+ Industrial Hygiene Questionnaire + 0000000382 + 000000

IDENTIFICATION

Description Testing By Dinesh AUDITED BY

Work area / Pattern E-1400, S- 3

Plant 10D1

Yes No NoAnsw

________________________________________________________________________

GENERAL

Whether Spudding Conference Is Held Before Commencement Of Drilling

Activity?

Whether the minutes of the meeting is being documented?

Whether the recommendations / shortcomings implemented?

________________________________________________________________________

SAFE OPERATING PROCEDURE

Are the employyes / supervisors formally quizzed to assure that they

fully understand the hazards and safe operating procedures

________________________________________________________________________

Are the procedures kept current, understood & Used?

BLOW OUT PREVENTION

Are procedures established to cover periodic inspection, maintenance &

testing of device for continuous monitoring of mud parameters like flow

________________________________________________________________________

Are these procedures fully understood and used?

16.05.2024 + ***Confidential*** + Page 1 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Are procedures established for inspection, maintenance and testing &

well control equipment?

Who is responsible fhese functions?

________________________________________________________________________

________________________________________________________________________

Have standing instructions been issued specifying the action to be

takenby the drilling crew when a kick is detected?

________________________________________________________________________

Are drilling crew formally quizzed to assure understanding of emergency

action in the event of kick?

Are blowout drills held regularly? Is it documented?

________________________________________________________________________

What % of drilling crew have undergone training in well control? Is it

documented?

________________________________________________________________________

<U><H><K>HAZARD CONTROL</></></>

Are H2S sensors and alarm adequate and in good working order?

Do employees understand H2S hazards and safety procedures? Any Formal

quiz?

________________________________________________________________________

Are safe breathing areas clearly identified?

Is self contained breathing apparatus vailable in adequate number?

Is there a procedure for regular inspection, maintenance & testuing of

16.05.2024 + ***Confidential*** + Page 2 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

these equipment?

________________________________________________________________________

________________________________________________________________________

EMERGENCY ESCAPE DEVICE

Whether emergency escape device is provided with this rig?

Whether the same is in operating condition?

SAFETY BELT / FALL ARRESTOR

Whether safety belts are provided?

Whether these are used by crew?

Is fall arrestor available, operational & being used by crew?

________________________________________________________________________

ENTRANCE AREA

Whether site plan has been properly displayed?

Whether updated contingency plan displayed to meet Emergency / Fire?

Display of no Smoking lights

Display of No naked lights

Display of Photography Prohibited

Display of unauthorised entry prohibited

16.05.2024 + ***Confidential*** + Page 3 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Display of names of First aid trained employees

Display of Fire Fighting trained employees

MUD PUMP AREA

Proper aproach to mud pumps Is there

Condition of safety valve is ok?

________________________________________________________________________

The bleed line anchored or not

The bleed line anchored or not

H.P. mud manifold lines secured

Availability of eye wash at hopper is there

General house keeping is ok

Condition of pump floor and area around is ok

BLOW OUT PREVENTORS

whether properly installed and tested

Whether controls accesible, whether control units are charged

Condition of gauges is ok

Whether hydraulic lines are protected and well secured

16.05.2024 + ***Confidential*** + Page 4 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

________________________________________________________________________

Cleanliness of cellar and floor area is proper

Choke main fold line and stand secured

Availability of steam wheel & screen in case of manual operating BOP

________________________________________________________________________

Valves condition of choke & kill manifold is ok

Mud discharge line from choke is anchored

PIPE RACK AREA

Whether end rests are provided

Whether layers of pipes prvided with rolling arrestor

Whether pipe rack area in proper level & height

Condition of cat walk is ok

General House keeping is proper

Foundation or foot board provided at proper places

DERRICK FLOOR AREA

Condition of pipe hooks and fingers is ok

Condition of pipe stand is ok

Availablity of safety belt

16.05.2024 + ***Confidential*** + Page 5 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Condition of derrick floor is ok

