Onshore Drilling and Workover Rigs

Operational Risk Survey Checklist

Name of Rig : .………………………………

Location : ……………………………….

Date : ……………………………….

STATUS
NO. DESCRIPTION SITE VERIFICATION COMMENTS / RECOMMENDATIONS
yes/no

I Safety Management and Administration

I-1 General Requirement

I-1-1 All visitors to report to Rig Supt / Safety Officer for safety induction
I-1-2 No Smoking except in designated area
I-1-3 No electronic devices. Cameras, hand phones etc.
I-1-4 Safety equipment must be worn. Safety Glasses
Hard Hats, Gloves, Safety Shoes
I-1-5 H2S Alert/alarm system (in H2S areas)
I-1-6 Location security
I-1-7 Days worked without LTI
I-1-8 Muster Board Showing All Personnel Onsite
I-1-9 Hazards Flagged (pipework, wellheads, excavations)
I-1-10 Guylines Adequately Flagged
I-1-11 Wind Socks in Place
I-1-12 First Aid Kit Complete
I-1-13 Stretcher, Blanket and splints available
I-1-14 S.C.B.A. Number available and fully charged
I-1-15 Adequate Warning Signs Posted
I-1-16 Fuel tanks Labeled with Flamable/Hazardous
I-1-17 Storage for Paint, oils, chemicals Labelled
I-1-18 Portable gas detector available and properly calibrated
I-1-19 Safety shower and eye wash stations
I-1-20 Safety lights (auto on during power out) at rig floor,
monkey board, accumulator and muster point

I.2 Policy
Company Policies on HSE, drugs, alcohol, firearms
Envronmental Management Policy (Spill, Waste, Chemical, etc)
I-3 Procedure
I-3-1 Safe Drilling Procedure and Standard ( manual )
I-3-2 Safe Working Procedure
I-3-3 Work Permit Procedure
I-3-4 Lock-Out & Tag-Out Procedure
I-3-5 Confine Space Procedure
I-3-6 Accident/Incident Investigation
I-3-7 Waste Management Procedure
I-3-8 Chemical Handling Procedure (based on MSDS)
I-3-9 Land Transportation Procedure
I-3-10 BOP Test Procedure
I-3-11 Well Control Procedure ( Manual )
I-3-12 Rig Up & Down Procedure
I-3-13 Rig Move Procedure
I-3-14 Emergency Response Procedure
I-3-15 Safe Lifting Procedure

I-4 Documentation Available at Rigsite

I-4-1 Record of Certification MIGAS ( silo, BOP and pressure vessels )
I-4-2 Record of safety meetings and topics discussed.
I-4-3 Record of Fire Drill
I-4-4 Record of Evacuation drill
I-4-5 Record of BOP Drill
I-4-6 Schedule for NDT and maintenance
I-4-7 Record of NDT results.
I-4-8 Record of Fire fighting equipment inspections ( tags )
I-4-9 Record of Fire Detection System Inspections
I-4-10 Record of Critical Spares Inventory
I-4-11 MSDS for all chemicals onsite ( list of Hazardous materials )
I-4-12 Record of S.C.B.A. inspection
I-4-13 Ton-mile slip and cut record to be kept
I-4-14 Medical treatment log book kept
I-4-15 Record of pressure testing of BOPE
I-4-16 Record of Hazardaus material list

II PERSONNEL

II-1 Certificates
II-1-1 Rotary Helper Level II
II-1-2 Derrickman Level II
II-1-3 Driller Level III
II-1-4 Toolpusher Level III
II-1-5 Crane Opeator
II-1-6 Forklift Driver License
II-1-7 Driving License
II-1-8 Other Company's requirement

II-2 Training
II-2-1 HSE Induction and record
II-2-2 Well Control
II-2-3 B.O.P
II-2-4 Fire Fighting
II-2-5 First Aid
II-2-6 H2S
II-2-7 Safety Orientation
II-2-8 Other Company's requirement

III RIG EQUIPMENT AND FACILITIES

III-1 Fire Protection and Prevention

III-1-1 Fire Pump with a capacity 250 gpm available
III-1-2 Fire extinguisher for mini camp 1 x 9kg per accomodation unit
III-1-3 1 X 9 kgs fire extinguisher at rig engines, accumulator, BOP's
shaker area, mixing area, cement unit, workshop and
drill floor as a minimum
III-1-4 All accomodation units to have smoke detectors
III-1-5 All engines exshaust equiped with spark arrestors
III-1-6 Fire extinguisher available at welding shop
III-1-7 All welding outside of shop area to be by permit only
with fire watch at all times.
III-1-8 No combustables to be stored within 100' of flare
III-1-9 Engine equiped with over speed protection device

