Department SFTY

Document HSE 006

Version 01

Creation Date 22.09.10

Last Revision 31.08.11

DRILL RIG INSPECTION CHECKLIST

SECTION 1 - GENERAL INFORMATION DATE: TIME: RIG NO: INSPECTED BY: Compliance N/A YES NO LOCATION:

SECTION 2 - PPE (Behavioural) All using appropriate PPE and in good condition? 1. Ear Protection 2. Gloves 3. Hardhat 4. Overalls 5. Safety Boots 6. Safety Glasses 7. Dust Mask 8. Safety Harness Total Behavioural: SECTION 3 - WORK AREA Description of condition 1. Free from slippery substances? 2. Trip or other obstruction hazards? 3. Adequate lighting (illumination) for work at night? SECTION 4 - DRILL RIG Description of condition 1. Inspection list and Toolbox talk completed? 2. Equipment in good condition? 3. All hazardous machine parts guarded? 4. Whip checks on all air hoses secure? SECTION 5 - ENVIRONMENTAL Description of condition 1. Waste / rubbish adequately controlled? 2. Oil / Hazardous Substance Spillages controlled? 3. Adequate disposal systems and spill kits? SECTION 6 - DEMARCATION Description of condition 1. Access and exit routes demarcated? 2. Demarcation around work area and sumps? 3. Demarcation / Barricading in good condition? SECTION 7 - HOUSEKEEPING Description of condition 1. Working area clean and tidy? 2. No redundant materials? 3. Tools and Items stored away after use? 4. Adequate storing space? 5. Stacking of Drill Rods safe?
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Comments

N/A

Compliance YES NO

Comments

Compliance N/A YES NO

Comments

Compliance N/A YES NO

Comments

Compliance N/A YES NO

Comments

N/A

Compliance YES NO

Comments

Department SFTY

Document HSE 006

Version 01

Creation Date 22.09.10

Last Revision 31.08.11

DRILL RIG INSPECTION CHECKLIST

SECTION 8 - SAFETY & EMERGENCY Description of condition 1. Stretcher in place? 2. First Aid boxes available and Contents correct? 3. Trained First Aiders available on site? 4. Safety Signage displayed? 5. 2 x Fire Extinguishers available and checked? Total Operational: SECTION 9 - TOTAL OBSERVATIONS Behavioural Operational Total SECTION 10 - RECOMMENDATIONS / COMMENTS

Compliance N/A YES NO

Comments

Safe

Unsafe

% Safe

SECTION 11 - SUPERVISOR ACTION PLAN - Action to be taken

Commitment Date

Safety Representative Signature

Drilling Supervisor Signature

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