DRILLING RIG INSPECTION

CHECKLIST FOR
DRILLING & WELL SERVICING
OPERATIONS
Operating Company:

Rig #:

______________________
Company Man:

_________________

______________________
Drilling/Servicing
Company Name & Address:
______________________
______________________
______________________
______________________

______________________
Location:
Closing Conference
Field:__________________ Date/Time:
Well #:________________
Well Name:_____________ ______________________
______________________ Inspected By:
Section:________________
Coordinates:____________ ______________________
______________________ Type of inspection:
Serial #:________________ LEP:

Town:_________________ Fatality:

County:________________ Complaint:

Zip Code:______________ No Inspection

Driller:
Number of employees:

Phone #: _______________
Fax #:_________________
Safety Manager:
______________________
Toolpusher:
Ton Miles Logged:

BOP Test:

Depth of Well:

Days on Location:

Start Date:

Other employers on site:

Completion Date:

Inspection #:
______________________
Date/Time of Inspection:

Site: _______ Total:______
Operations:
DRILLING: □
SERVICING: □
Type of servicing operation
conducted:

1.
#
1
1a

DRILL SITE/LOCATION
Condition

Section N/A:______
S U N D C Standard
A N / S D
T S A B I

Authorized Personnel Sign Posted at entrance to site
Visible rig identification sign erected at entrance to site road
and at all directional changes on site road (for 911 services)
Hard Hat/Safety Glasses/Steel Toe Shoe Signs Posted at
entrance to site and other prominent locations on site
No Smoking Area’s Designated & Posted

B
B

1910.145(c)(2)(i)
1910.151(a)

B

1910.145(c)(3)

B

4

No Parking within 100 ft of the rig or within the guywire
perimeter

B

5

H2S/SO2 warning signs erected, if applicable, at entrance to site
and at other prominent locations on site

B

5a

Terrain evaluated for H2S/SO2.

B

6

H2S/SO2 monitoring devices in use, if applicable

B

6a

H2S monitoring equipment properly maintained & calibrated

B

7

Positive pressure/pressure demand breathing apparatus with full
face piece used while working in areas where atmospheric
concentrations exceed 10 ppm (H2S) or 2 ppm (SO2)
Emergency escape air packs and life lines are readily and
quickly available, if applicable

B

RP54 7.1.2-3
1910.145(c)(2)(i)
RP54 6.1.15
RP49 8.1
RP68 8.1
1910.145(c)(2)(i)
1910.1000(e)
1910.1200(f)(5-6)
RP49 5.1, 8.2.1
RP68 6.9, 8.2.2
RP49 8.1
RP68 8.1
1910.1000(e)
RP49 6.2-4
RP68 6.2-4
RP49 6.5
RP68 6.4
RP49 6.6.1
RP68 6.5

B

11
12
13
14
15

Emergency escape air packs properly maintained and fully
charged
Emergency escape air packs stored in a convenient, clean and
sanitary location
Standby rescue person with suitable rescue equip. & appropriate
breathing apparatus provided
Escape & Guy wires flagged with visible material
Capacity of guywire anchors verified
□ Base Beam Anchor □ Screw-type Anchor
□ Permanent (Cement) Anchor □ Other____________
Verification Method:____________________________
Outhouse/restroom facility provided or in close proximity to the
site. (LT 10 min travel time or 2 miles, whichever is less)
(Facility in close proximity only applies if the site is active for
less than 1 day)
Outhouse clean and sanitary, if provided.
Hard hats & Safety glasses available for visitors
Toolpusher’s trailer grounded
Toolpusher’s trailer securely positioned
Housekeeping

16
17
18
18a
19

Distance from overhead powerlines GT 10 ft
Toolpusher at rig location
Muster area designated
Muster area posted
Visitor tracking system.

B
B
B
B
B

2
3

7a
8
8a
8b
9
9a

10

B

B

1910.134(d)(2)(i)
RP49 6.6.2
RP68 6.5.1, 6.7
RP49 6.6.2
RP 68 6.5.1, 6.7
RP49 6.6.2
RP68 6.5.1, 6.7
RP68 6.6, 6.7

B
B

RP4G 14.5.f
RP4G 14.1-4

B

1910.141(c)(1)(i)

B
B
B
B
B

1910.142(d)(10)
1910.132(a)
RP54 6.1.16
RP54 6.1.16
1910.22(a)(1)
RP54 6.5.1
RP54 10.1.1

B

1910.38(c)(4)
1910.145(c)(3)
1910.38(c)(4)

19a

Sign posted directing visitors to report to the toolpusher upon
entry

B

1910.145(c)(3)

20
21
22

Warning signs clean and visible
All vessels labeled as to their contents
Supply storage house clean

B
B
B

23
23a

Crew change house clean
Work area’s are maintained clean and free of debris and
tripping hazards
Wind Sock available.

B
B

Evacuation/All-clear alarms
Hazardous locations identified
Rig substructure, Derrick mast, and other equipment, as
appropriate, are grounded to prevent the build up of static
charge

B
B
B

1910.1200(f)(9)
1910.1200(f)(4-5)
1910.22(a)(1)
RP54 6.5.1
1910.22(a)(1)
1910.22(a)(1)
RP54 6.5.1
RP49 8.2.3
RP68 6.8, 8.2.4
1910.38(d)
1910.1200(f)(5-6)
RP54 6.1.16

24
25
26
27

B

7 RP54 6.9.2.1. MSDS’s available and accessible at all times 19 20 Safe Behavior Modification Program in use Adequate communication w/other contractors on site B B 2 2a 9 10 11 12 13 B B B B B B B B B B B B B B 1910.6 1910.7-8 1910.2.1.1 RP49 5.151(b) RP54 4.1200(e)(1-5) RP54 6. # TRAINING.1.1 RP54 4.7 RP54 6.2(a)(1) 1910.5.1 RP49 7.5 RP54 6.151(b) RP54 4.2. and related safe practices are emphasized and discussed Pre-Job safety meeting held Pre-tour safety meetings conducted Weekly safety meeting being conducted Special safety meetings conducted when H2S/SO2 present 3e 3f 4 5 6 Safety meetings properly documented Accidents.136(a) RP54 5.132(a) RP54 5.133(a)(1-5) RP54 5.2.7 RP68 5.132(a) RP54 5.3.135(a)(1-2) RP54 5.2.2 1910.1. PPE & GENERAL SAFETY Condition Section N/A:______ S U N D C Standard A N / S D T S A B I 1 First Aid/CPR Training provided B 1a Certification Card(s) available and/or training documentation available H2S Training provided.2.2 1910.3.2.1.7b RP54 6.10.1.5 RP54 5.1-7 RP49 5. 11. ______accidents during current year Injuries reported and documented immediately First Aid Kit available on site 14a 15 16 Bloodborne Pathogen Kit available on site Adequate communications on site Emergency phone numbers posted B B B 16a B 17 18 Provisions made for prompt medical attention for serious injuries HAZCOM program. are discussed during safety meetings OSHA poster posted Safety equipment available Proper clothing worn by crew (No loose clothing). if any. if applicable B B 2b Certification Card(s) available and/or training documentation available H2S training documentation of rig personnel available 2c 2d Onsite H2S safety review conducted H2S training drills conducted on a regular basis B B 3 B 3a 3b 3c 3d Regularly scheduled and impromptu meetings of the crew in which probable hazards.3.1.7 RP49 11.3 1910.6 RP68 5.2.1200(g)(1) .1.2.1 RP54 7.12 1910.7 RP68 7.29(a-b) 1904.1.151(b) RP54 12.7 RP49 5.1-2 1910.1b RP68 10. 10.7 RP54 5. when required No Smoking rules observed OSHA Log available on location. problems of the job.1-6 RP68 5.3 1904.6-7 RP68 7.151(a) RP54 4.7 RP54 6.2.10.1 1910.7 1903.6 RP49 7.40(a-b) RP54 4.7 RP54 6.2. B B B B B 7 Hard hats used by crew B 8 Appropriate eye protection for the work being done is worn by personnel Hard toed shoes used by crew B B 13a 14 Jewelry or other adornments subject to snagging or hanging not worn in the work area Fall protection used.2 1910.1-3 RP54 4.6 RP68 5.3.

