catwalk & Pipe Racks 10
Section 13. Manifolds 10
Section 14. Fuels Tanks 10
Section 15. Fire Fighting Equipment 11
Section 16. Gas Cylinders 11
Section 17. Welding & Cutting 11
Section 18. Hand & Portable Power Tools 11
Section 19. Cranes, Fork-lift & Slings 12
Section 20. Miscellaneous Items 12
Section 21. Camp Site Accommodation 13
Section 22. Electrical Equipment 13
Section 23. Safety Matters & Equipment 13
Section 24. Certification of Personnel 15
Section 25. HSE Records & Certification 17
Section 26. Inspection Assessment 18

Work Site Inspections

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Rig Inspection Checklist
 Doc N° OD-PRO-HSE-033
Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

Work Site Inspections

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Rig Inspection Checklist
 Doc N° OD-PRO-HSE-033
Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

1. OFFICES and RIG SITE ACCOMMODATION

YES NO N/A
1-1 OOO Electrical cords and fittings free of defects
1-2 OOO Protective covers on all lights
1-3 OOO Fire extinguisher in each caravan
1-4 OOO Escape window or door in sleeping room
1-5 OOO Smoke alarm present and functioning
1-6 OOO At least one qualified First Aid person on each shift
1-7 OOO Phone numbers (physician, hospital, Fire Brigade, Project Manager, etc.) posted in office & dog house
1-8 OOO Suitable “ambulance” available:

OOO • Medical equipment inside (resuscitation kit, defibrillator, etc.)

OOO • Clean & well maintained
OOO • Accommodates injured & accompanying person within body of vehicle
OOO • Allows verbal communication between driver and the injured person or accompanying person
1-9 OOO Site Doctor or Toolpusher’s office has an eyewash station
1-10 OOO Self-contained Breathing Apparatus available in Toolpusher's office
1-11 OOO Self-contained Breathing Apparatus available in Client Representative's office
1-12 OOO Self-contained Breathing Apparatus available in Mud logging Unit
1-13 OOO Rig Personnel trained in the following basic training courses as per In house HSE Training Matrix:
OOO •Fire Fighting
OOO •Hydrogen Sulphide
OOO •Emergency Procedures
OOO •Self-contained Breathing Apparatus
OOO •Work Permit System
OOO •Hygiene and Housekeeping
OOO •Personal Protective Equipment
OOO •Safety Signs
OOO •Manual Handling
OOO •Injuries to Fingers and Hands
OOO •Handling and Storage of Hazardous Substances
OOO •Electrical Safety Awareness
1-14 OOO Spare H2S sensor for monitoring system
1-15 OOO Personal H2S monitors
1-16 OOO Hand-held pump-type H2S detectors, with high and low level
1-17 OOO Sensor for checking H2S in the mud returns
1-18 OOO One spare combustible gas detector
1-19 OOO Portable gas detectors
1-20 OOO Portable oxygen resuscitator unit(s), with spare oxygen cylinder
1-21 OOO Safety harnesses with lifelines
1-22 OOO Basket stretchers with blankets and securing straps
1-23 OOO Quick air splints
1-24 OOO Portable bullhorn with additional battery pack
1-25 OOO Explosion-proof flashlights with additional set of batteries(including spare bulbs)

Work Site Inspections

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Rig Inspection Checklist
 Doc N° OD-PRO-HSE-033
Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

2. DIESEL ENGINES & GENERATORS

YES NO N/A
2-1 OOO Grounded to earthing ring
2-2 OOO Ground cable securely fastened with bolted clamps
2-3 OOO Buildings bonded together to common ground
2-4 OOO Fans and belts guarded
2-5 OOO Electrical junction boxes identified and kept in closed position
2-6 OOO Electrical outlets labelled, voltage identified
2-7 OOO All knockouts in panels (no open knockouts)
2-8 OOO Electrical cords, plugs, receptacles, etc., in good condition
2-9 OOO Switches capable of being locked out
2-10 OOO Lockout procedures in place
2-11 OOO Lights have protective coverings
2-12 OOO Suitable emergency lighting available and working
2-13 OOO Fire extinguishers on generator caravan
2-14 OOO Noise Hazard sign in place
2-15 OOO Hearing protection provided and used by workers
2-16 OOO Exits free of obstruction
2-17 OOO Floors and equipment free of oil, grease, mud, rags, etc.
2-18 OOO Housekeeping acceptable, no accumulations that present a hazard
2-19 OOO High Voltage sign posted
2-20 OOO All engine exhaust pipes equipped with spark arrestors for spark suppression
2-21 OOO Auxiliary / emergency generator run and tested every week