III-2 Rig Well Control Systems

III-2-1 Gas detectors working
III-2-2 Alarms working
III-2-3 BOP equipment fully pressure tested
III-2-4 Accumulator Bottles Pre-charge checked
III-2-5 Accumulator Storage volume Adequate
III-2-6 Accumulator Function tested
III-2-7 BOP controls functional from rig floor and accumulator
III-2-8 BOP controls properly labelled
III-2-9 No hydralic leaks in accumulator or BOP system
III-2-10 All gauges ready correctly
III-2-11 All unused lines plugged/capped
III-2-12 Accumulator clean and in good general condition
III-2-13 BOP controls to be in open or closed position (not neutral)
III-2-14 No welding or other BOP modification w/o aprroval from manufacture

III-3 Generators and Electrical systems

III-3-1 Located outside Class 1 Zone 2 area (15 meters)
III-3-2 All moving parts guarded
III-3-3 Generators properly grounded
III-3-4 Conrol panels and distribution boards securely mounted
III-3-5 covers in place and in good condition
III-3-6 High voltage signs posted
III-3-7 Electric controls labelled and can be locked out
III-3-8 Rubber mats on floor at control panels
III-3-9 All electrical tools double insulated type with ground prong
III-3-10 All cables supported with approved fasteners
III-3-11 All cables properly spliced explosive proof where required
III-3-12 Drip pans in place where required
III-3-13 All accomodation units protected by safety switch (RCD)
III-3-14 All units properly grounded (earthed)
III-3-15 All cables in good condition. No broken insulation/splices
III-3-16 All light fittings, switches and junction boxes inside class
1 zone 1 areas (7.5 meters) explosive proof
III-3-17 All equipment connected into distribution boards with
approved plugs
III-3-18 All cables raised, burried or otherwise protected from
dammage due to traffick or equipment handling
III-3-19 All electrical plugs are explosion proof

III-4 Derrick, Crown and Racking Board Area

III-4-1 Derrick must be free from defects, cracks or bent members
III-4-2 No loose ropes or lines
III-4-3 Adequate vapour proof lighting with snub lines attached
III-4-4 Guy lines minimum 9/16" free from defects, splices
corrosion. With properly fitted clamps and thimble eyes.
III-4-5 Guy lines properly secured to derrick with clevice and pin
III-4-6 All pins to be of correct size and secured with keepers
III-4-7 Ladder in good condition
III-4-8 Racking Board and fingers in good condition
III-4-9 Fingers have safety lines and all tools secured
III-4-10 Racking Board has safety lines attached
III-4-11 Housing sheaves, tong sheaves properly secured with
safety lines and pins attached
III-4-12 Traveling block gaurds in place
III-4-13 Crown saver blocks wrapped with expanded metal and in
good condition.
III-4-14 Crown sheaves in good condition
III-4-15 Crown walkaround hand rails in good condition
III-4-16 Derrick crown light secure and working. Safety line attached
III-4-17 Derrick climber device provided and properly used
III-4-18 Derrick belt and lanyards in good condition
III-4-19 Escape equipment properly rigged up and ready for use
III-4-20 Escape line properly anchored and of sufficient length
III-4-21 Fall protection device installed on derrick and stabbing board
III-4-22 Standpipe secured with all fasteners in place
III-4-23 All standpipe valves fitted by approved welding or hammer
union. No threaded or clamped fittings along critical path
III-4-24 Rotary hose snubbed at both ends
III-4-25 Rotary hose of correct type and in good condition.
III-4-26 Safety latch on all the hooks

III-5 Dog House

III-5-1 Minimum 2 exits remote from each other. No obstructions.
III-5-2 Spare safety harness, lanyards.
III-5-3 Approved glasses, hats, boots and gloves worn by crews
III-5-4 No loose clothing items worn around machinery
III-5-5 Electrical equipment explosive proof type
III-5-6 All hand tools in good condition