________________________________________________________________________

Condition of engine floor is ok

Availability of NRV/kelly cock

Position of toe boards around derrick floor & engine floor

Emergency exit of Dog house

Condition of Driller's control panel

TONGS

Condition of snubbing lines is ok

Condition of jerk lines

Clamps used on jerk line / snub lines / guy ropes / cat line as per

safety rules

Condition of Tong dies

Condition of body & jaws of Tongs

Condition of Elevators is ok

Condition of rotary slips is ok

Con of rollers & pneumatic lines of pneumatic power tongsdition is ok

Condition of auto ,locking of elevators is ok

16.05.2024 + ***Confidential*** + Page 6 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Are anchor of backup lines available?

CAT HEAD DRUM & AIR HOIST

Cat Head safety guards provided?

Condition of automatic cat head is ok

Condition of twin safety device is ok

Condition of air hoist line is ok

Condition of casing line & wire line is ok

EMERGENCY ESCAPE DEVICE

Escape device installed or not?

Conditipon of Escape device is ok

Periodical operation / inspection carried out every week

Condition of track rope is ok

Condition of haulage rope is ok

Condition of hand brake is ok

FLOORS, STAIRS & HAND RAILS

Condition of Stairs & Steps is ok

16.05.2024 + ***Confidential*** + Page 7 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Whether stairs are levelled, well secured & clear

Whether side rails of stairs, rig floor and mud tanks in position

Whether floor free of slippage / trapping hazards

Condition of mast ladder is ok

Provision of fall prevention device and its condition

________________________________________________________________________

General House keeping is proper

GUARDS

Engine guard belts in position

Rotary drive chain guard in position

Guards of pump drive belts in position

Gurads on sahle shaker belt drive in position

Transmission guards in position

Compressor drive guards in position

GENERAL HOUSE

Availability of guards on moving parts is there

Condition of instruments & gauges is proper

16.05.2024 + ***Confidential*** + Page 8 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Condition of deiesel tank and leakage etc is ok.

Provision of battery boxes & battery cut off switch / earth switch is

made

Whether self starter cover is intact

SAFETY EQUIPMENT & WARNING SIGNS

Condition of approach to fire extinguishers whether appropriately placed

Availability of warning signs on fuel tanks

availability of identifications labels on vessels & containers

Periodical inspection & testing of pressure vessels

Fire fighting training to shift crews

Availability of fire fighting equipment as per norms

Availablity of gas detectors and its condition

PERSONAL PROTECTIVE EQUIPMENT

Proper clothing being used

Safety helmet being used

safety belt available at the installation and used by Top man

Safety gloves used by crew members

16.05.2024 + ***Confidential*** + Page 9 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Spare helmets available at the site

GENERAL

Availability of Drinking water

Drillometer condition

Condition of Pressure gauges

Provision of spark arrestors on Engine Exhaust

Proper storage of Oxy acetylene cylinders

First aid box with anti snake bite kit and stretcher is availiable

Automatic Resusciation cum oxygen therapy unit

Display of warning signs

safet awareness & other publicity materials is availiable

Availability of emergency vehicles round the clock

Condition of emergency vehicle is ok

Drain Line provided

Provision of waste pit is made

Provision of fencing around the site

Condition of working tools is ok

16.05.2024 + ***Confidential*** + Page 10 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

storage of P.O.L

Communication telephones lines are in order

Condition of bunk houses is ok

Condition of dog house & stores is ok

Distance of oil pit from well mouth in metres

________________________________________________________________________

Distance of oil pit from road in metres

Provision & opeartion of safety line is made

B.O.P drill being conducted regularly

RECORDS

B.O.P. test records are maintained

B.O.P. drill records are maintained

High pressure manifold records are maintained

________________________________________________________________________

Accident records are maintained

________________________________________________________________________

Casing line & wire line records are maintained

Equipment log book & maintenance records are maintained

Fire Fighting trained employees records

16.05.2024 + ***Confidential*** + Page 11 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

________________________________________________________________________

First aid trained employee records

Earth Test Records are properly maintained

Insulation Test Records

Spudding Conference Records

Escape device operation /inspection records

Other records as per OMR 1984

________________________________________________________________________

Installation Manager.