21 Emergency response plan B 1910.3.120(q)(12) RP49 7. Type:_______________ Time:______________ Long Hair contained All incidents resulting in injuries to employees investigated and documented to prevent recurrence Smoking or open flames not permitted within 20 ft of compressed gases are used or stored Flammable liquids not stored within 50 ft (15.134 (all sections) RP54 5.4.3-9 22 Designated rig personnel have an adequate understanding of.7 1910.2m) of wellbore Critical Equipment periodically inspected & tested B 27 28 29 30 31 B B RP54 5. and are able to operate the BOP system B RP54 6.1-3 Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ .4 RP54 6.4.95(a) 23 23a Written safety program Respiratory Protection Program B B 24 Hearing protection use required in area’s where needed B 25 Job Safety Analysis (JSA) conducted for each task B 26 Short Service Program.1.2.1.3 RP54 9.2 B B RP54 8.3.16.38(b) 1910.8 RP54 4.1-2 1910.3-8 RP68 7.3 B RP54 8.

5.13. valves and other fittings are maintained in good operating condition Pumps.22(a)(1) RP54 9.307(b)(1) RP500 5.13.4 B RP54 9.169(b)(3)(i-iv) RP54 9.1 1910.2-3 RP54 9.1-16 1910.4 RP 54 9.3 RP500 10.2 RP54 9.2-3 1910.13.169(b)(3)(i-iv) RP54 9.8.219(c)(2)(i) RP54 6.13. piping.169(b)(3)(i-iv) RP54 9.7 1910. gears. high pressure lines. drive chains. etc secured Ends of mud vibrator hose snubbed Pressure relief valves installed B B B 9 General housekeeping of the area B 10 11 Adequate lighting provided Approved lighting for the location available B B 12 High pressure fitting used in high pressure system B 13 14 Discharge lines from relief valves are anchored Pumps.13.3A.11 RP54 9.4 15 RP54 6. piping. # MUD PUMP AREA Condition Section N/A:______ S U N D C Standard A N / S D T S A B I 1 All belts.8 RP54 6.2-3 1910.13.13. shafts and drives guarded B 2 Poney rods guarded B 3 Rotating parts guarded B 4 5 Mud pump head and valve covers fully bolted Shear pin pop-off valve properly covered B B 6 7 8 Ends of relief lines.8.219(i)(2) Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______ .14.13. hoses.219(e)(1-6) 1910.212(a) 1910. valves and other fittings not operated at pressures greater than working pressures B B 1910. hoses.212(a) 1910.2-3 1910.

Eye wash station available in close proximity (10 seconds walking distance from hazard) B B 9 10 11 Emergency Shower* available in close proximity (10 seconds walking distance from hazard).1-16 RP54 9.23(c)(1) 1910.22(a)(1) B B B B Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ .4 gallons of water/solution per minute for 15 minutes Emergency Shower provides a minimum continuous flow of 20 gallons of water per minute for 15 minutes.1 5.151(c) 1910.1.2.134(d)(1-3) RP54 5. (* especially when caustic is used.3B.2 RP54 4.141(b)(1)(i) B D B RP54 9.145(c)(2)(i) 1910.4.1 5.1 RP54 5.133(a) 1910.151(c) Z358. but not limited to) Eye wash provides a minimum continuous flow of 0.132(a) 1910.132(a) 1910.1 5.151(c) Z358.132(a) 1910.132(a) 1910.2 1910.6 B Z358.145(c)(2)(i) 1910.3 1910.1 5.138(a)(1) 1910.307(b)(1) RP500 10.13. MUD MIXING AREA # 1 2 Condition Section N/A:______ S U N D C Standard A N / S D T S A B I Bagged material properly stacked Assessment for respirator use conducted.4.145(c)(3) 1910.141(a)(3)(i) B 1910.1 4.134(h)(2)(i) 1910.1 1910. Eye wash/emergency shower location identified with visible sign Eye wash/emergency shower access free from obstructions Eye wash station/emergency shower in working order Eye wash station/emergency shower in a clean & sanitary condition Eye wash station/emergency shower providing clean water supply Adequate ventilation in the area Elevated loading door opening protected Approved lighting for the location available 12 13 Adequate lighting provided General housekeeping B B 2a 3b 4 5-1 5-2 5a-1 5a-2 5b 5c 6 7 8 B 1910.138(a)(1) 1910.4 B B B B Z358.4.1 1910.1 Z358.134(a)(2) 1910.1 1910.133(a) 1910.4.4 RP54 6.176(b) RP54 5.4.11.1 5.1. documented and available.5 1910.145(c)(2)(i) Z358.2 RP54 4.7 RP54 6.14.4.5.2 1910.4. Adequate personal protective equipment available: □ Rubber Gloves □ Apron □ Face Shield □ Goggles □ Respirator: □ ½ mask □ Full Face □ Other:________ B B 2b Employees using all required PPE B 3 Personal protective equipment properly stored B 3a “PPE Required” warning signs erected (Grouped or individual signs) Chemical hazard warning signs erected Personal protective equipment properly maintained and in a clean & sanitary condition.134(h)(1) 1910.

23(c)(1) 1910.145(c)(3) 1910.24(h) 1910.145(c)(2)(i) 1910.134(h)(2)(i) RP54 6.23(d)(1) 1910.132(a) 1910. fixtures and wiring used in the vicinity of the Desilter Class 1 Div 2 Location D D 14 14a Degasser Unit in good condition Drive belts and shafts guarded D D 15 16 17 Approved lighting for the location installed Adequate lighting provided Assessment for respirator use conducted. MUD TANKS & PITS Section N/A:______ # Condition 1 Adequate stairs with handrails B 2 3 Adequate walkways and guardrails Guardrails installed on all raised platforms.1 1910.138(a)(1) 1910.307(c) RP500 5.1-16 1910. fixtures and wiring used in the vicinity of the Desander.23(c)(1) 1910.132(a) 1910.133(a) 1910.23(c)(3) 1910.23(c)(1) 1910. walkways.13.307(b)(1) RP54 9.219(c)(2)(i) RP54 9.14.134(h)(1) .145(c)(2)(i) 1910. fixtures and wiring used in the vicinity of the shale shaker. etc above 48” Walkways free from obstruction and/or damage B B Guardrails provided on crossovers “PPE Required” warning signs erected (grouped or individual signs) Chemical hazard warning signs erected Shale shaker properly guarded Explosion proof equipment.2 1910.3 RP500 10.134(a)(2) 1910.2 1910.2.23(d)(1) 1910.2 1910.3 RP500 10.13.307(b)(1-3) & subsections 1910.7 RP54 5.11.2 1910.307(b)(1-3) & subsections 1910.3C. Class 1 Div 1/2 Location B B 9 10 11 12 12a Agitator shafts & couplings properly guarded Mud guns properly secured Jetting hoses properly secured Desander Unit in good condition Explosion proof equipment.1-16 1910.219(c)(2)(i) 1910. B 4 5 6 6a 7 8 17a S U N D C Standard A N / S D T S A B I B B B B B 1910. Class 1 Div 2 Location B B B D D 13 13a Desilter Unit in good condition Explosion proof equipment.11.307(b)(1-3) & subsections 1910.4 RP54 6.13.1-16 RP 54 9.8 1910.23(c)(1) 1910.219(e)(1-6 1910.134(d)(1-3) RP54 5.2 RP54 9.132(a) 1910.3 RP500 10. documented and available. Adequate personal protective equipment available: □ Rubber Gloves □ Apron □ Face Shield □ Goggles □ Respirator: □ ½ mask □ Full Face □ Other:________ B B B 17b Employees using all required PPE B 18 Personal protective equipment properly stored B 19 Personal protective equipment properly maintained and in a clean & sanitary condition.133(a) 1910.307(c) RP500 5.138(a)(1) RP54 6.4.132(a) 1910.14.307(c) RP500 5.