3. POWER CONTROL ROOM

YES NO N/A
3-1 OOO Emergency lighting installed and working
3-2 OOO Non-conductive mats placed on floor
3-3 OOO Self-contained Breathing Apparatus in PCR
3-4 OOO Safety switch hook available and appropriate safety signs and warnings posted

4. ACCUMULATOR UNIT
YES NO N/A
4-1 OOO Located at least 30 metres from wellbore
4-2 OOO Bleed-down valves installed on each accumulator bank to allow for checking of the pre-charge pressure
and for draining fluid back to the reservoir (API Spec 16D)
4-3 OOO Accumulator bottles pre-charged to proper pressure, checked & recorded on daily drilling report
Date of last check: _____________
Pressure (psi): _____________
4-4 OOO Recommended pre-charge pressure for the accumulator banks on the accumulator bottles clearly
displayed

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Rig Inspection Checklist
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Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

4-5 OOO Vent valve which drains the control fluid back to the tank clearly identified and marked “Vent valve
normally closed”
4-6 OOO Accumulator tested weekly (with recharge pumps off) & recorded on the proper report
Date of last test: ______________
4-7 OOO No leaks in the system
4-8 OOO Gauges in good condition and readable
4-9 OOO Controls free of any obstruction
4-10 OOO Controls / levers in OPEN or CLOSED position, not Neutral
4-11 OOO Fire extinguisher available and serviceable
4-12 OOO Compressor free of dirt, grease or oil, rags, etc.
4-13 OOO Sign posted identifying remote start up of equipment

5. SLUSH PUMPS
YES NO N/A
5-1 OOO Pulsation Dampener diaphragm pre-charged to proper pressure, checked & recorded on daily drilling
report
Date of last check: _____________
Pressure (psi): _____________
5-2 OOO Pump lubrication systems in working condition
5-3 OOO Reset relief valve capped, proper size pins inserted (set @ _____ psi)
5-4 OOO No valves installed between pump and relief valve
5-5 OOO No valves installed between relief valve and its discharge
5-6 OOO Reset relief valve discharge line sloped downward
5-7 OOO The reset relief valve vent lines are self-draining in order to prevent gelled or solidified mud causing a
blockage (API RP 54)
5-8 OOO Reset relief valve discharge line properly secured
5-9 OOO Shock hoses safety chained
5-10 OOO Covers over the pony rod wells installed and in good condition
5-11 OOO Pony rod ends, piston rod ends and intermediate rods were NDT inspected within the previous twelve
months
5-12 OOO The local pressure gauges are properly placed (not after the high-pressure discharge strainer)
5-13 OOO Electrical connections in good condition
5-14 OOO Unused electrical receptacles capped
5-15 OOO Electrical lights have protective covers
5-16 OOO Fire extinguisher in place
5-17 OOO Sign posted identifying remote start up of equipment
5-18 OOO Noise Hazard sign posted
5-19 OOO Hearing protection provided and used
5-20 OOO Floor and equipment free of grease, oil and debris
5-21 OOO No oily rags or tools laying about
5-22 OOO Housekeeping acceptable, no accumulations that present a hazard

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Rig Inspection Checklist
 Doc N° OD-PRO-HSE-033
Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

6. MUD TANKS
YES NO N/A
6-1 OOO All couplings on electric motors properly guarded
6-2 OOO Eyewash and shower facilities at mixing area serviced and operable
6-3 OOO Eye protection, rubber gloves, apron and boots provided at mixing area and worn
6-4 OOO All safety protective equipment stored in a well-marked designated locker at or near the mixing station
6-5 OOO Respirators / masks provided for employees working with oil-based mud system
6-6 OOO The degasser vent line is routed to an area where the gas can disperse without causing a hazard (vent
line not to be connected to the poor-boy degasser vent line)
6-7 OOO Degasser installed and vented to flare pit / line
6-8 OOO NDT inspection, wall thickness inspection or hydrostatic pressure test carried out for the poor-boy
degasser vessel body to verify its integrity (API RP 53)
6-9 OOO Hazardous products (e.g. caustic) used in barrel mixer or mud tank adequately identified
6-10 OOO All Material Safety Data Sheets (MSDS) of mud products available
6-11 OOO MSDS, of all dangerous goods present on site, stored at _________________
6-12 OOO Explosion-proof motors and fittings as per API RP 500 requirements
6-13 OOO Electrical connections, plugs, receptacles, and lights in good condition and properly sealed
6-14 OOO Lights have protective covers
6-15 OOO Grommets & electrical cables with proper fit
6-16 OOO Guard rails in place
6-17 OOO Fire extinguisher in place at shale shaker
6-18 OOO H2S monitor sensor head at flow line opening to shale shaker
6-19 OOO Floor coverings in place to prevent tripping or falling
6-20 OOO Walkways, stairs, safety gratings and platforms in good condition
6-21 OOO No tools or tripping hazards on walking / working surfaces
6-22 OOO Non-conductive mats placed on the floor in front of electric switchboards