________________________________________________________________________

Location?

________________________________________________________________________

Date of Audit.

________________________________________________________________________

Audited by.

________________________________________________________________________

PART -1 GENERAL

SPUDDING CONFERENCE

Whether spudding conference is held before commencement of drilling

activities? (OISD STD)

Who is responsible for holding the spudding conference? (OISD STD)

________________________________________________________________________

Whether the minutes of spudding conference being documented?

When was the last internal audits carried out?

________________________________________________________________________

Whether Internal audit carried out?

Whether the recommendations/shortcomings implemented?

Compliance Report submitted?

16.05.2024 + ***Confidential*** + Page 12 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Who is responsible for implementation of recommendations/shortcomings?

________________________________________________________________________

Recommendation:

________________________________________________________________________

Part -I GENERAL : SAFE OPERATING PROCEDURE (SOP)

Are copies of updated Site Specific SOP available?

Whether the employees/ supervisors fully understood the hazards of safe

operating procedures?

Are recommended practices and Safe operating procedures discussed in

safety meetings held with crew?

Condition of plinth.

________________________________________________________________________

Any Recommendation in General-SOP :

________________________________________________________________________

PART-I GENERAL: BLOW OUT PREVENTION

"Are procedures established to cover periodic inspection, maintenance an

dtesting of devices for continuous monitoring of mud parameters like flo

wrate, gas content, volume and quantity of mud?"

Are these procedures fully understood and used?

"Are procedures established for inspection, maintenance and testing of

well control equipment?"

Who is responsible for these functions?

________________________________________________________________________

Have standing instructions been issued specifying the action to be taken

by the drilling crew when a kick is detected?

Are drilling crew aware of emergency action in the event of kick?

________________________________________________________________________

Are blowout drills held regularly?

Is blowout drills documented?

Whether valid accredited well control certificate of appropriate level

training in well control for Toolpusher/DIC available?

Whether valid accredited well control certificate of appropriate level

training in well control for all Drilling Engineers available?

Whether valid accredited well control certificate of appropriate level

16.05.2024 + ***Confidential*** + Page 13 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

training in well control for all Assistant Drilling Engineers available?

Any Recommendation in General-BOP:

________________________________________________________________________

PART-I GENERAL: H2S HAZARD CONTROL (WHERE APPLICABLE)

Are H2S sensors and alarm adequate and in good working order?

Do employees understand H2S hazards and safety procedures? Any formal

quiz?

________________________________________________________________________

Are safe breathing areas clearly identified?

Is self contained breathing apparatus available in adequate number?

Are the self contained breathing apparatus fully charged?

"Is there a procedure for regular inspection, maintenance and testing of

the self contained breathing apparatus?"

Are persons trained in the use of breathing apparatus?

Is H2S contingency plan prepared and practised?

Any Recommendation in General-H2S Hazard Control:

________________________________________________________________________

PART-II TECHNICAL: ENTRANCE AREA

"Provision of fencing around the Site and security at the entrance (OMR:

2017, Regulation:130)?"

Whether Site Plan has been properly displayed?

Whether updated phone number for nearest Fire Service and Police Station

displayed?

"Whether updated contingency plan for Fire displayed to meet Emergency

(OMR:2017, Regulation:102)?"

"Whether updated contingency plan for Blowout displayed to meet Emergenc

y(OMR:2017, Regulation:102)?"

"Whether updated contingency plan for Medical Evacuation displayed to

meet Emergency (OMR:2017, Regulation:102)?"

"Whether prohibitory Sign for ""NO SMOKING"" displayed?"

"Whether prohibitory sign for "" PHOTOGRAPHY PROHIBITED"" displayed?"

"Whether prohibitory sign for "" NO NAKED LIGHTS "" displayed?"

"Whether prohibitory sign for "" UNAUTHORISED ENTRY PROHIBITED ""

16.05.2024 + ***Confidential*** + Page 14 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

displayed?"