1 5.1 1910.4.2 RP54 4.1 5.1 Z358.4. Eye wash/emergency shower location identified with visible sign Eye wash/emergency shower access free from obstructions B D D D 1910.4 RP54 4. (* especially when caustic is used.1 5.23(a)(9) 1910.4.141(a)(3)(i) B 1910. but not limited to) Eye wash provides a minimum continuous flow of 0.151(c) 1910.3 1910.3.2 RP54 4.4.1 5.2 RP54 4.8 21-1 Eye wash station in close proximity (10 seconds walking distance from hazard) B 21-2 Emergency Shower* available in close proximity (10 seconds walking distance from hazard).303(c) 28 Data plates on equipment legible B 21a-1 21a-2 21b 21c 22 23 24 B B B B Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ .23(a)(8) 1910.145(c)(2)(i) Z358.22(a)(1) RP54 6.1 Z358.1 26 All unused floor holes covered B 27 Electric wiring in good condition B 1910.151(c) Z358.1 4.4.5.6 RP54 4.303(b)(1-2) 1910.141(b)(1)(i) 25 Eye wash station/emergency shower in working order Eye wash station/emergency shower in a clean & sanitary condition Eye wash station/emergency shower providing a clean water supply General Housekeeping 1910.20 Stairways and ladders secured B RP54 9.4.1.151(c) Z358.4 gallons of water/solution per minute for 15 minutes Emergency Shower provides a minimum continuous flow of 20 gallons of water per minute for 15 minutes.1 1910.1.4.4.1 5.1 Z358.4.

3.1(k) B56.3.15.6 5.1 4.6 5.178(l)(1-8) B56.178(l)(6) B56.13.6 5.5.19 1910.2 B56.3.17.6 6.1 5. # MATERIAL HANDLING EQUIPMENT Condition Section N/A:______ S U N D C Standard A N / S D T S A B I 1 Material Handling Equipment (fork lift) operators trained and certified.3 Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ . if applicable B 4 5 Personnel wearing proper fall protection while in basket Backup alarm operational B B 6 7 8 Fork Lift equipped with seat belts Seat belts in use by operators Fork Lift inspected prior to use (daily) B B B 9 Fork lift stability during movement or lifting B 1910.1 5. etc in use for the location B B 3 Personnel basket securely attached to forks.1-4 1910.4.19 B56.6 5.6 5. B 1a 2 Training & Certification documents available on site Correct type of Fork Lift.15.1(b) B56.1-2 B56.6.19 B56.15.1-2 B56.2.6 5.2.6 6.178(m)(12)(i) B56.16 B56.178(p)(7) B56.6 5.1 B56.1 5.16 1910.

3 10b Overload protection installed on all generators B RP54 9.169(b)(3)(i-iv) RP54 6.303(b)(1-2) 10 Electrical wires properly strung □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct.1 1910.1-2 RP54 10. # GENERATOR AREA & ELECTRICAL SYSTEMS Section N/A:_________ Condition S U N D C Standard A N / S D T S A B I 1 2 3 4 Generators properly located 100ft + from wellhead Moving parts guarded Generators properly grounded Cover panels on electrical control boxes installed and closed.14.4 1910.14.1 RP500 5.7 RP54 9.303(h)(3)(ii) 1910.303(f) 1910.3 RP54 6.6 RP54 10.212(a)(1) RP54 9.305(b)(1-3) 12 13 14 Unused electrical outlets covered □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct. Hearing protection available Adequate lighting installed B B B 18 Approved lighting for the location provided.95(a) RP54 9. in good condition Equipment properly classified for the location B B B 1910.1 RP54 9. □ Drill Floor □ Derrick □ Other:________________ B B B B RP54 9.1-2 RP54 10.145(c)(2)(i) 1910.307(b)(1-2) RP500 5.2.R.3 10a Electrical wiring properly secured □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct.307(b)(1) RP54 9.212(a)(1) 1910. □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct.335(a)(2)(ii) 5 6 All electrical controls marked as to their function and legible.305(b)(2)(ii) 1910.14.9 1910.2 1910.305(a)(1)(iii)(G) .307(b)(1-2) RP54 9. House.305(b)(2) 1910.9.1 22 Electrical wiring/fixtures/etc approved for the location (Cl 1 Div 1 or 2 location) (Based on worst condition scenario) B 23 Wires not running along the ground B 1910.5.5.304(f)(5)(v) 1910.13.14.14.C.2. □ Drill Floor □ Derrick □ Other:________________ B RP54 9.3 RP500 6.2. □ Drill Floor □ Derrick □ Other:________________ B B B 1910. if available.3 1910.14.303(g)(1)(v) 1910. (Class 1 Div 2 Location under worst case condition) B 19 20 21 General Housekeeping S.2. □ Drill Floor □ Derrick □ Other:________________ B 1910.14.11 1910. □ Drill Floor □ Derrick □ Other:________________ Air compressors properly guarded Air storage tanks equipped with pop-off valve Lockout/Tagout devices available B B B 15 16 17 “Hearing Protection Required” warning signs erected.10 RP500 5.305(a)(2)(iii) RP54 10.3 RP500 6.145(c)(2)(i) 1910.14.335(a)(2)(ii) 1910. “HIGH VOLTAGE” warning signs erected B B 7 8 9 Insulating mats available at electrical panels All electrical tools grounded Condition of electrical wiring □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct.3 11 B 1910.

5. □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct.157(d)(1) 1910.14.5 32 Electrical cords.2. □ Drill Floor □ Derrick □ Other:________________ B RP54 10. □ Drill Floor □ Derrick □ Other:________________ All light fixtures properly protected from damage Receptacles and plugs in good condition □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct.305(a)(2)(iii)(G) 1910.303(b)(1) 25 26 27 Water hose used for washing area kept away from generator skid Generator skid door props properly pinned Fire extinguishers rated for electrical fires (B-C) Fire extinguishers located properly and not obstructed B 31a Electrical extension cords properly insulated □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct. □ Drill Floor □ Derrick □ Other:________________ B 1910. outer sheath protection properties and usage characteristics of the original cords.4 1910. fixed or extension.14.2.307(b)(1-2) 1910.303(b)(1)(iii) RP54 9.305(g)(2)(ii) B B 1910.4 1910.303(b)(1) RP54 9.305(g)(2)(ii) 24a Splices on hard service cords #12 or larger retain outer insulation. □ Drill Floor □ Derrick □ Other:________________ B 1910.305(g)(2) (iii) 28 29 30 B B B 1910.305(g)(1)(iii)(C) 1910.5 Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _________ .24 Cords less than #12 are not spliced □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct. not run through doorways B 33 Electric cord and cable strain relief □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct.5 1910. □ Drill Floor □ Derrick □ Other:________________ B RP54 10. □ Drill Floor □ Derrick □ Other:________________ B 31b Plugs of electrical extension cords in good condition □ Mud □ Gen/SCR house □ Stor Tanks □ Sub Struct.157(c)(1) RP54 6.

B B B 4a Employees properly trained to operate fire extinguishers B 5 6 Open pit burning not permitted Flammables stored in UL listed safety cans B B 7 8 No Smoking rules enforced Flare lines are as long as practical and as straight as possible and securely anchored B B 8a B 14 Space around flares and burn pits should be cleared of brush and grass.2.2. Boiler Safety Controls operating properly Condition of boiler Welding work performed safely Engines located within 100 ft of the well have spark and heat arrester.5 RP54 7.5 1910.2.7 1910.6.2 B 1910.1 RP54 7. if possible Fire extinguishers tagged and/or inspection data recorded 15 Fire extinguisher location easily identified B 9 10 11 12 13 RP54 7. on all engine exhausts All engines located approx 100 ft from the well or gas source.3 RP54 7.5 1910.8 D D B B RP54 7.15.2.2-6 RP53 15.2.157(d)(2-6) RP54 7.157(e)(1-5) RP54 7.5.157(g)(1) 1910.157(g)(2) 1910.5.6 RP68 8.157(c)(4) 1910.1.3 1910.6 RP54 9.2.2.11 RP53 16.157(c)(1) 1910.106(d)(2) RP54 8.2.3 D RP54 9.157(c)(4) RP54 6.157(c)(1) RP54 6.1.4 RP54 7.2.8 RP49 8.157(c)(4) 1910.5 RP54 7.2 Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________________________________________________________________ .2.2.2.11 RP49 8. # FIRE PROTECTION Condition Section N/A:______ S U N D C Standard A N / S D T S A B I 1 B/C class fire extinguishers available B 2 Adequate number of fire extinguishers available B 3a 3b 4 Fire extinguishers properly charged Fire extinguishers with equipped with gauges Fire extinguishers properly located and in/at their assigned locations. or water.1.4 RP54 7.6 RP68 8.2 RP54 12.2.14.