7. SUBSTRUCTURE, CELLAR & BOP

YES NO N/A
7-1 OOO H2S monitor sensor heads at top of bell nipple, in the flow line
7-2 OOO One combustible gas detector installed, with the sensor at either the top of the bell nipple (or the flow
line opening to the shale shaker if a rotating head is in use)
7-3 OOO Cellar protected from workers falling into it
7-4 OOO Cellars deeper than 1 metre have ladder, stairs, ramp, or similar safe means of access
7-5 OOO BOP properly turnbuckled (4 lines)
7-6 OOO BOP scaffolding or working platforms in good condition
7-7 OOO BOP ram locks are in working condition and the operating handles are in place (API RP 53)
7-8 OOO The safe working load is clearly marked on the trolley beams of BOP handling equipment
7-9 OOO HCR remote valves are provided with a hand wheel as mechanical over-ride enabling the crew to close
the valve manually
7-10 OOO Coflexip hoses in use are fire resistant with the correct fire protection rating

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Rig Inspection Checklist
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Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

7-11 OOO Borescope inspection for coflexip hoses done and recorded
7-12 OOO Fall arrestor devices available, inspected and properly stored
7-13 OOO Kill and choke lines connected, pressure tested
7-14 OOO Fire resistant kill and choke lines
7-15 OOO Steel or approved equivalent armoured hose accumulator lines
7-16 OOO All electrical junction boxes and conduit sealed
7-17 OOO Electrical equipment and cables in good condition
7-18 OOO Unused electrical receptacles covered
7-19 OOO Lights sealed with protective covers
7-20 OOO All pins and safety pins in place

8. AIR COMPRESSORS UNIT

YES NO N/A
8-1 OOO Pressure regulator controls proper air flow
8-2 OOO Pressure relief valves on the compressors, air receivers and oil separators pressure-tested
8-3 OOO Calibration certificate of safety relief valve, updated and available (calibration on yearly basis)
8-4 OOO Each pressure relief valve properly tagged; tags showing the date of the last test and the details of
valve’s pressure setting
8-5 OOO Non-return valves on the air supply lines for the two air receivers located on the rig floor tested and in
working condition
8-6 OOO Maximum working pressure on each air receiver stencilled and readable
8-7 OOO Maximum working pressure red-lined on the air receiver pressure gauges
8-8 OOO No valves upstream or downstream from any safety relief valve
8-9 OOO Piping on both sides of safety relief valve is not smaller than normal pipe size openings of the device
8-10 OOO Safety relief valve discharge piping side securely anchored

9. DRILL FLOOR
YES NO N/A
9-1 OOO A loudspeaker system is installed that can be heard throughout the working area
9-2 OOO Adequate safety signs posted in proper position
9-3 OOO Two unobstructed exits from rig floor, not counting the exit leading directly to mud pits
9-4 OOO H2S monitor sensor head at driller's position
9-5 OOO Adequate number of breathing apparatus with emergency cylinders on rig floor
9-6 OOO Bug blowers on rig floor
9-7 OOO Doors open outward from rig floor and dog house
9-8 OOO Guard rail in place across V-door
9-9 OOO Handrails in place
9-10 OOO Floor openings covered when not in use
9-11 OOO Walkways, stairs, safety gratings and platforms in good condition
9-12 OOO Walkways and work areas unobstructed and clean
9-13 OOO Drawworks and rotary drive guarded
9-14 OOO Spark arrestors installed onto the cooling air outlets from all the drawworks and rotary table DC motors

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Rig Inspection Checklist
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Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