III-6 Drilling Floor Area

III-6-1 Stairs provided from three sides
III-6-2 Full handrails with toe boards in good condition.
III-6-3 Floor area non slip. Kept clean and free of open holes
III-6-4 No hoses or lines capable of wrapping around kelly
III-6-5 Rotary drive fully guarded and securely bolted
III-6-6 Adequate explosion proof lighting
III-6-7 Floor kept clear of trip hazards
III-6-8 V-door fitted with gate or chain for safety when not in use
III-6-9 Tong counterweights with safety lines or encased
III-6-10 Tongs in good condition and operating freely
III-6-11 No welding or modifications to tongs
III-6-12 No worn or broken tong dies
III-6-13 Snub lines properly installed and in good condition
III-6-14 Tong pull lines properly installed and in good condition
III-6-15 Pull line rollers in good condition and turn freely
III-6-16 Rig winch (tugger) lines in good condition
III-6-17 Winch lines properly spooled and secured when not in use
III-6-18 Catheads smooth and free of rust and fitted with anti-rope
fouling device
III-6-19 Catlines in good condition and kept tied back when not in use
III-6-20 Kelly cock provided with correct wrench available
III-6-21 Crown saver device working and adjusted correctly
III-6-22 Drilling line in good condition
III-6-23 Drill line anchor minimum 2 wraps. All retainer bolts in place
III-6-24 Draworks gaurds complete and in good condition
III-6-25 Drillers controls properly marked and gaurded
III-6-26 Drilling line clamp properly anchored
III-6-27 Draworks pins fitted correctly without excessive wear and
all safety pins in place
III-6-28 Brake adjuster lock nuts tightened
III-6-29 Brake linings in good condition
III-6-30 Area free of trip/slip hazards
III-6-31 Spark arrestors on diesel engines exhaust
III-6-32 Emergency shut down working and clearly labelled
III-6-33 Eye wash station fully charged in good condition
III-6-34 No spinning chain used

III-7 Stairs, Walkways, Handrails, Gaurdrails

III-7-1 All stairs level with uniform treads of non slip type
III-7-2 All stairways clear and unobstructed
III-7-3 All handrails 30-34 inches high and properly secured
III-7-4 All guard rails with mid rail and toe boards in good condition
III-7-5 All gard rails secure and standard 42 inch height
III-7-6 All walkways with guard rails on both sides

III-8 Substructures
III-8-1 Explosive proof lighting and junction boxes
III-8-2 Beams and braces free from defects, cracks, bends & rust
III-8-3 All correct size pins in place with safety keepers

III-9 Pipe Racking Area

III-9-1 Stopper devices at ends of Catwalk
III-9-2 Pipe rack and catwalk free from defects, holes
III-9-3 Catwalk and racks level and secure
III-9-4 Stairs provided for catwalk
III-9-5 Employees not walking on top of pipe
III-9-6 Derrick stand and drilling line reel in good condition
III-9-7 Area free of hazards/obstacles
III-9-8 Adequate lighting in pipe racking area

III-10 Mud Pump Area

III-10-1 Rotating parts fully guarded and all bolts in place
III-10-2 Mud pump cylinder heads and valve covers fully bolted
III-10-3 Shear pin relief valve covered
III-10-4 Correct shear pins in use and relief valve tested
III-10-5 Ends of relief lines secured
III-10-6 No obstructions or valves in relief lines
III-10-7 Shock hoses snubbed both ends to structure
III-10-8 Adequate lighting
III-10-9 Vapour proof electrical equipment
III-10-10 Drip pans where required
III-10-11 Area clear of trip hazards, tools materials.
III-10-12 Spark arrestors on diesel engines exhaust
III-10-13 Emergency shut down working and clearly labelled
III-10-14 Pulsation dampener charged to correct pressure

III-11 Mud Mixing Area

III-11-1 Rotating parts, drive belts fully enclosed
III-11-2 Adequate lighting
III-11-3 Explosive proof electrical equipment
III-11-4 Area clear of trip hazards, tools materials.
III-11-5 PPE available for chemical mixing
III-11-6 Eye wash station fully charged in good condition
III-11-7 Signs in place indicating PPE requirement
III-11-8 Stop/start switches labelled and operating properly
III-11-9 Mixing tank for caustic soda available
III-11-10 Walkway obstruction signs

III-12 Mud Tanks and Pits

III-12-1 Three sets of stairs clear of obstruction
III-12-2 Guard rails with kick boards on all sides and walkways
III-12-3 All walkways level and of sturdy construction
III-12-4 No trip hazards hoses, parts, chemicals present
III-12-5 Mud gates and equalizer pipes not leaking
III-12-6 Mud tanks that are open with adequate grading
III-12-7 Adequate lighting
III-12-8 All electrical equipment explosive proof and in good condition
III-12-9 Shale shaker and solids control drive equipment guarded
III-12-10 Agitators drive belts and rotating parts gaurded
III-12-11 Stop/start switches labelled and operating properly
III-12-12 Signs in place indicating PPE requirement
III-12-13 Hoses snubbed
III-12-14 Are all suction and butterfly valves operating properly
III-12-15 Do any lines,valves or walls leak in mud pits
III-12-16 Walkway obstruction signs