"Whether prohibitory sign for "" CARRYING MATCHBOX, LIGHTERS, EXPLOSIVES

PROHIBITED"" displayed?"

"Whether prohibitory sign for "" HAZARDOUS AREA CLASSIFICATION"" display

ed?"

"Whether names of "" FIRST AID TRAINED EMPLOYEES"" displayed ?"

"Whether names of "" FIRE FIGHTING TRAINED EMPLOYEES "" displayed ?"

Any Recommendation in Technical- Entrance Area:

________________________________________________________________________

PART-II TECHNICAL: MUD PUMP AREA (OMR:2017; REGULATION:51.1 & 51.2)

"General Housekeeping, condition of Pump floor and area around."

________________________________________________________________________

Whether safety valve provided?

The discharge from a safety pressure relief valve shall be piped to a

place where it will not endanger persons.

Is there any valve in between a pump and its safety pressure relief

valve?

Whether the bleed line is anchored ?

Whether the H.P. Mud manifold lines are secured?

Whether safety chain fixed across the joints of H.P. lines?

"Are all High pressure lines ( pump delivery lines, kill lines etc)

tested before spud at required working pressure?"

Any Recommendation in Technical- Mud Pump Area:

________________________________________________________________________

PART -II TECHNICAL: MUD TANK & CHEMICAL STORAGE AREA (OMR 2017;

REGULATION 48)

Whether a working gas detector available?

Whether an Audio Visual Alarm available?

Whether a working Eyewash available at Chemical Hooper?

Whether a working Eyewash available at Cementing Hooper?

Whether a working Safety Shower available?

Whether usable walkways/staircase to the Tank are available?

Whether Iron grating over the Tank available?

Is the condition of Hand Rails satisfactory?

16.05.2024 + ***Confidential*** + Page 15 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Is the condition of the walkway along the Flow Nullah satisfactory?

Is the working platform behind the Shale shaker satisfactory?

Is the condition of Operator's cabin/ Chemical Godown(s)/ Laboratory

satisfactory?

Is the condition of LWC Tank and the Ladder satisfactory?

Whether relevant points of MSDS has been properly displayed

(local language)?

"Whether all the materials stored in Tiers shall be stacked, racked or

otherwisw secured to prevent sliding, falling or collapse? (Regulation

38.1)"

Any Recommendation in Technical- Mud Tank and Chemical Storage Area:

________________________________________________________________________

"PART-II TECHNICAL: BLOWOUT PREVENTORS(OMR:2017:REGULATIONS 52,53,54,5

5,56,57 and 58)"

Whether the controls of workable BOP accessible and the BOP control unit

is in charged condition?

Is the condition of calibrated Pressure Gauge satisfactory?

Whether the Hydraulic Lines are protected and well secured?

Whether the Choke manifold line and stand well secured?

Are the condition of choke and kill manifold valve satisfactory?

Is the Mud Discharge line from the Choke manifold anchored?

Is the Trip Tank available and connected?

Are Remote Control Panels available?

Is the level of Hydraulic Oil satisfactory?

Any Recommendation in Technical- Blow Out Preventors:

________________________________________________________________________

"PART-II TECHNICAL: PIPE RACK AREA (OMR 2017: REGULATION 49.1,49.2 &

49.3)"

Is General Housekeeping satisfactory?

Whether removable end rests provided?

Whether layers of pipes provided with Rolling Arrestors? (Regulation

39.2)

Whether Pipe Racks are in proper level and height?

Is the condition of catwalk satisfactory?

16.05.2024 + ***Confidential*** + Page 16 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Foundation or footboard provided at proper places (or on sand bags)

Any Recommendation in Technical- Pipe Rack Area:

________________________________________________________________________

"PART-II TECHNICAL: DERRICK FLOOR AREA (OMR: 2017; REGULATION 24,25,34

,35,40 & 41)"

Is General Housekeeping satisfactory?

Is the condition of Pipe Hooks and Fingers satisfactory?

Is the condition of Derrick Floor satisfactory?

Is Remote control air intact shut off valve working?