106(b) 1910.22(a)(1) RP54 6.145(c)(2)(i) RP54 8.1.106(b) 1910.1d 1910.145(c)(2)(i) RP54 8.106(b) RP49 10.1.4.3.5.106(b) RP54 8.3.2 1910.1d 1910.1d RP54 7.106(b)(2)(iv)(c) 1910.1d RP54 7.27(f) RP54 9.4.3 RP2003 4.145(c)(3) Comments:______________________________________________________________ _______________________________________________________________________ .7 1910.145(c)(2)(i) 1910.2-6 RP54 8.2-6 1910.14.2.307(b)(1) RP500 5.106(b) 1910.106(b) 1910.145(c)(2)(i) 1910.157(d)(1) RP54 8.1.3.4 1910.1e 1910.1200(f)(4-5) 1910.1-16 RP54 8. FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS.157(c)(1) 1910.4.1 1910.5 1910. & NON-FLAMMABLE STORAGE TANKS Section N/A:______ # Condition S U N D C Standard A N / S D T S A B I 1 Fuel storage tanks properly located B 1a H2S precautions enacted B 2 3 4 5 6 B B B B D 7 8 9 10 All storage valve connections identified as to their function Discharge nozzles in good condition Discharge hoses in good condition Discharge valves in good condition LPG storage tanks and compressed gas cylinders in good condition Piping and fuel lines in good condition Stationary ladders on storage tanks in good condition Adequate lighting provided Approved lighting for the location installed 11 Fuel tanks properly labeled on all sides B 12 “Flammable” warning signs erected on all sides B 13 “No Smoking” signs erected on all sides B 14 “No Open Flame” signs erected on all sides B 15 Vapor release vents elevated & away from ignition sources B 16 General housekeeping B 17 18 Grass & debris kept away from area B/C Class fire extinguisher available and identified B B 19 20 Protective caps on all fuel cylinders Fuel & Flammable Storage tanks ESD protected: □ Splash Filling Prohibited □ Fill Line & Discharge Velocity Limited □ Grounded Contents of NON-FLAMMABLE storage tanks identified on all sides of tank(s) B B 21 B B B B B RP54 8.106(b)(2)(v)(g) RP54 6.7.4.2-6 1910.3 RP500 10.4.5.1 RP54 8. Including FRAC TANKS.1200(f)(5-6) RP54 7.4 RP68 10.106(b) 1910.8 1910.5.

1 Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________ .12.3 1910.3 1910.176(c) RP54 6.1-16 1910.24(h) 1910.7 1910.14.27 RP9B 3. # PIPE RACK AREA Condition Section N/A:______ S U N D C Standard A N / S D T S A B I 1 Ends of pipe racks properly chocked B 2 Spacers used to separate layers of pipe B 3 Layers of pipe properly chocked B 4 5 6 7 8 9 10 11 12 13 14 15 Pipe racks are level and stable Pipe rack catwalk in good condition Pipe rack and catwalk at same height Stairs with handrails provided V-door slide in good condition Pipe stops used on V-door slide in good condition Pipe tubs and bridles in good condition Derrick stand and ladder in good condition Dead end of drilling line anchored Employees not permitted on top of pipe Adequate lighting provided Approved lighting installed B B B B B B B B B B B B 16 General housekeeping B 1910.176(b) RP54 9.12.5.3.3 RP500 10.307(b)(1) RP500 5.176(b) RP54 9.12.5 1910.9 RP54 9.8.176(b) RP54 9.

4.4.4.145(c)(2)(i) RP54 7.13 6.1-16 1910.3f RP53 8.4.14.4. if automatic device is not available BOP stack properly stabilized All hydraulic lines connected All unused hydraulic lines capped and secured 8 8a 8b 9 9a Accumulator unit properly located Accumulator bottles labeled with contents Accumulator operational warning signs erected Accumulator valves in appropriate position. valves.5.2. open or closed Accumulator valves identified as to purpose and position B B B B B 10 11 11a 12 13 Gauges properly installed & located Choke manifold and line secured Choke manifold accessible Adequate lighting provided Approved lighting for the location installed B B B B B 14 B 15 16 Warning signs erected □ Flammable □ H2S □ Hard Hat □ Eye Protection □ Confined Space □ Auth.1200(f)(5-6) 1910.18 RP53 8.307(b)(1) RP500 5.18 RP53 10.7 RP53 6.4.3f 1910.1 6.2 RP54 6.10 RP54 6.1i RP54 7.145(c)(2)(i) RP54 7.4.18 RP54 6.2i RP54 6.1 RP54 6.2i RP53 12.5.2c RP54 9. check valves.7 10.2 RP54 7.2-3 RP54 6.1 1910.11 RP53 12.1.28(a)(11) RP54 6.5.1-4 Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ . etc have a working pressure ET/GT the rated working pressure of the rams in use Wheels and stems in place.22(a)(1) RP54 6.2.1 6.3g RP53 12.5.3 RP500 10.4.2 RP54 6.2.5. # 1 2 BLOW-OUT PREVENTERS Condition Section N/A:______ S U N D C Standard A N / S D T S A B I B B 4 5 6 7 BOP properly installed BOP properly tested Input date and results on cover page BOP functional All lines.2 RP53 8.4.4.7 1910.4.2.2 1910. Personnel □ Ear Protection Proper drainage provided General housekeeping 17 18 19 Safety (stabbing) valve and handle for tubing installed Choke manifold hydraulic controls accessible Choke manifold gauges in working order B B B 20 21 Hydraulic lines protected BOP Control Lines & Valves identified B B 22 23 24 25 Preventor work boards secure Daily inspections of the BOP’s conducted Complete set of spare parts maintained & readily available Kill line system connected and functional D B B B 3 3a B B B B B B D B RP54 RP54 RP54 RP54 RP53 6.9. flow fittings.4 RP53 10.2j RP53 8.5.2 RP53 12.2.

7.7.27(d)(5) 1910.4 9 9a Derrick/A-Frame assembly pins in place Assembly pins secured with keepers Substructure assembly pins in place Substructure assembly pins secured with keepers Derrick properly guyed.27(d)(5) 1910.2.16.10 B B B B B B B B B RP4G 13.7.1 RP54 9.16.3.5.8 RP4G 13.4 RP9B 3.4 RP9B 3.1 S S S RP9B 3.4 RP4G 14.10.145(c)(2)(i) RP54 9.1 RP4G 6.8 RP54 9.2.15 RP54 9.2.7.12 RP4G App A-B RP54 9.2.8 RP54 9.1 1910.2.132(c) RP54 5.4 RP54 6. 4 clamp minimum with sheave Clamps properly attached Ground anchors Type of anchor:___________________ Anchor pull test performed Anchors positioned IAW rig manufacturer’s specifications TUBING BOARD GUYS Strung and crossed for racking 3 clamp minimum Clamps properly attached INTERNAL LOAD GUYS Properly adjusted for tension 4 clamps minimum Clamps properly attached ¾” diameter line or larger Fall lane of derrick clear Vehicles out of guy pattern Manufacturer’s specification/operation plate attached to derrick Derrick/mast substructure inspected Damage and/or corrosion to derrick (waste metal) 9b Damage and/or corrosion to substructure (waste metal) B 9c Condition of derrick ladder B 10 11 12 13 Climb assist device available Climb assist device used by derrickman. if available B 5b 5c 5d 5e 5f 5g 5h 5i 5j 5j 5k 5l 5m 5n 5o 5p 6 7 8 S S S S B B B B B RP9B 3.7.5.4 RP9B 3.3.1 RP4G 6.5.1-5 RP4G App A 1910.1 1910.1.1 RP9B 3.17 RP54 5.27(d)(5) 1910.10 RP4G 13.8 RP54 9.4 RP4G 14.1 RP54 9. if applicable Guy wires properly tensioned prior to loading CROWN TO GROUND GUY LINES Number of guy lines utilized as per the mast manufacturers recommendations Condition of guy lines Diameter of guy lines 3 clamp minimum.7.132(c) RP54 5.2.5.1-5 RP4G 14.1.1 RP54 9.4 RP9B 3.132(c) RP54 5.7.2.1-5 RP4G 14.1 RP54 9.16 RP4G App A-B RP4G App C .4 RP9B 3.2. # 1 2 3 4 5 5a DERRICK & SUBSTRUCTURE Condition Section N/A:______ S U N D C Standard A N / S D T S A B I B B B B B B RP54 9.2 RP4G RP54 9.7.1 1910. Climb assist device in good condition Full body harness with lanyard available B B B B 14 Full body harness w/ lanyard in good condition B 15 Fall protection devices in use B 15a 16 “Fall Protection Required” warning signs erected Derrick/Tubing boards in good condition B B 17 Guardrails installed on outside of derrick board B 18 Pipe fingers in good condition B 19 Derrick board walk around platform in good condition.3.1 RP54 9.

