Weatherford

BMS COMPLIANCE INTERNAL AUDIT REPORT

Contract Drilling

Attachment 2
Copy of Internal Audit Checklist (Working Copy)

LOCATION: AUDITOR:
MANUAL OR PROCEDURE: BMS 03 – Health, Safety and Environment Manual

DATE OF AUDIT: DEPT/PERSON:

S = Satisfactory, U = Unsatisfactory, M = Minor NC, O = Observation, N/A = Not applicable

Serial No. WPTS INQUIRY Ref. OBSERVATION / REMARKS

Category

1. Manuals and Statements.

1 1 BMS Manuals available and up to BMS 03

date? (Additional Checklist)
2 1 Policy Statements available and CCQ 2/09
visible? EEP STP+trg rm: HSSE
STP+trg rm: 7-4-1 STP+trg rm: 5
Core growth trg rm+camp messes

3 1 I.C.R - Is it the correct version and up 01-31-STD

to date?
4 1 I.C.R - Is it a true reflection of the rig 01-31-STD
condition
5 1 I.C.R - has it been reviewed by the 01-31-STD
RS and submitted to the CDP
quarterly?
No. of Obs. No. of NC Cat = Low = 5 Score:

2. Risk Assessment and TRA.

6 1 SOPs developed and maintained in 03-11-POL

BMS 06.1 binder?
7 1 Are SOPs being revised to include 06.1-20-POL
pictures in the correct format?
8 1 TRA Worksheets maintained in BMS 03-11-POL
06.3 binder?
9 2 Are proper TRA forms available and 03-31-PRO
in use?
10 2 Are TRAs filed properly (06.3 binder), 03-31-PRO
up to date with evidence of review?

11 2 Evidence of review of TRAs at Pre- 03-31-PRO

Tour and/or Pre-Task Meetings?
12 2 Assess and comment on quality of 03-31-PRO
TRAs on site.
13 2 Assess and comment on 03-31-PRO
effectiveness of TRA process on site.

14 2 Are Risk Assessment Prompt Cards 03-31-PRO

in use / available on site?
No. of Obs. No. of NC Cat = High=10 Score:

3. Hazard Identification and TOFS.

15 2 Evidence of establishment and use of 03-13-POL

TOFS, including record on Daily
Drilling Reports?
16 2 Evidence of establishment and use of 03-20-POL
SafeStart / Hazard Identification
forms?
17 2 Evidence of daily review and 03-20-POL
feedback of SafeStart forms?

18 2 Evidence of tracking and close out of 03-20-POL

issues raised on SafeStart forms?

19 2 Are proper HazID forms available and 03-30-PRO

being used?

20 2 Assess and comment on 03-30-PRO

effectiveness of this Procedure on
site.
No. of Obs. No. of NC Cat = High=10 Score:

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BMS COMPLIANCE INTERNAL AUDIT REPORT
Contract Drilling

4. Emergency Planning.

21 5 Country Emergency Response Plan 03-21-POL

(ERP) in place and up to date?

22 5 Has the Country ERP been tested for 03-21-POL;

effectiveness? 3.5

23 5 Worksite ERP in place and up to 03-21-POL

date?
24 5 ERP(s) conform to policy? 03-21-POL;
4.2.1
No. of Obs. No. of NC Cat = Med=7 Score:

5. Incident Reporting.

25 4 Evidence of incident reporting? 03-22-POL

26 4 Are proper Incident Flash Report 03-22-POL

forms including pictures being
submitted within six hours?
27 Are the Incident corrective actions 01-31-PRO;
recorded in the rig I.C.R. for tracking 4.2
purposes?
28 4 WPTS copy of the closed incident 03-40-POL
provided to the rig?

29 4 Review Incident Reports for site; are 03-40-PRO;

they complete and properly 4.1
administered (filed, Witness
Statements, pictures and close out
corrective actions)?

30 4 Assess and comment on quality of 03-40-PRO

reporting and investigation of
incidents.
No. of Obs. No. of NC Cat = High=10 Score:

6. Communications.

31 1 Evidence of Pre-Tour meetings 03-23-POL

including TRA, SOP & PTW
reference?

32 1 Evidence of Senior Supervisor 03-23-POL;

attending and leading the Pre-Tour 4.5.2
Meetings?
33 1 Evidence of Pre-Task meetings 03-23-POL;
including TRA, SOP & PTW 4.7
reference?
34 1 Is the Weekly HSE meetings 03-23-POL
(including review of the WQHSSER)
being conducted and correctly
recorded?
35 1 Evidence of the WQHSSER and 03-23-POL
HS&E Bulletins being received and
communicated?
36 1 Evidence of Country Management 03-23-POL
Monthly HS&E Meetings being held
and communicated on the
'Information Board'?

37 1 Are proper meeting forms being used 03-37-PRO

and signed by attendees?

38 1 Evidence of review of Weekly HS&E 03-37-PRO

Meetings by STP/DH?