Is NRV/Kelly cock in working condition?

Is there provision of Toe boards around Derrick Floor and Engine Floor?

(OMR:2017; Regulation 41) : Toe board 0.15m and two railrailings at

least 1m high.

Is Emergency second exit of Derrick Floor available? ( Two staircase/

other safe means) ; (OMR:2017; Regulation 40)

Is the shut off valve on Drillers Control Panel in working condition?

Is the purging of Electrical Panel satisfactory?

Is the condition of all the jacks satisfactory? ( Applicable for only

DM-5)

Is Stabiliser Beam properly placed? ( Applicable for only DM-5)

Are all jacks locked? ( Applicable for only DM-5)

Is the carrier and stabiliser beam placed over concrete Pad? (

Applicable for only DM-5)

Is the condition of Guy Lines satisfactory? ( Applicable for only DM-5)

Is the condition of Guy Line Anchor (concrete) satisfactory?( Applicable

for only DM-5)

Is the condition of Load Line satisfactory?( Applicable for only DM-5)

Are the Guy Line anchored as per design?( Applicable for only DM-5)

Are the safety clamps fitted as per norms?( Applicable for only DM-5)

Any Recommendation in Technical- Derrick Floor Area:

________________________________________________________________________

PART-II TECHNICAL: TONGS/TOOLS (OMR: 2017; REGULATION 44)

Is the condition of snubbing lines satisfactory?

Is the condition of jerk lines satisfactory?

16.05.2024 + ***Confidential*** + Page 17 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Is the condition of clamps used on jerk line/ guy ropes/ cat line as per

safety rules?

Is the condition of tong safety line satisfactory?

Is the condition of tong dies satisfactory?

Is the condition of body and jaws of tongs satisfactory?

Is the condition of elevators satisfactory?

Is the condition of rotary slips satisfactory?

Is the condition of rollers and pnuematic lines of pnuematic power tong

satisfactory?

Is the condition of auto locking of elevators satisfactory?

Are anchor of backup lines available?

Is the condition of working tools satisfactory?

Any Recommendation in TEchnical- Tongs/Tools:

________________________________________________________________________

PART-II TECHNICAL: CAT HEAD DRUM AND AIR HOIST (OMR:2017;

REGULATION:43)

Is the CAT Head Drum smooth?

Are CAT Head safety guards provided?

Is the condition of Automatic

CAT Head satisfactory?

Is the condition of Twin safety device satisfactory?

Is the condition of Air Hoist Line satisfactory?

Is the condition of Casing Line and Wire Line satisfactory?

Is the condition of Draw Works Brake bands satisfactory?

Any Recommendation in Technical-CAT Head Drum and Air Hoist:

________________________________________________________________________

PART-II TECHNICAL: EMERGENCY ESCAPE DEVICE (OMR:2017; REGULATION:38)

DGMS Approved Escape device installed or not?

Is the condition of Escape Device in working condition?

Whether weekly operation/inspection carried out?

Is the condition of track rope satisfactory?

Is the condition of haulage rope satisfactory?

Is the condition of centrifugal brake satisfactory?

Is the condition of hand brake satisfactory?

16.05.2024 + ***Confidential*** + Page 18 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Is the condition of U-clamps and shackles satisfactory?

Is the condition of boarding and landing point satisfactory?

Any Recommendation in Technical- Emergency Escape Device:

________________________________________________________________________

"PART-II TECHNICAL: FLOORS, STAIRS AND RAILS (OMR:2017; REGULATION:

36)"

Whether the condition of stairs /steps satisfactory?

"Whether stairs are levelled, well secured and clear?"

"Whether side rails of stairs, rig floor and Mud Tanks in position?"

Whether Floor is free of slippage/ trapping hazards?

Whether the condition of Mast Ladder satisfactory?

Is there provision of Fall prevention device?

"If yes, is the condition of Fall prevention device satisfactory?"

"Any Recommendation in Technical- Floor, Stairs and Rails:"

________________________________________________________________________

PART-II TECHNICAL: GUARDS (OMR:2017; REGULATION:112)

Are the Engine belt guards in position?