1 B B B RP4G App A RP54 9.2.3 Lower and upper substructures properly bolted together Rotary beams and all braces are in good condition Drilling line installed properly on anchor and keyed Data plates installed on derrick that provide information on guying.14.4 RP54 9.7.12. etc racked or hung in derrick are secured to prevent them from falling Mud standpipe secured Mudhose snubbed at both ends All air purged from hydraulic raising cylinder B B RP4G App A-B RP54 9.3. metal fatigue or wear evident at hinge points Safety retainers in use on hinge pins Derrick locking pins in place with safety pins Derrick hydraulic system free of leaks Dead line properly anchored S S B B B B 33 34 35 Booms and boom lines in good condition Adequate lighting provided Approved lighting for the location installed D B B 36 37 Derrick emergency escape line installed Derrick escape device on-line and ready for immediate access and use.10.2.9 RP4G App A RP54 9.12 RP54 9.2.1 RP54 6.5 RP9B 3.20 Finger board in good condition S RP54 9.1 B B RP54 9.4 RP4G App A-B RP54 9.10.3. Tubulars.23(c)(1) RP4G App B RP4G App A-B 21 22 Finger board safety cable attached Crown guardrails installed B B 23 24 S B 25 26 Rod basket Manual latch dog extension/retraction device in operating condition Latch dog visually inspected prior to loading derrick Scoping ram stabilizers in good condition 27 28 29 30 31 32 Crown sheave guards in place Cracks.307(b)(1) RP500 5.7 1910.2. Tools secured at elevated levels Rods.2.13.2 Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ______ . per manufacturers specifications.1-16 RP54 6.17 1910.2 RP4G 9. derrick.2.8 RP4G App A-B RP54 9.8 RP54 9. etc inst D D D B 38 39 39a 40 41 42 43 44 45 46 B S `` RP54 9.2.3.16 RP4G AppA-B RP54 9. Drill Pipe.13 RP54 6. in a clear area away from the rig.3 RP500 10.10.5 RP54 9. Emergency escape line adequately anchored.1 B RP54 6.6.

3 1910.1 RP54 9.4.2. # 1 2 DRILL FLOOR AREA Condition Section N/A:______ S U N D C Standard A N / S D T S A B I Rotary floor in good condition Kelly bushing of a smooth design.8.1.307(b)(1) RP500 5.7 RP54 9.3.4.10(b) RP54 9. clothing or material Controls adequate if guard not used Rotary chain drive guarded All unused floor holes covered B D B B B B B B B B 14 15 16 17 18 18a Drawworks Operator at or near controls while in operation Weight indicator installed Weight indicator visible to brake operator Operator’s drawworks controls properly labeled/identified Pipe slips & Dies in good condition Racking floor area in good condition V-door gate or chain provided and in place Air/Hydraulic hoist line in good condition □ near driller □ opposite driller Air/Hydraulic hoist line guide in operating condition □ near driller □ opposite driller Air/Hydraulic hoist line properly layed/wound on drum □ near driller □ opposite driller Air/Hydraulic hoist line properly guarded □ near driller □ opposite driller Cathead friction surface in good condition Cathead line divider/grip in good condition Catline not worn or kinked.10 Refer to Sect.4 RP9B 3.4 RP54 9.3.2 RP54 9.3.21 RP54 9.3.8 RP9B 3.8 RP54 9.3 RP9B 3.3 RP500 10.5 RP54 9.4.6 RP54 9.212(a)(1-3) 1910.5.2 1910.7 B B RP9B 3.11.9.212(a)(1) B B B B B B RP54 9.7 1910.1 .2 RP54 9.3 B 1910.1 RP54 9.4. if available Kelly cock wrench and safety valve accessible Spinning chain in good condition Automatic spinner in use 19 Headache post in good condition B 20 Crown Saver device installed and operational D 21 Drawworks hoisting line in good condition B 22 23 24 Drawworks shut down switches installed Drawworks properly guarded Sufficient wraps left on drum with blocks in down position B B S 25 26 27 28 29 30 31 32 33 Proper lay of drill line on reel Drawworks Hydraulic or Hydromatic brakes Drawworks brake linkage Tubing and sand line brakes Road gear lockout Handling winch & tail chain grade 8 & tagged Overrunning clutch in good condition Adequate lighting provided Appropriate lighting installed B B B S S S B B B 34 General housekeeping B 2a 3 4 5 5a 5b 6 7 8 9 10 11 12 13 D B B RP54 9.3.23(c)(1) RP9B 3.4. to prevent catching or snagging of personnel. or a guard is used.1 RP54 9. 11 (Use tong requirements) RP54 9.5.5.3.3.10(b) RP9B 3.2.16 RP54 9.5.5.6.4.3 RP54 9.1-16 RP54 6.10.20 RP54 9.14.10.10 RP54 9.23(a)(8-9) RP54 9.

23(c)(1) Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________ .151(b) 37 38 39 40 41 42 RP54 9.3.22(a)(1) 35 Suspension cables or chains are grade 8 and tagged S 36 Rig floor and other work platforms.36(b)(1) 1910.15 S D D D B B RP54 9.1910.3.3. including derrick board & stabbing board are supported and secured against dislodging Sliding section equipped with stops or pins Minimum 2 exits from drill floor doghouse Drill floor doghouse doors installed properly First aid kit available in drill floor doghouse Non skid material used around rotary Guardrails installed along open edges of drill floor S RP54 9.36(e)(2) 1910.17 1910.13 1910.

9.8.9.4 RP54 6. # 1 2 3 POWER AND HAND TOOLS Condition Section N/A:______ S U N D C Standard A N / S D T S A B I B B B RP54 9.7 9.12.9.9.5 1910.7 9.215(a) 1910.14.9 RP54 6.9.5 1910.8.9.215(b)(4) 1910.8.7 9.305(g)(2)(ii) RP54 9.9 RP54 9.14.304(f)(4) 1910.7 9.7 9.304(f)(5)(v)(C)(3) RP54 9.7 RP54 9.9.215(b) 1910.9.7 9.9.305(g)(2)(iii) RP54 6.6 1910.8 RP54 9.7 9.304(f)(4) 1910.9.4 B B B B B B B RP54 RP54 RP54 RP54 RP54 11 11a 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Makeup and breakout tongs in good condition Tong snubbing lines in good condition Tong snubbing line clamps in good condition and installed properly Tong vertical support line clamps in good condition and installed properly Tong counterweights installed Tong counterweights operational Tong body & jaws in good condition Tong safety handle pins secured Tong dies sharp Tong die keeper used Tongs securely fastened to a suitable fixed structure using a wire rope or a stiff arm Tong positioner in good condition Tong motion controlled Condition of tong jerk line(s) Condition of hand tools Cleanliness of hand tools Hand tools stored properly Bench grinder in good condition Bench grinder wheels properly guarded Bench grinder rest spacing – 1/8” from wheel Face shield available when using bench grinder “Iron Roughneck” used IR dies sharp IR die keeper used IR body & jaws in good condition IR hydraulic system leaks “Foster” Power Tongs used Power Tong/Pipe Spinner doors/safety gate PT body & jaws in good condition PT hydraulic system leaks Electric hand tools double insulated or grounded 30 Electrical extension cords properly insulated B 31 Plugs of electrical extension cords in good condition B 32 “Dead man” switch installed on all Electric and Pneumatic tools B 3a 4 5 6 7 8 9 10 S D D B B B B B B B D D D D D B B B B B 9.9.212(a)(1) RP54 RP54 RP54 RP54 9.7 1910.9.7 B RP9B 3.9.8 Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ .7.

