Inspection Service Order

Rig No.: 269 ISO No.: 269-2022-006A

Date: 20-Feb-2022 Issued To: SGS

Equipment Make & Applicable

No. Asset No. Equipment Name Serial No. Scope Of Work
Model Standards
Perform NDT Inspection of all critical areas of the Mast and Substructure as part of CAT IV inspection work scope,
including but not limited to:
LoadMaster/
1 041054 Mast M 2007-2 - Primary connection points of the mast sections, A-legs, crown section, hangoff & lifting padeyes, load path points, bridle API Spec 4G
M1000HRVT
line sheaves & shafts, other;
- Primary weld points: Welded areas at primary pin connection points - see above, mast beams, padeyes, hangoff points, A-
leg stools
- Secondary connection & welded points: bolted, pinned or welded braces, boomline bracket, monkey board padeyes and
brace points, ladder brackets, walkway support brackets, escape line bracket & other safety
LoadMaster/
points.
2 041053 Substructure S 2007-2 - An ultrasonic thickness test is recommended all tubular style members to test for internal corrosion. API Spec 4G
M1000HRVT

All items should be identified by the aseet number & serial number, these numbers shall be in the report. Report should also show the applicable standard inspection performed. Report should have the ISO number
Note: along with LPO number.
• Service shall be performed by qualified personnel only.
• For NDE inspectors Level 2 is the minimal requirement.
• Inspection reports shall be submitted to Parker Drilling within 5 working days after the inspection has been finished

Rig Manager: The scope of work is understood and agreed upon.

Viorel Serban Digitally signed by Viorel Serban

Date: 2022.03.02 07:25:08 +03'00'
Service Company Authorized Representative:

Signature/Print Name Signature/Print Name

Document No: QF-0401-KRD-F001Document Name: Inspection Service Order FormApproved by: B. Musgrove Rrevision No.: 0Date Effective : 7-Jul-2013 Page 1 of 1