9-15 OOO The coupling engage / disengage lever for the auxiliary brake (Elmagco) is secured and locked in the
engage position by the use of a padlock
9-16 OOO Handles for kelly cocks and stabbing valve in easily accessible place
9-17 OOO Anti-slip pads installed around rotary table
9-18 OOO Tong body and tong jaws in good condition
9-19 OOO Snub line on each tong, not frayed, kinked, worn, or wickered
9-20 OOO Tong snub lines properly end terminated (have factory-made eyes)
9-21 OOO Mud buckets and line installed and in good condition
9-22 OOO Driller's controls adequately labelled
9-23 OOO Driller's controls adequately guarded
9-24 OOO Ends of Driller’s headache post contained
9-25 OOO Brake handle slotted complete with tiedown
9-26 OOO Weight indicator or transducer safety tied
9-27 OOO Rig motors & mud pumps emergency shutdown switch on driller’s console
9-28 OOO Rig electrician verifies emergency shutdown switch works;
Date of last test: _____________
9-29 OOO Slip and cut program for drilling line in place and documented
9-30 OOO Crown stop properly set
9-31 OOO Drilling line properly spooled on drum and anchored
9-32 OOO Welding in the area of the dead line anchor dies NDT inspected as per API recommendations
9-33 OOO Winch line in good condition, not kinked, crushed, cut, worn, bird-caged, or unstranded
9-34 OOO Winch line with safety hook or shackle on end
9-35 OOO Swivel used on winch line
9-36 OOO All wire rope fittings properly with eyes
9-37 OOO The attachment clamps for the air winch sheaves are purpose made and machined clamp fittings ( these
attachment devices NDT inspected and load tested)
9-38 OOO Air winch foundations have been NDT inspected within the last 12 months
9-39 OOO Adjustable safety devices available on the winches, which prevent the load line hook from being pulled
against the top sheaves or the hook from being lowered too far
9-40 OOO Ball valve installed in the main air supply line of each air winch close to the operating control, in order to
quickly shut off the air supply in case of a failure of the winch controls
9-41 OOO Safe working load is clearly displayed on each air winch
9-42 OOO All wire ropes and slings free from wickers, not kinked, crushed, cut, worn, bird-caged, or unstranded
9-43 OOO Signalman used with winch line
9-44 OOO MAASP posted at remote choke control panel
9-45 OOO All electrical connections, plugs, receptacles and cords comply with Classification for the area
9-46 OOO Electrical connections, cords, plugs and receptacles in good condition
9-47 OOO Proper fit between electrical cables and grommets
9-48 OOO Lights with proper sealed coverings free of cracks or breaks, properly sealed
9-49 OOO Eye wash facilities on rig floor, serviced and operable
9-50 OOO Fire extinguishers serviced and in place at drawworks

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Rig Inspection Checklist
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Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

10. DOG HOUSE

YES NO N/A
10-1 OOO H2S monitoring system present and functioning
10-2 OOO H2S low alarm set for 10 ppm; high alarm set for 20 ppm
10-3 OOO Gas monitor installed, with low alarm and high alarm
10-4 OOO Adequate safety signs posted in proper position
10-5 OOO Dog house door free of locking devices
10-6 OOO Blowout prevention procedures posted
10-7 OOO BOP function tests done every trip and recorded
10-8 OOO BOP pressure tested at least every 2 weeks and documented
10-9 OOO BOP Remote control panel free of obstruction and accidental operation
10-10 OOO Drills / exercises (BOP, H2S, fire, evacuation) held and recorded in relevant documents
10-11 OOO Trip records (measured hole-fill volumes) kept
10-12 OOO Breathing Apparatus available and in good condition in dog house (or rig floor)
10-13 OOO First aid kit in good condition present at the rig floor
10-14 OOO Stretcher readily available
Location: _________________________
10-15 OOO Employees know location of stretcher and blankets
10-16 OOO Safety meeting topics and attendance documented
10-17 OOO Frequency of safety meetings as per relevant procedure
10-18 OOO Tool-box talks and Pre-tour meetings documented
10-19 OOO Spare derrick belt, safety glasses, face shields and other personal protective equipment kept in dog
house
10-20 OOO Electrical plugs, receptacles, cords, conduit junction boxes comply with electrical code for such
atmospheres
10-21 OOO Light covers sealed
10-22 OOO Housekeeping acceptable, no accumulations that present a hazard

11. MAST
YES NO N/A
11-1 OOO Mast has a permanent nameplate attached stating: manufacturer name, model number, serial number,
hook load capacity with the number of lines, wind load capacity (both with and without pipes in the
mast), and (if applicable) the recommended guying pattern
11-2 OOO Mast ladder extends down to rig floor
11-3 OOO Base of ladder clear of obstructions
11-4 OOO Mast ladder extends at least 3 feet above each landing platform (including the crown)
11-5 OOO Platforms provided at regular intervals on ladder, or climbing assist device provided
11-6 OOO Climbing belt always used
11-7 OOO Mast girts in good condition
11-8 OOO All mast pins in place with safety pins (spring pin type)
11-9 OOO Tong counterweight ropes in good condition
11-10 OOO Safety line prevents counterweight from dropping

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Rig Inspection Checklist
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Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