7. ELEVATORS AND OTHER RELATED EQUIPMENT Section N/A:______ # Condition S U N D C Standard A N / S D T S A B I 1 2 3 4 5 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 B B B B B 6 7 8 9 10 11 12 13 Rod hook in good condition Hoisting hook equipped with safety latch or equiv. BAILS.3.10 1910.1 RP54 9.7 RP54 9.3.7. HOOKS. Midrails.1 Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 14. Crown block assembly secured Transfer elevators in good condition Crew members not permitted to ride traveling block Circulating hose secured to gooseneck and swivel Power swivel secured Hoisting line inspected daily S B B S B B B B RP54 9.6. B B B 7 Stair treads of uniform size B 8 9 10 Non-skid type stair treads Stair treads not damaged Guardrails.36(b)(1) RP54 9.1 9.17 1910.8 RP54 9.8 9.11.11 RP54 9.24(h) RP54 9.1 6.9 RP54 9.7.3.10 1910.8 1910.11 1910.7.1 9. 4ft above ground level Ladders extend 3.3. LADDERS. platforms.3. # STAIRS.24(d) 1910. HANDRAILS & GUARDRAILS Section N/A:______ Condition S U N D C Standard A N / S D T S A B I 1 Adequate stairs provided off rig B 2 3 Stairs level Minimum of 2 stairways to drill floor B B 4 5 6 Stairs secure No obstructions Adequate handrails provided on stairs with 4 or more risers.7.7.7. HOISTING TOOLS.24(b) RP54 9. etc.7.7.7.3. & Toeboards installed along all open side edges of floors.3.23(c)(1) RP54 9.9 1910.1 9.5 9.1 9.5 ft above platform B B B 11 B RP54 9.27(d)(3) Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ .3.4 RP54 RP54 RP54 RP54 RP54 RP54 RP54 RP54 RP54 9.13.3.3 9.24(f) RP54 9.

1. Hydraulic and other tanks properly labeled Hydraulic leveling jacks in good condition Hydraulic leveling jacks secured by mechanical lock nuts Brakes set and secure Fuel or other fluid leaks evident Outriggers used Data plate(s) for guying.1.15.2 Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ____ . drawworks and vehicle installed.24(h) 1910. # WORKOVER RIG VEHICLE Condition 1 1a 2 2a 2b RIG CAB No loose or flammable material stored in cab CARRIER Adequate supplemental footing for jacks provided (matting) Handrails/guardrails installed on elevated walkways and steps 2c 2d 2e 2f 2g 2h 2i 2j 2k 2l 3 3a 3b 3c Walkways free from slip and/or trip hazards Wheels chocked Condition or tires/wheels Fuel. OTHER TRANSPORTED VEHICLES/COMPONENTS Brakes Tires chocked Hitches & Safety Chains Section N/A:______ S U N D C Standard A N / S D T S A B I S S S S S S S S 1910.2 1910.2 S S S RP54 11.23(c)(1) 1910.22(a)(1) RP54 11.1.1200(f)(5) S S S S RP54 11.1.2 RP54 11.

2 RP54 20. escaping gas or near sources of ignition Helmets with face shields used during welding or arc cutting operations Goggles with proper shade selection used during gas cutting operations Helpers/attendants supplied with and using proper eye protection.1 1910.7 1910. accumulation of oil.6 1910.4 1910.132(a) 1910.1 RP54 20.253(b)(2)(ii) 1910. Appropriate protective attire worn for welding and cutting ops.3. HOTWORK.132(f) RP54 20.4 1910.252(a)(2)(vii) RP54 20.2.1.16.252(a)(1)(ii) RP54 20.4.4 RP54 20.252(a)(2)(vi) RP54 20.2.3 1910.252(b)(2)(i)(A-D) RP54 20.3.1 RP54 20.1200(f)(5-6) Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ___ .3 RP67 2.3.252(b)(2)(i)(A-D) RP54 20.6 1910.252(a)(2)(iii)(A) RP54 20.2 1910.1 1910.1.3.4.2.132(d) 1910.3.252(b)(2)(i)(A-D) RP54 20.4.1 1910. flammables.1.2. B B 10 Moveable fire hazards in vicinity of welding operations should be moved Guards used to confine heat.6.252(a)(2)(iv) RP54 20.3.4 1910.4.3 1910.5 RP54 20.252(a)(2)(ii) RP54 20. sparks & slag to protect fire hazards that cannot be moved Fire extinguishing equipment available 11 Fire watch required B 12 Area inspected by individual responsible for authorizing cutting or welding Welding equipment in good condition Approve Oxygen & Acetylene bottle used Oxygen & Acetylene torches equipped with flash back arrestors Cylinders stored in assigned places and secured in place B Oxygen & Acetylene bottles labeled B 2 3 4 5 6 7 8 9 13 14 15 16 17 18 B B B B B B B B B B B B RP54 20.252(a)(2)(iv) RP54 20. WELDING & FLAME CUTTING OPERATIONS Section N/A:______ # 1 Condition S U N D C Standard A N / S D T S A B I Written safety work permit system covering welding and flame cutting operations observed Certified welders Welding and flame cutting not permitted near explosives.2.

4 RP54 RP54 RP54 RP54 RP54 RP54 RP54 RP54 RP54 6.8 6.2.17 SPECIFIC OVER WATER OPERATIONS Section N/A:______ # Condition 1 2 3 Abandonment Procedures available Water Entry Procedures available Abandonment (Muster) Stations identified 4 5 Emergency Signals A minimum of 2 emergency escape means available to the water Personal Floatation Devices (PFD’s) provided and available for use Personal Floatation Devices in serviceable condition.9 RP54 6.2.12 RP49 6.9 RP54 6.2.2 Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________________________________________________________________________ __ .6 6.2.2 6.3 6.11 RP54 6.2.5 6.2. Ring Buoys available and ready for use Minimum of 2 approved life floats or alternative available Life float capable of accommodating all personnel present Basket stretcher or equivalent available Basket stretcher or equivalent easily located Crew trained in the use of a Basket Stretcher or equivalent PFD’s worn by personnel during transfer by crane Personnel net or other device designed for the purpose used when transferring personnel by crane.2 8.2.10 ANSI B30 RP54 6.2.2 RP49 5.2.2.8 6.2.4 6.2.2 6.10 RP54 6.2.2.9 RP54 6.3 RP49 6.8 6.2. PFD’s worn by personnel transferring by swing rope Tag lines used when transferring material H2S monitoring devices positioned to provide adequate warning to all personnel Fresh air breathing apparatus available Fresh air breathing apparatus easily accessible Personnel trained in evacuation routes Public address system audible in all locations Surface and air transportation maintained Boats and helicopters equipped with SCBA’s 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 S U N D C Standard A N / S D T S A B I RP54 RP54 RP54 RP55 RP54 RP54 6.2.3 RP54 6.6.2.2.6 RP49 6.6 6.2.9 6.2 6.2.2. Personnel baskets inspected Personnel baskets not used to transfer material Cranes rated load capacity not exceeded Crane inspections conducted □ (F) Daily-monthly □ (P) 1-12 month intervals Crane operations ceased and boom stowed properly during helicopter takeoff and landing.

146(c)(1) 1910.651(g)(1) 1926. CONFINED SPACES.7. deeper than 4 ft or containing hazardous gases tested prior to entry Emergency Rescue equipment readily available B Employees protected from cave-ins while in excavations Water in excavation A means of egress from excavation provided □ Stairway □ Ladder □ Ramp □ Other_____________ B B B 7 8 9 10 B B RP54 6.146(c)(1) 1910. or other hazardous gases B 1a Employees trained for H2S.146(c)(2) 1910.7.146(d)(1-14) 1910.18.2 RP68 5.652(h)(1-3) 1926.4(b) RP54 6.146(e)-(l) RP54 6.7 1926.651(g)(2)(i-ii) RP68 6.7.1 RP68 12.1 RP49 11. including trenches.651(c)(2) 11 Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________________________________________________________________________ __ .5(b) RP54 6.145(c)(2)(i) RP54 6. EXCAVATIONS & HAZARDOUS ENVIRONMENTS Section N/A:______ # Condition S U N D C Standard A N / S D T S A B I 1 All site personnel notified of the presence H2S. SO2.5(a) 1926. SO2 in confined spaces B 2 B 3 Site evaluated to determine the presence of confined spaces/permit required confined spaces Confined Space location warning signs erected 4 Atmospheric testing of confined space prior to entry B 5 Confined Space Permit Entry System & Procedures B 6 Excavations.652(a)(1-2) 1926.4(a) 1910.2 1910.1 RP49 5.7.7.