Are all rotary shafts and couplings properly guarded?

Is the rotary drive chain guard in position?

Are the guards of Pump drive belts in position?

Are the guards on Shale shaker belt drive in position?

Are Transmission guards in position?

Are the compression drive guards in position?

Any Recommendation in Technical- Guards:

________________________________________________________________________

"PART II TECHNICAL : HEALTH AND HYGIENE (MINES ACTS' 1952 CLAUSE 19 & 21

:MINES 1955, RULE: 31,44 & 65)"

Is there adequate availability of cool and wholesome drinking water?

Is the storage of drinking water satisfactory? (it shall be kept in cool

& suitable vessels)

Is the first Aid Equipments are available and as prescribed in the Third

Schedule ? ( Nothing except appliances or requisites for First Aid shall

16.05.2024 + ***Confidential*** + Page 19 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

be kept in it)

Whether a Stretcher with two blankets available?

"Whether sets of Splints 1.40 mtrs, 0.90 mtrs and 0.30 mtrs with

necessary triangular bandages for applying them available?"

Whether the First Aid Boxes or Cupboards are available in the ratio one

for every 150 persons employed?

Does the First Aid Box have sufficient supply of large and small

sterilized dressing and burn dressings?

Does the First Aid Box have sufficient supply of sterilized Cotton wool

and Adhesive plaster?

Does the First Aid Box have sufficient supply of Tincture of Iodine or

other Antiseptic Solution?

Does the First Aid Box have sufficient supply of Roller Bandage?

Does the First Aid Box have Tourniquet Scissors and Safety Pins?

Does the First Aid Box have a piece of Carbolic Soap?

Whether Anti Snake bite kit available?

Whether Automatic Resusciator cum Oxygen Therapy Unit available?

Whether emergency vehicles available round the clock?

Is the condition of emergency vehicle satisfactory?

"Is Canteen facility available 15 mtrs away from Latrine, Urinal or any

source of dust/smoke (Mine Rule :65)"

Is the canteen clean and hygienic?

Has Noise survey been done? (OMR:2017 ; Regulation:124)

Is Noise level within limits?

Are the High Noise areas displayed?

Has Noise Barrier been provided?

Do Employees use ear muffs/ plugs where Noise level is more?

Has Illumination survey been done?

Is Illumination level within limits?

Any Recommendation in Technical- Health and Hygiene:

________________________________________________________________________

PART-II TECHNICAL: SAFETY EQUIPMENT & WARNING SIGNS (OMR:2017 ;

REGULATION:128)

Whether there is display of warning signs?

Whether there is Safety awareness/ education and other publicity

16.05.2024 + ***Confidential*** + Page 20 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

materials?

Are warning signs on fuel tanks available?

Are Identification labels on vessels and containers available?

Any Recommendation in Technical- Safety Equipment & Warning Signs:

________________________________________________________________________

"PART-II TECHNICAL: PERSONAL PROTECTIVE EQUIPMENT (OMR:2017;

REGULATION:121,122 AND 123)"

Are Overalls being used as PPE by working persons in the Installation?

Are Safety Helmet(DGMS Approved) being used as PPE by working persons in

the Installation?

Are Safety Shoes(DGMS Approved) being used as PPE by working persons in

the Installation?

Are Ear Muff and Ear Plugs being used as PPE by working persons in the

Installation?

Are Safety Gloves being used as PPE by working persons in the

Installation?

Are Full Body Harness(DGMS Approved) being used as PPE by working

persons in the Installation?

Are spare Helmets for visitors available at site?

Whether facepiece respiratory used during handling chemicals and cement?

Any Recommendation in Technical- PPE:

________________________________________________________________________

PART-II TECHNICAL: GENERAL (OMR:2017; REGULATION:110.3 & 125)

iS THERE PROVISION OF SPARK ARRESTORS ON eNGINE EXHAUST? (omr:2017;

rEGULATION:110.3)

Is there provision of Battery boxes & Battery cut off switch/ earth

switch?