11-11 OOO All sheaves, lights, and other fixtures safety-tied

11-12 OOO Proper safety slings are installed on all equipment mounted in the mast and in such a way that the sling
will catch the wire and load in the event of a failure of the snatch blocks (the safety sling must pass
under the snatch block and between the wires
11-13 OOO Standpipe adequately anchored
11-14 OOO Ultrasonic wall thickness inspections on all high-pressure pipe system done and report available
11-15 OOO High-pressure mud jumper hoses, rotary hoses and cement hoses have current certification
11-16 OOO Kelly hose safety chained at both ends, (chained to the swivel, not chained to the gooseneck)
11-17 OOO Traveling blocks have sheave guards
11-18 OOO Traveling blocks free of projections
11-19 OOO Hang off lines of traveling block are in satisfactory condition
11-20 OOO Kelly hook safety latched
11-21 OOO Safety belt present in the mast
11-22 OOO Derrickboard secured and in good condition
11-23 OOO Breathing Apparatus with emergency cylinder in derrickboard
11-24 OOO Fingers and pads properly pinned and safety chained
11-25 OOO Certified inertia reel-type fall arrestor installed above the derrickboard for use by the derrickman
11-26 OOO Safety harness provided and compatible with the inertia reel-type fall arrestor
11-27 OOO Geronimo or other escape mechanism installed
11-28 OOO Geronimo escape unit is readily accessible to the derrickman
11-29 OOO Guards over the fast line and main cluster sheaves installed to prevent accidental contact with moving
equipment
11-30 OOO Top jumper bar on the fast line sheave installed
11-31 OOO Crown block platform has no openings large enough for a worker to fall through
11-32 OOO If wooden bumper blocks are installed under crown block, they are tied with safety cables and covered
with expanded metal or suitable screen or mesh (API RP 54)
11-33 OOO Crown block sheaves in good condition and well lubricated
11-34 OOO Mast lights have adequately sealed protective covers
11-35 OOO All electrical connections, plugs, receptacles, cords etc. are in good condition
11-36 OOO The platform stabbing board is fitted with two locking devices independently operated, one operating
with the lifting handle at neutral and the other operating when the hoisting system fails
11-37 OOO Lock / latch mechanism for the platform is installed for when it is not in motion
11-38 OOO Certified inertia reel-type fall arrestor installed above the stabbing board for use by the derrickman and
connected to the mast structure, not connected to the stabbing board support frame
11-39 OOO Dedicated safety harness provided at the stabbing board
11-40 OOO Closing plates installed at the bottom of the tracks that are capable of supporting the stubbing board,
because in the event of any failure the loaded board must not become detached from the track
11-41 OOO All the high load areas of stubbing board properly NDT inspected
11-42 OOO The board runs true in the guide rails
11-43 OOO All of the dolly wheels of stubbing board are free to rotate
11-44 OOO Handrails are installed onto the stabbing board unit

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Rig Inspection Checklist
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Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

12. CATWALK & PIPE RACKS

YES NO N/A
12-1 OOO Catwalk level in good condition
12-2 OOO Catwalk free of tripping hazards
12-3 OOO Stairs at end of catwalk
12-4 OOO Pipe racks in good condition
12-5 OOO Pipe racks butted against catwalk and secured to catwalk
12-6 OOO Pipe racks chained or pinned together
12-7 OOO Adequate spacers between layers of pipe
12-8 OOO Workers stand out of the way when rolling, loading, or unloading tubulars
12-9 OOO Pipe key, crowbar, or other safe method used when rolling pipe
12-10 OOO Blocks, pins, or chocks used to prevent pipe from rolling off the rack
12-11 OOO Tag line used when loading or unloading tubulars
12-12 OOO Geronimo escape line from the mast:
OOO  Wire rope size as per manufacturer specifications
OOO  When used, the worker will touch ground a safety distance from the escape line anchor point
OOO  Regular check of escape line anchor to ensure load-bearing ability
OOO  Anchor staked in opposite direction of pull
OOO  Escape line touchdown area free of any obstruction or vehicular traffic
OOO  Escape line does not impede access to crown stand or pipe racks

13. MANIFOLDS
YES NO N/A
13-1 OOO Electrical connections, plugs, receptacles and lights are properly sealed with a protective cover
13-2 OOO Manifold and valves free of obstruction
13-3 OOO Valves wheels turn easily
13-4 OOO Valve handles kept ¼ turn from the open or closed position
13-5 OOO Casing and drill pipe pressure gauges installed
13-6 OOO Casing and drill pipe pressure gauges easily visible from manual choke operator's position
13-7 OOO MAASP posted at manual choke
13-8 OOO Safety chains / whipchecks used for pressure hoses, lines with hammer unions or chiksans, in
temporary or permanent use
13-9 OOO Flare lines properly and adequately staked
13-10 OOO Flare ignition system (if applicable)
13-11 OOO Flare line sloped toward flare pit
13-12 OOO Flare pit located at safe distance and correct angle from wellbore
13-13 OOO Flare pit adequate size, with proper backwall
13-14 OOO Flare pit not used as garbage disposal