2.8.8. 2.2.109(e)(1)(vii)(b) 1910. cell phones.109(d)(2)(iv)(b) .3 RP54 13. narcotics or other dangerous drugs. etc turned off during blasting operations S 8 9 Warning signal sounded prior to blast Perforating operations weather policy S S 10 11 Perforating operations conducted during daylight hours Instruments for testing blasting devices specifically designed for the purpose S S 12 Conductor wire and armor of perforating gun temporarily shorted prior to use Detonating cord and blasting caps kept apart until assembly on location.2.17.1.109(e)(4)(viii) RP54 13.6 RP67 2.6. Explosive devices moved by service contractor personnel S 3 1b RP54 13.8.109(e)(1)(iv) RP54 13. 2.4.5 Electrical grounding of wellhead.11.8.4.8.16 S 17 17a During checking and/or arming.8.9.2 S 1910.8.18 RP67 2.2.145(e)(1)(vii)(b) 1910.6.18.12. etc must be turned off.3.3.1 1910.109(d)(2)(vi) 1910. 2. cell phones.2.15 RP54 13.14.2.109(e)(5) RP54 13. and other sources of ignition are shut down during perforating operations S 1a Smoking not permitted near explosives and/or no one near explosives shall possess matches.6.109(e)(1)(vii)(a) RP67 2.18. open light.145(c)(2)(i) 1910.3 1910.17 1910.1. 3.9. PERFORATING OPERATIONS AND USE OF EXPLOSIVES Section N/A:______ # Condition S U N D C Standard A N / S D T S A B I 1 Non-essential engines.7 1910.4.8.109(e)(1)(i) RP67 2. TRANSPORT VEHICLE Fire extinguishers charged and in working order 17b Electrical wiring completely protected and securely fastened 2 13 14 15 16 S S S RP54 13.9 RP67 2.11 RP67 2.2. Blasting caps and boosters transported in approved cap boxes S 1910.3.19. motors.9. 2. 2.3.6.18.8. 2.7 RP67 2.11.109(e)(4)(vii) RP54 13.109(d)(2)(iv)(a) S 1910.9 1910.109(e)(1)(vii) 1910.2.109(d)(1)(iv) RP54 13.5 RP54 13. 3. 2.109(e)(1)(vii) 1910.7 4 Perforating guns.2 RP67 2.109(d)(3)(i) RP54 13.8.109(e)(2)(iii) S 1910. electrical blasting caps.145(e)(1)(vii) RP67 2.4. or other fire or flame.3 1910. 2.2.9. 2.18.109(e)(1)(iv) RP67 2.8.109(e)(1)(i) S 1910. S 7 Radio transmitters. 2.7.8.4.7. 2. etc assembled in a designated restricted area S 5 Unnecessary personnel kept clear of perforating operations S 6 Warning signs erected near perforating operations stating that all radios.2.10 1910. service unit and rig made prior to operating tools using explosives S RP54 13. detonators or other initiation devices contained in safety tube Deteriorated or damaged explosives and/or blasting equipment not used. 2. 3.6 1910.10 1910. No person allowed to handle explosives under the influence of intoxicating liquors.109(e)(1)(v) 1910.

17c Underside of vehicle free of excess oil & grease S 1910.109(d)(2)(iii) 17f 17g 18 Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________________________________________________________________________ __ .) 10-BC rated fire extinguisher S S 1910. windshield wipers and steering operate properly Tires checked for inflation and defects Vehicle in proper condition for all other aspects of handling explosives Equipped with 2 (min. horn.109(d)(2)(iv)(d) 1910.109(d)(2)(iv)(f) 1910. lights.109(d)(2)(iv)(g) S 1910.109(d)(2)(iv)(c) 17d 17e Fuel tank and feedline secure and have no leaks Brakes.109(d)(2)(iv)(e) S S 1910.

3. swages.2 RP54 13.2. Fracturing.3 RP54 12. portable houses placed outside the guywires of well service units. at the end of the line and at intermediate locations. Lubricator equipped with 1 or more bleed valves.4 RP54 12.5.5 RP54 13.1 S S RP54 13.2. both internal and external.2 S RP54 13. WIRELINE SERVICE. Cementing. Stripping & Snubbing. Hot Tapping and Freezing and Hotwork Operations.6.3 RP54 13.5.3 RP54 13. Gin pole attached to wellhead or Christmas tree with chain & ratchet load binder or equiv Rope & Blocks of the correct size & strength Rope inspected at beginning of the job. Coiled Tubing.4.1. 6. Acidizing. portable or skid-mounted wireline service units chocked or secured to prevent movement.1. unions & coupling threads.4. visual and pressure test of all sections on the lubricator Wireline BOP tested in open and closed positioned S 12 High pressure lubricators have 2 or more bleed valves installed S RP54 13. Mobile.20.5.4. Lubricators. Swages and Unions inspected for defects prior to use.5a 7 8 9 10 11 12 13 14 15 16 17 B 1 2 3 4 5 6 7 8 9 10 .4.7 RP49 6.4. SWABBING Wireline unit located as far away as possible from fracturing and/or hot oil units Wireline units. Valves and gauges checked to determine if pressure is present in lubricator before removal.2 S S RP54 12. inspected prior to use and in good condition.1 S RP54 13.2 RP68 6.1.2. SPECIAL SERVICES* • # Section N/A:______ Special Services encompasses Wireline.2 RP54 13. Lubricator equipment.1 RP54 13. Requirements set forth in Sections 1-19 will also apply to this section. unions and valves pressure tested to max. Coring.5.5.6.7 RP54 12. Open ended flow line secured to the wellhead. S 6 Personnel not permitted between wireline and wellhead when wireline operating.1 S S S S S RP54 13.4 RP54 13. vehicles.6. Hot Oil.2.2 RP68 6.3 S RP54 12.6.1 S S S RP54 12.1. Drill Stem Testing.11 RP54 12.2 11 Periodic (NTE 12 mo) drill. 6.2.7 S RP54 12.6.4. Pressure fittings.6.7 S S RP54 12. Condition S U N D C Standard A N / S D T S A B I A 1 2 3 4 GENERAL REQUIREMENTS Pre-Job safety meeting held Fire Extinguishers in accessible locations Service unit located upwind of wellhead Emergency escape air pack available S S S S 5 Emergency escape air pack charged and ready for use.5 RP49 6. Blocks inspected at the beginning of the job Lower wireline sheave secured Splices not used in the entire length of rope S RP54 12 thru 20 RP54 12.3 RP54 12. Essential personnel only allowed near pressurized lubricators.5.5.1 S RP54 12.1.1 S RP54 13.5. Discharge lines not place under mobile equipment. Gas Air or Mist Drilling. anticipated pressure.1.4 S RP54 12. flow lines and well head Lubricator bleed valves cycled after pressure removed Service unit engines equipped with an emergency shutdown device Welding operations not conducted near wellhead.4.3 RP54 13.