III-13 Fuel Storage Tanks

III-13-1 Located 75 feet from well bore
III-13-2 Drip pans in place
III-13-3 All storage tanks marked to identify contents
III-13-4 Signage in place indicating danger/flamable/No smoking
III-13-5 No leaks in hoses or pumping systems
III-13-6 Ladders secure with side rails extending 3 feet above tank
III-13-7 Adequate lighting
III-13-8 No combustibles / rubbish near fuel storage tanks

Surveyors : Acknowledged by :

1.) Raflin P Libis…………. (…………………………)

1.) Company Man/ Rig Supervisor (………..….……..………)

2.) Muharbiyanto……………. (…………………………)

2.) Rig Manager /Superintendent : (………..….……..………)
 Onshore Drilling and Workover Rigs
Loss Prevention Survey and Inspection Checklist

Name of Rig : .………………………………

Camp Location : ……………………………….

Date : ……………………………….

STATUS
NO. DESCRIPTION SITE VERIFICATION COMMENTS / RECOMMENDATIOS
yes/no
1 General Requirement
1-1 All visitors to report to camp boss
1-2 No smoking except in designated area
1-3 Location security
1-4 Emergency muster point
1-5 First aid kit complete
1-6 Strecher, blanket and splints available
1-7 Adequate Warning Signs Posted
1-8 Fuel tank labeled with flamable sign

2 Generators and Electrical systems

2-1 All moving parts guarded

2-2 Generators properly grounded
2-3 Conrol panels and distribution boards securely mounted
2-4 covers in place and in good condition
2-5 High voltage signs posted
2-6 Electric controls labelled and can be locked out
2-7 Rubber mats on floor at control panels
2-8 All cables supported with approved fasteners
2-9 Drip pans in place where required
2-10 All accomodation units protected by safety switch (RCD)
2-11 All units properly grounded (earthed)
2-12 All cables in good condition. No broken insulation/splices
2-13 All equipment connected into distribution boards with
approved plugs
2-14 All cables raised, burried or otherwise protected from
damage due to traffick or equipment handling

3 Fuel Storage Tanks

3-1 Drip pans in place as required

3-2 All storage tanks marked to identify contents
3-3 Signage in place indicating danger/flamable/No smoking
3-4 No leaks in hoses or pumping systems
3-5 Ladders secure with side rails extending 3 feet above tank
3-6 Adequate lighting
3-7 No combustibles / rubbish near fuel storage tanks

4 Food Handling And Storage

4-1 Dry store kept clean and dry

4-2 Dry store free of rodents, insects
4-3 Adequate lighting
4-4 Walkways clear of boxes and stores
4-5 Refridgerator & freezer units working properly Ref temp 40 F
4-6 Fridge and freezer doors seal properly
4-7 Walk in fridge and freezers can be opened from inside
4-8 Adequate lighting in walk-in fridge/freezer
4-9 Kitchen and dining areas fitted with fly screens
4-10 Bug zappers in kitchen and dinning areas
4-11 Clean, orderly all rubbish disposed of properly
(Split between Organic & Non-Organic)
4-12 Proper cutting boards in use and kept clean
4-13 Smoke/fire alarms in all units and in working condition
4-14 Fire extinguishers available
4-15 Exits not obstructed
4-16 Air cons working properly
4-17 Water supply pumps working and no leaks
4-18 Walls and flooring in good condition
4-19 Unobstructed walkways to accomodation units
4-20 Proper drainage in the kitchen and food preparation area
4-21 Water tank is cover and lighted
4-22 Water treatement plan is clean and wash every month

5 Accomodation units
5-1 Air cons working properly
5-2 Electrical wiring in good condition no exposed wires
5-3 Smoke/fire alarms in all units and in working condition
5-4 Toilet facilities clean. Cleaning supplies available
5-5 Accomodation clean and in good overall condition

6 Showers and toilets

6-1 Plumbing in good order no leaks

6-2 Showers and toilets clean and tidy
6-3 Non slip flooring in shower areas
6-4 No electrical hazards
6-5 Waste directed to covered septic pit

Surveyors Acknowledged by :

1.) ………………………………………. (…………………………)

1.) Companyman : ……………………………….. (………..….……..………)

2.) ………………………………………. (…………………………)

2.) Rig Manager/Superintendent : ………………………(………………………….)

3.) ………………………………………. (…………………………)

4.) ………………………………………. (…………………………)