14. FUEL TANKS

YES NO N/A
14-1 OOO Fuel dispensing nozzles and valves are self-closing
14-2 OOO Fuel tanks have fire extinguishers nearby

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Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

14-3 OOO Fuel tanks conspicuously marked as to contents

15. FIRE FIGHTING EQUIPMENT

YES NO N/A
15-1 OOO Fire drills held as per drill / exercise monthly plan
15-2 OOO Fire extinguishers visually and carefully inspected monthly
15-3 OOO Fire hoses kept on rack or reel when not in use
15-4 OOO Fire hoses not used for any other purpose than fighting fires, drills or testing
15-5 OOO Fire hoses completely unrolled and inspected monthly

16. GAS CYLINDERS

YES NO N/A
16-1 OOO Cylinders stored upright
16-2 OOO Acetylene bottles (empty or full) always stored upright
16-3 OOO Empty and full gas cylinders stored separately
16-4 OOO Oxidizers stored at least 5 metres from fuel gases
16-5 OOO Valve protection caps on all cylinders
16-6 OOO Gas cylinders hoisted only in a cradle, pallet or slingboard
16-7 OOO Stored gas cylinders tied and labelled

17. WELDING & CUTTING

YES NO N/A
17-1 No welding or cutting performed on:

OOO a. any pipe / vessel containing pressurised fluid or gas

OOO b. any container which contains or did contain flammable liquids or gases; used 55-gallon drums are
specifically included

OOO c. or in a confined space until the atmosphere has been tested "safe for fire"
17-2 OOO No welding or cutting on load handling tools or equipment (slips, tongs, bails, elevators, etc.)
17-3 OOO Suitable eye / face protection used when welding, cutting or grinding
17-4 OOO Welding helmets used when arc welding
17-5 OOO All gas bottle regulator gauges are in good condition (no cracked glass covers)
17-6 OOO When not in use, cylinder valves closed and hoses de-pressured
17-7 OOO All welding hoses are free from cracks, leaks, burns, worn spots
17-8 OOO No arc-welding cable with damaged insulation or exposed conductors
17-9 OOO No splices in arc-welding cables within 3 metres of the electrode holder
17-10 OOO Portable arc-welding machine frames are suitably grounded

18. HAND & PORTABLE POWER TOOLS

YES NO N/A
18-1 OOO Portable power tools have "dead-man" auto-shut off devices (tools that can be locked "ON" are
expressly forbidden)
18-2 OOO Portable power tools are double insulated or grounded
18-3 OOO Impact tools (such as drift pins, chisels, hammer wrenches) do not have mushroomed striking surfaces

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Form N° OD-HSE-023
RIG INSPECTION CHECKLIST
Report N°

18-4 OOO Pneumatic power tools are secured to the air line to prevent accidental disconnection
18-5 OOO Grinding wheel is rated for the machine rpm (grinder rpm stamped on nameplate; wheel rpm rating
identified on the wheel blotter)
18-6 OOO Eye hazard sign
18-7 OOO Goggles or face mask available and used
18-8 OOO Updating of Portable Power Tool Register and Maintenance Record

19. CRANES, FORK-LIFT & SLINGS

YES NO N/A
19-1 OOO Routine checks of crane(s) and fork-lift carried out daily by Operators as per inspection list
19-2 OOO Cranes have valid Certificate
Crane 1 Crane 2
Crane #:____________ ____________
Certificate
Expiry: ____________ ____________
19-3 OOO Tag lines used
19-4 OOO All slings and lifting equipment identified with Manufacturer name, a unique plant / identification number
and safe working load (SWL)
19-5 OOO All slings / equipment have a detailed inspection every 3 months (colour code system), recorded in the
Lifting Accessories Logbook
19-6 OOO Lifting operations planned ensuring they are performed safely
19-7 OOO No chain used on rig site (with exceptions stated in Lifting accessories procedure)
19-8 OOO Current colour code chart posted on site showing the colour in force

