Saudi Aramco BOP Equipment Failure Report (EFR)

Drilling Equipment Monitoring & Repair Unit (EFR# (ASSIGNED BY DEMRU @ 876-3185)
1. Rig Name: 2. Well Number: 3. Rig Foreman (Print): 4. Tool Pusher (Print):

5. Equipment Manufacturer: 6. S/Aramco C# or Contractor Asset#: 7. Manufacturer Part Number: 8. Contractor Owned Equipment
Yes No
9. Pressure Rating: 10. Size: 11. Actual Pressure At Failure: 12. Actual Well Fluids:

13. Primary Assembly Equipment Description: 14. Duration in Service:

15. Description of Assembly or Spare Part that Failed: 16. Defective Part Number:

17. Material Being Returned or Replaced?: 18. If Yes, When?: 19. Returned To Where?: (NOTE: Show EFR# On All Returned Material)
Yes No
20. Describe (With Narrative And/or Pictures / Sketches) The Failure and Circumstances. Use Additional Pages if Necessary:

21. Was Field Action Necessary?: 22. If Yes, Describe:

Yes No

23. S/A Drilling or Contractor Rig Supt. Name: 24. Superintendent Phone#: 25. Date of Defect:

26. Submitted By (Print Name): 27. Signature & Badge#: 28. Date:

INVESTIGATION ASSIGNMENT
29. Assigned to: 30. Title & Badge: 31. Date Assigned: 32. Due Date: 33. Engineering Contact:

REASSIGNMENT (AS REQUIRED)

34. Reassigned to: 35. Title & Badge: 36. Date Reassigned: 37. Due Date: 38. Reassigned By:

INVESTIGATION FINDINGS & CONCLUSIONS

39. Investigation Findings: (Use Additional Pages If Necessary):

40. Superintendent DRSD (Print): 41: Signature: 42: Badge #: 43. Date:

INSTRUCTIONS: Complete this form for ANY BOP equipment related failures, whether CONTRACTOR or Saudi Aramco owned Equipment. After
completion, fax it to the DEMRU Foreman @ 876-1401, DRSD Superintendent @ 876-1948 and the assigned Rig Superintendent for follow-up.