Whether self starter cover is intact? (Regulation 110.1)

Whether there is proper storage of Oxygen/ Acetylene cylinders?

Whether Drain line is provided?

Is the condition of P.O.L storage satisfactory?

"Is there provision of communication line telephone, wireless in working

condition? (OMR:2017; Regulation:125)"

Is the condition of Bunk Houses satisfactory?

16.05.2024 + ***Confidential*** + Page 21 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Is the condition of Dog House satisfactory?

Any Recommendation in Technical- General:

________________________________________________________________________

"PART-II TECHNICAL: ELECTRICAL SYSTEM (OMR:2017; REGULATION:117,118 AND

119)"

Whether double earth connectivity for all electrical equipments/Mast is

done properly with appropriate GI strip?

Is the measurement reading of earth reading and maintenance of earth

pits satisfactory?

"Is the condition of FLP apparatus ( Junction Box, Light fixtures,

switches etc) maintained in hazardous areas satisfactory? (viz: Air

gaps, glands etc)"

Are working Tools for use in Flameproof environment available?

Is the record of Insulation Resistence done properly and

satisfactorally?

Are proper Insulation mats available near electrical panels?

Is there provision of 230V Ph-Ph for use in Lighting circuits?

Are all fuses/ relays/ circuit breakers installed at their respective

places without being bypassed?

"Are the setting values of fuses, relays within prescribed limits?( Chec

krecords and few samples)"

Is the condition of Busbars and its IR readings satisfactory?

Is the condition of Air conditioning of PCR room proper?

Is the condition of electrical connections and cables satisfactory?

Is the laying of cables done properly?

Is emergency light provided for switchgear Room? (OMR:2017;

Regulation:120)

Is aviation light of intermittent type fitted at top of the Mast?

Is safety torch available and properly maintained?

Are records of Earth Pit and Numbering available?

Any Recommendation in Technical- Electrical System:

________________________________________________________________________

PART-II TECHNICAL: ENVIRONMENT (OMR:2017; REGULATION:129)

Is consent obtained from PCBA under Air Act:1981 and Water Act:1974?

16.05.2024 + ***Confidential*** + Page 22 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

(Record available)

In the layout of the Drill site does peripheral trench exist?

In the layout of Drillsite does Ring bund exist?

Does waste pit exist?

Is there impervious lining(HDPE Lining)/ brick lining done in the waste

pit to prevent contanimation of ground water?

Is the distance of waste pit from well centre proper?

Does cutting pit exist?

Has oil pit been constructed to receive oil discharges?

Is the distance of oil pit from well centre proper?

Is the distance of oil pit from road proper?

Is the condition of Ambient Air quality satisfactory?

Are there facilities for recycling water?

Are oil content in disposable water being monitored?

Is the Emergency pit identified?

Is pumping facility available for pumping effluents?

Any Recommendation in Technical- Environment:

________________________________________________________________________

PART-II TECHNICAL: FIRE FIGHTING (OMR:2017; REGULATION:100 & 101)

"Are 2 Nos DCP, 10kg placed in the Derrick Floor?"

"Are 1 Nos DCP, 10kg for each Engine placed in the Main Engine Area?"

"Is 1 No DCP, 10kg placed near the Electrical Motor/Pump used for water

circulation for Mud preparation?"

"Is 1 No DCP, 10kg for each Mud gunning pump placed in the Mud gunning

Pump area?"

Are 1 No 6.8kg CO2 extinguisher and 1 No 10kg DCP for each unit placed

in the Electrical Control Room?

"Is 1 No DCP,10 kg placed in Mud Mixing Tank Area/ Chemical Laboratory?"

"Are 1 No 50 litres Mechanical Foam, 1 No 50 kg DCP, 2 Nos DCP & 2 Nos

10kg sand bucket or 1/2 sand drum with spade placed in the Diesel

Storage Area?"

"Are 1 No DCP, 10kg and 1 No Sand bucket stand placed in Lube storage

area?"

"Is 1 No DCP, 10kg placed in Air compressor area?"