20. MISCELLANEOUS ITEMS

YES NO N/A
20-1 OOO Two windsocks at least, mounted to be visible from anywhere on the location
20-2 OOO One spare windsock available
20-3 OOO Safety valves of Bulk air system tested and calibrated (at least every twelve months)
20-4 OOO Safe working pressure on each tank stencilled
20-5 OOO Two Muster points marked out
20-6 OOO All stairs with more than 4 risers have handrails
20-7 OOO All working surfaces higher than 1.2 metres have standard handrails
20-8 OOO Safety harnesses used when working higher than 2.5 metres above grade
20-9 OOO All ladders (fixed and portable) in good shape with no bent, broken or damaged side rails and steps
20-10 OOO Portable ladders are safety tied
20-11 OOO Ground circuit / ring properly installed, both in the rig and camp sites
20-12 OOO Overall housekeeping acceptable, no accumulations that present a hazard
20-13 OOO Rig signs posted at strategic road intersections
20-14 OOO Warning signs, prohibition signs and mandatory signs posted at location entrance
20-15 OOO Site Induction given to all personnel entering the location and recorded
20-16 OOO Workers wear appropriate protective equipment at all times
20-17 OOO Personal protective equipment in compliance with Saipem Forms of Standardisation

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20-18 OOO Tool-box Talks and Pre-tour meetings conducted & documented
20-19 OOO No rings, necklaces, long hair or loose clothing presenting a hazard worn by personnel

21. CAMP SITE ACCOMMODATION

YES NO N/A
21-1 OOO First aid kit in good condition present at the camp site
21-2 OOO Exhaust fans, hoods, filters, grease trays and ductwork cleaned regularly to prevent a build-up of
cooking grease and other flammable material
21-3 OOO Blades of exhaust and ventilation fans are equipped with proper guards to prevent employee exposure
21-4 OOO Freezer doors open from inside (panic hardware)
21-5 OOO Fire blanket available
21-6 OOO Fire extinguishing equipment in place and charged
21-7 OOO Cooking, sleeping, washing and toilet facilities clean & sanitary
21-8 OOO Personal sanitation rules posted and followed
21-9 OOO Galley inspected every week and inspection recorded

22. ELECTRICAL EQUIPMENT

YES NO N/A
22-1 OOO Main transformers: identification and warning signs installed on the transformers so that they can be
easily identified and indicate the presence of high voltage
22-2 OOO Main switchboards: non-conducting rubber matting certified for high voltage covers the entire floor area
in front of them
22-3 OOO All electric motors and equipment are suitable for their location (especially for electrical apparatus in
potentially explosive atmospheres)
22-4 OOO Fuel storage area is adequately illuminated
22-5 OOO Cables are adequately supported and secured in cable trays or by other approved methods of support
(API RP 14F), especially for the electrical installations in hazardous areas
22-6 OOO Spliced cables replaced in compliance with API RP 14F (sealing compounds are not insulating materials
and may absorb moisture, causing grounding of the circuit breakers)
22-7 OOO Cables on vertical cable trays are correctly fastened with steel cable ties
22-8 OOO Cable glands are correct for the equipment’s installation
22-9 OOO Equipment installed in hazardous areas is correctly glanded (explosion proof glands have a
manufacturer stamp proving they are suitable for hazardous areas)
22-10 OOO All hazardous area junction boxes inspected to verify that the flame path integrity is satisfactory and all
mastic sealants, if used on the flame path, removed
22-11 OOO All junction boxes, control stations and starters are closed with the correct type and number of bolts to
maintain the integrity of the enclosure
22-12 OOO Any electrical equipment including junction boxes, lights, outlets, etc., in hazardous areas have the
original identification labels legible (API RP 14F)
22-13 OOO All electrical equipment and components are labelled / tagged
22-14 OOO Any unused cables are correctly terminated and logged in a file or register

23. SAFETY MATTERS & EQUIPMENT

YES NO N/A
23-1 OOO Smoke alarms in changing rooms installed and functioning
23-2 OOO Smoke alarms with flashing light or horn installed external to each of engine cabin and PCR