2.9. etc located away from flow and/or bleed-off lines Pump units located so snubbing operator can see pump operator Well pressure monitored at all times Backpressure valve or blanking plug installed in pipe string (Min 1) Snubbing operations not conducted at same time as welding operations in the vicinity Approved packer/drill string design used during snubbing.9 14 15 16 16a 17 C 1 1a 1b 2 3 4 5 6 7 8 9 10 D 1 2 3 4 5 6 E 1 2 3 4 5 6 7 8 9 F 1 2 3 G 1 2 3 DRILL STEM TESTING Engines located 100+ ft from wellhead Engines located within 100 ft not operated or equipped with heat & spark arresting system Unauthorized personnel kept clear of area Safety valve and wrench readily available Casing fluid volume monitored Rig floor attended at all times ACIDIZING.4 RP54 17.6.1. tool boxes.7 RP54 14.3 RP54 15.1 S RP54 18.1 Gasoline engines and other sources of ignition kept 100+ ft away Snubbing work platform guyed.2.4 RP54 14.1 13 High pressure lubricators.6 S S RP54 15.1 S S Hydrostatic bailers secured prior to dumping.1 RP68 12. motors.2.5 RP68 12.6. tanks & pits S RP54 13.1 S S S RP54 17.2.3 RP54 16.3 RP49 11. Pump operators at controls while pumps in operation Frac Tanks grounded Frac Tanks equipped with internal anti-static build-up devices CEMENTING OPERATIONS Unauthorized personnel kept clear of area Pump & discharge lines tested prior to starting job Pump operators at controls while pumps in operation GAS.3 RP54 13.3.10 RP54 16.3 RP68 12.9.2. blowout preventer and fire fighting equipment Personnel familiar with air/gas supply Personnel familiar with circulating system S S S S S RP49 11.6 S S RP54 14.6 RP49 11.1.5 RP49 11.3 RP54 17. FRACTURING & HOT OIL OPS Trucks & Tanks located 100 ft min from wellhead Check valve installed on lines from pumping equipment to wellhead Blending equipment grounded Sand unloading equipment bonded to blending machine Unauthorized personnel kept clear of area Pre-treatment pressure test of pump ad discharge lines conducted.3 S S RP54 14. power packs.2.6 RP54 16. valves.6 RP54 16. connections and adapters inspected at intervals NTE 12 mo Lubricator sections marked with permanent serial number Non-essential engines.2.1 S S RP54 18.2 S S S S RP54 15.3.3.1.9 S S S RP54 16.2.3.3.2 RP68 12.10.2.2.1.2.2.1 RP54 15.5 S RP54 14.8 S RP54 14.10 RP54 15.1.4 S S S S RP54 16. stuffing boxes.12a Minimum equipment available □ Wireline Valve (BOP) □ Lubricator (riser) Sections □ Pressure Bleed Valve □ Stuffing Box or Control Head S RP49 11.2.1. STRIPPING AND SNUBBING Emergency escape line rigged and available for each person on snubbing unit Only the minimum number of employees allowed in basket Employees provided and using proper protective equipment S RP54 13.2.5c RP54 13.3 S S RP54 16.2 RP54 15.2. AIR.1 RP54 18.3. or MIST DRILLING OPERATIONS Personnel trained in the use of emergency shutoff.2.5 RP68 12.2.1 . doghouses.5b S S RP54 13. and other sources of ignition are shut down during swabbing operations Swabbing operations conducted during daylight hours Swabbing unit placed upwind from the wellbore. unless otherwise supported Pumps. Snubbing operations conducted during daylight hours only S RP54 14.1.1.6 RP54 14.

2 RP54 19.4 9 S RP54 18.5.6 S RP54 18.17 RP54 18.3.9 RP54 18.3.3 S S S RP54 18.23 S S S RP54 18.3 RP54 18.13 S RP54 18.1 RP54 18.5 S S RP49 11.4.2 RP54 18.3.21 S S RP54 18.3.5.3 RP49 11.1 RP68 6.3 RP54 18.3 RP54 19.2 RP54 18.6.3.3.12 RP54 18.8 RP68 12. 150 ft from the well head (Gas only) (GAS Only) Spinning rope used instead of chain Float valves inspected each time bit pulled out Fuel and Oil storage tanks 50 ft min from compressor LPG supply lines equipped with shut off valves at storage tanks and engines Master safety valve located on main fuel line One 150# Class BC dry chemical fire extinguisher available on site Circulating head stripper rubber inspected each tour Pipe connections from wellbore leak free Well killing material and equipment on site and operational before drilling commences Unauthorized personnel kept clear of area Rig substructure adequately ventilated Generator houses.4.5.9 RP49 11.5.20 RP54 18.3.5 RP54 18.4 Compressors located 100 ft away from wellbore S RP54 18.3.3.3.3.3.9 RP49 6.2 S S S S S S RP54 18.5 RP54 19.3.9 I 1 2 CORING OPERATIONS H2S precautions implemented prior to pulling cores Positive pressure/pressure demand breathing apparatus with full face piece used while working in areas where atmospheric concentrations exceed 10 ppm (H2S) or 2 ppm (SO2) H2S monitoring equipment available to check core barrel Proper storage and transportation of H2S containing samples CONTINUOUS REELED (COILED) TUBING OPS 10 10a 11 11a 12 13 14 15 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 3 4 J S S RP49 11. Shutoff valve installed on main feeder.4.3.3 S S S RP54 18.4.3. and change houses kept 100+ ft from well bore Automobiles parked GT 100 ft from the wellbore Rig engines equipped with heat and spark arresting systems Gas or gasoline fueled engine equipped with low tension ignition system Other possible ignition sources permitted in designated areas only HOT TAPPING & FREEZING OPERATIONS Performed under the direct supervision of a qualified person Hot tapping equipment pressure tested after rig-up Frozen plugs allowed to thaw S S S 4 5 Frozen plugs tested by staged reduction in pressure Equipment suitable for an H2S environment S S 6 Rated working pressure exceeds anticipated pressures S RP54 19.14 S S S S RP54 18.4 RP54 18.3.1 5 6 6a 6b 6c 6d 7 8 Compressors visible from driller’s position Compressors equipped with: Pressure relief valves Discharge temperature and pressure gauges Engine governors Engine shut off valves Drilling engines equipped with kill switches Kill switches mounted near driller’s console S RP54 18. bunk houses.3.1 RP54 18.22 RP54 18.3.9 RP54 18.11 RP54 18.8 RP68 12.9 RP49 11.2.3.3 RP54 18.1 RP54 19.3. quick closing valve installed on Kelly Two valves installed on standpipe accessible from rig floor and ground level. Blooey line used Blooey and bleed-off lines 150 ft minimum Blooey and bleed-off lines securely anchored Pilot light used Full-opening.3.5 D S S D S S RP54 18.3.7 H 1 2 3 Compressor discharge lines equipped with check valve and block valve.3.4 RP54 18.5.2.19 RP54 18.3.3 RP54 18.5.9 .5.5 RP54 18.

2.7b 4 5 S S S .2.1 3 S RP49 RP68 RP49 RP68 RP49 RP68 11.1b 10.1a 10.7e 11.1e 10.6.1 Proper material of tubing used in H2S environment S RP49 11.10.10.7a 11.2 11.2 12.2.2.6.10.1c 10.7.2.1 11.2.7c 11.7.7.2.1 RP68 12.6.2.7c 11.2 12.10.2.6 RP68 12.2.2.10.2.6.7a 11.2 K 1 Reel unit and its conveyance should be adequately secured from movement Flanged type connection used on bottom connection of the coiled tubing BOP Dedicated pump cross and a 2nd set of tubing ram preventers located below the pump cross WELL EVALUATION AND TESTING OPERATIONS Performed with the minimum number of employees 2 Produced gases vented and/or flared to ensure personal safety S 3 Gases from stored test fluids safely vented S 4 Proper storage and transportation of H2S containing samples S 5 H2S monitoring devices available and in use S 6 Only H2S qualified personnel permitted RP49 RP68 RP49 RP68 RP49 RP68 RP49 RP68 RP49 RP68 RP49 RP68 11.1a 10.7 2 Coiled tubing unit placed upwind from the well S RP49 11.1c 10.7.10.1 12.

Section. Also include the total manhours worked and the average number of employees for each year or up to the date of the inspection for the current year. the following information is required. Locality A copy of the contract between the operating company and your company describing the work to be conducted. if any (recent random selection) A copy of the MSDS for: Names.To: TOOLPUSHER/SAFETY MANAGER of _______________________ Subject: DOCUMENT REQUEST Date: _________________ Today. A copy of your Safety Program or Safety Handbook (CD version is acceptable) A copy of your Hazard Communication Program (HAZCOM) Training records for : For the following employees: Copies of rig inspections conducted by rig personnel (recent) Copies of pre-tour/daily/weekly safety meetings and trainings (recent random selection while on this location) Copies of BOP tests performed Copies of JSA’s conducted. Please provide the information to the Compliance Officer while on site or forward the information requested (faxed copies are acceptable) to Compliance Officer _______________________________ by the completion of the on-site inspection or within 5 days at the address shown above: X Description of Document and/or Information Required Employer Identification Number/Federal Tax ID Number (EIN) Copies of your OSHA 300 Logs (Injury and Illness Reporting Log) for the current year and the three (3) previous years. addresses and positions of all employees on site at the time of the inspection. Other: . Site information: Field Name. Well Name and Number. Parish/County. Coordinates. In order to complete our files. an inspection is being conducted on your rig #____________.