"Is 1 No DCP, 10kg placed in Fire Pump area?"

16.05.2024 + ***Confidential*** + Page 23 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

"Are 1 No Fire extinguisher / Shed with 3 Nos DCP, 10kg & 2 Nos Sand

bucket placed near DIC office?"

No of water monitors?

________________________________________________________________________

No of Hydrants?

________________________________________________________________________

Is TPC near approach gate connected to water Tank?

Is there a dedicated fire water ring main around the Drilling Rig?

Is water storage capacity for fire fighting as per OISD-189?

What is the water storage filling arrangement rate?

________________________________________________________________________

Is there provision of Trailer Fire Pump for fire water ring Main?

Are the No of delivery Hose(22.5m) as per OISD 189?

Availability of Fire Siren/Bell?

Is there display of signal?

Any Recommendation in Technical- Fire fighting:

________________________________________________________________________

PART-II TECHNICAL: RECORDS/ DOCUMENTS

Is copy of Environmental clearance available?

Is NDT of Mast and sub-structure done?

"Is NDT of Tubular and Handling tools done? viz; slips, tongs, elevators

,links ."

Is Pre-spud safety Audit record available?

Is spudding conference record available?

Is pit level meeting record available?

Is Tool Box meeting record available?

Is action taken register available?

Is Work Permit( Hot/cold/Electrical etc) available?

Is Near Miss record available?

Is Bridging Documents available?

Is the Risk Register Approved/Updated with date of update?

Is critical safety Equipment Performance criteria available?

Is monitoring of fencing record available? (weekly)

Are the latest copies of OISD Std available?

Is safety Alert Register available?

16.05.2024 + ***Confidential*** + Page 24 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Are casing line records/ wire line records available?

Is Escape device operation/ inspection records available?

Is B.O.P. Pressure Test records available?

Is B.O.P. Function test records available?

Is B.O.P. Pit Drill records available?

Is B.O.P. trip drill records available?

Is B.O.P. trip sheet available?

Is Electrical Earth Resistence test records available?

Are Insulation Resistence test records available?

As per Mines Rule-1955 is Form A(Part A&B) under ease of compliance

available?

As per Mines Rule-1955 is Form B under ease of compliance available?

As per Mines Rule-1955 is Form D under ease of compliance available?

As per Mines Rule-1955 is Form O(Initial and periodical medical

examination (Rule 29-L)) available?

As per Mines Rule-1955 is Form J(Accident records (29-R and

29-S))available?

As per Mines Rule-1955 is Form K(return of minor accident (Rule

76(2)))available?

As a part of Training record is Training Matrix available?

As a part of Training record is Well control certificate available?

As a part of Training record is MVT certificate available?

As a part of Training record is Work Permit/ Gas testing record

available?

As a part of Training record is First Aid trained employees record

available?

As a part of Training record is Fire Fighting trained employees record

available?

As a part of Fire fighting is Fire Drill records available?

As a part of fire fighting is Fire extinguisher records available?

As a part of Hygiene is test records of drinking water available?

Is Pressure vessel testing record available?

Is SRV testing record available?

Are Equipment logbook and maintenance records (daily/ weekly/

fortnightly) available?

Is High pressure manifold records available?

16.05.2024 + ***Confidential*** + Page 25 / 26

 + Industrial Hygiene Questionnaire + 0000000382 + 000000

Yes No NoAnsw

Is calibration records of pressure gauges available?

Is calibration record of Drillometer (OMR:2017; Regulation:39)

available?

Any Recommendation in Technical- Records/Documents:

________________________________________________________________________

Summary #1

________________________________________________________________________

Summary #2

________________________________________________________________________

Summary #3

________________________________________________________________________

Summary #4

________________________________________________________________________

Summary #5

________________________________________________________________________

Summary #6

________________________________________________________________________

Summary #7

________________________________________________________________________

Summary #8

________________________________________________________________________

Summary #9

________________________________________________________________________

Summary #10

________________________________________________________________________

16.05.2024 + ***Confidential*** + Page 26 / 26