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23-3 OOO Suitable fire extinguisher(s) within ten metres of all working areas provided
23-4 OOO Fire extinguishers available in all areas of the rig location and the extinguishing agent is suitable for the
type of fire likely to occur in any particular area
23-5 OOO Dry-powder extinguishers display a warning regarding their use on electrical fires
23-6 OOO All portable fire extinguishers are fitted onto a mounting bracket
23-7 OOO All the extinguishers located in the mud pit area are housed in fibreglass cabinets in order to protect
them from the adverse effects of the mud
23-8 OOO All escape routes are clearly identified and marked and all personnel made aware of them
23-9 OOO All safety lockers provided with the appropriate safety equipment
23-10 OOO Warning & safety signs are displayed providing instructions for material handling and indicating the
possible hazards involved
23-11 OOO All lifting equipment is examined and tested at proper intervals as per colour code system
23-12 OOO Any personnel baskets used on rig site have a current valid test certificate and the safe working load is
clearly marked on the equipment
23-13 OOO An adequate system is in use to make sure that no uncertified lifting equipment is used
23-14 OOO All certificates for all of the lifting equipment are properly filed and updated
23-15 OOO Handrails and gratings on the mud pits are in good condition
23-16 OOO Policy that makes compulsory to wear PPE while on rig site is enforced
23-17 OOO Noise protection signs posted where required
23-18 OOO Guards installed on the pedestal grinder located in the mechanic workshop
23-19 OOO Self-closing valves for fuel tank sight glasses installed
23-20 OOO All sight glasses on the fuel tanks have adequate protection to save them being accidentally damaged
23-21 OOO All the pressure relief valves installed on rig equipment are regularly tested and copies of these reports
are available on rig site
23-22 OOO All the pressure vessels have their safe working pressure clearly displayed
23-23 OOO Lock-out / tag-out procedures for mechanical and electrical equipment are in place and used

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24. CERTIFICATION OF PERSONNEL

Enter Yes If certificate available Enter Exp. If certificate expired

Enter No If no certificate Enter N/A If not applicable

Fire Fight. Emergency

Medical Well Fire
POSITION NAME First Aid H2S Team Team Other Remarks
Fitness Control Fighting
Leader Leader
Toolpusher
Assistant TP
Tourpusher
Tourpusher
Driller
Driller
Ass. Driller
Ass. Driller
Derrickman
Derrickman
Floorman
Floorman
Floorman
Floorman

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Foreman
Roustabout
Roustabout
Roustabout
Roustabout
Rig Mechanic
Mechanic
Chief Electr.
Electrician
Crane Oper.
Crane Oper.
Fork-lift Oper.
Fork-lift Oper.
Light Driver
Light Driver
Heavy Driver
Heavy Driver

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25. HSE RECORDS & CERTIFICATION

Ref. YES NO N/A

DESCRIPTION Remarks

25-1 OOO Safety Induction

25-2 OOO Minutes of Safety Meeting
25-3 OOO Tool-box Talk
25-4 OOO Pre-tour Meeting
25-5 OOO In-house HSE Training Report
25-6 OOO Personal Training Record Sheet
25-7 OOO Work Permit Log
25-8 OOO Work Permit Certificate
25-9 OOO Electrical Isolation Certificate
25-10 OOO Confined Space Entry Certificate
25-11 OOO Mechanical Isolation Certificate
25-12 OOO Waste Management Logbook
25-13 OOO Safety Indicators
25-14 OOO Pro-active Indicators
25-15 OOO Monthly HSE Report
25-16 OOO Logbook of Lifting Accessories
25-17 OOO Log of Hazardous Substances
25-18 OOO Personal Protective Equipment Checklist
25-19 OOO Portable Power Tool Register
25-20 OOO Portable Power Tool Maintenance Record
25-21 OOO Event Report Logbook
25-22 OOO Event Report
25-23 OOO Accident Investigation Report
25-24 OOO Rig Inspection Checklist
25-25 OOO Hazard Observation Card
25-26 OOO Hazard Observation Cards Tracking System
25-27 OOO Hazard Observation Cards Statistics
25-28 OOO Job Safety Analysis Report
25-29 OOO Drills / Exercises Monthly Plan
25-30 OOO Drill / Exercise Report
25-31 OOO Risk Assessment
25-32 OOO HSE Policy posted on rig site
25-33 OOO PPE Distribution as per Saipem Matrix
25-34 OOO Safety Equipment Layout posted on rig site
25-35 OOO Fire Extinguishers current Certification
25-36 OOO Pressure Vessels Test Certificates
25-37 OOO Air Winch(es) Certification of Conformity / Compliance
25-38 OOO Man-riding Winch(es) Certification of Conformity / Compliance
25-39 OOO Fall Arrestor Devices current Certification
25-40 OOO Value of earthing ring measured and recorded

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Report N°

26. INSPECTION ASSESSMENT

26-1 CRITICAL ITEMS FOUND

Section & Description
Required Action Due Closing
Sub-sect. of Remarks
Action By Date Date
Reference Critical Items

26-2 MAJOR ITEMS FOUND

Section & Description
Required Action Due Closing
Sub-sect. of Remarks
Action By Date Date
Reference Major Items

26-3 MINOR ITEMS FOUND

Section & Description
Required Action Due Closing
Sub-sect. of Remarks
Action By Date Date
Reference Minor Items

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