39 1 Evidence of review of Weekly HS&E 03-37-PRO

Meetings by worksite manager/Rig
Superintendant?

40 1 Evidence of Daily Rigsite Operations CCQ 52

Review Meetings?
No. of Obs. No. of NC Cat = High=10 Score:

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Contract Drilling

7. Committees and Meetings.

41 1 Is there an established Safety 03-37-PRO

Committee?
42 1 Is there a list of Safety Committee 03-37-PRO
members?
43 1 Evidence of Safety Committee 03-37-PRO
Meetings conducted at least
quarterly?
44 1 Evidence of formal handovers 03-38-PRO
between relevant personnel? (Daily
driller's checklist)
45 1 Assess and comment on overall 03-38-PRO
quality of handovers and associated
records on site.

46 1 ‘Information Board’ provided and 03-39-PRO;

visible to all personnel? 4.1
47 1 Is information on board appropriate, 03-39-PRO
relevant and up to date?
48 1 ‘Worksite Safety Record Status 03-39-PRO;
Board’ provided and visible with 4.2
relevant up to date information?
49 1 Assess and comment on overall 03-23-POL
quality and effectiveness of HS&E
communications at the worksite.
No. of Obs. No. of NC Cat = High=10 Score:

8. Policy Compliance.

50 1 Assess and comment on awareness 03-24-POL

of Drug & Alcohol Policy.

51 1 Evidence of Drug & Alcohol Policy 03-24-POL

implementation?
52 10 Evidence of Country Transport / 03-25-POL
Driving Policy in place?
53 10 Is the Journey Management Plan in 03-25-POL
use and effective?
54 10 Are drivers daily checklist completed? 03-25-POL

55 10 Are the WCD vehicles fitted with 03-25-POL

IVMS (if required), seatbelts, seatbelt
& smoking stickers, rollover
56 10 Are weekly maintenance Inspections
protection (if required), First Aid kit,
03-25-POL;
being conducted? 4.6.2
Fire ext and breakdown warning
57 1 triangles.
Is there a Smoking Policy in place? 03-27-POL

58 7 Evidence of smoking in Vehicles, 03-27-POL

offices and cabins?
59 7 Is the policy communicated and 03-52-STD;
implemented in conformance with 4.1
Standard?
No. of Obs. No. of NC Cat = Low = 5 Score:

9. Personal Protective Equipment.

60 8 Appropriate PPE being worn by all 03-26-POL

personnel?
61 8 Are any personnel wearing jewellery 03-26-POL
on site?
62 8 Are WDI provided red coveralls with 03-26-POL
reflective strips available?
63 8 Are new hires provided with 03-26-POL
fluorescent orange hard hats?
64 8 Is Rig Doctor / Medic provided with 03-26-POL
distinctive and identifiable work
clothing and/or hard hat?
65 8 Are 5 green hard hats labeled ‘Visitor’ 03-26-POL
available?
66 8 Is appropriate hearing protection 03-26-POL
provided / available and being worn?

67 8 Is appropriate eye protection 03-26-POL

provided / available and being worn?

68 8 Is appropriate respiratory protection 03-26-POL

provided / available and being worn?

69 8 Assess and comment on use and 03-26-POL

condition of PPE on site.

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Contract Drilling

No. of Obs. No. of NC Cat = Med=7 Score:

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BMS COMPLIANCE INTERNAL AUDIT REPORT
Contract Drilling

10. Inductions.

70 9 Evidence that a worksite HSE 04-41-STD-

induction is given and recorded. 01
71 9 Assess and comment on the 04-41-STD
effectiveness of this program.
No. of Obs. No. of NC Cat = Med=7 Score:

11. Permit To Work.

72 3 Evidence of proper management and 03-32-PRO

administration of Permit to Work
System (PTWS)?
73 3 Are proper PTW and associated 03-32-PRO
Checklist forms being used?
74 3 IS PTW Log Book available and up to 03-32-PRO
date?
75 3 If possible, conduct check of ‘live’ 03-32-PRO
Permit and comment.
76 3 Evidence that all relevant operations 03-32-PRO
are being conducted under PTWS?

77 3 Assess and comment on 03-32-PRO

effectiveness of PTWS on site.
No. of Obs. No. of NC Cat = High=10 Score:

12. Confined Space/Gas Detection.

78 3 Are proper signs in place at access to 03-33-PRO

confined spaces?

79 3 Is there a list of Authorized Gas 03-33-PRO

Testers for site?

80 3 Evidence of calibration of gas testing 03-33-PRO

equipment?
81 3 Calibration Log available and 03-33-PRO
maintained up to date?

82 3 Evidence of application of control 03-33-PRO;

measures for confined space entry? 4.7

83 3 Evidence of training of personnel 03-33-PRO

involved in confined space entry?
84 3 Assess and comment on the quality 03-33-PRO
and effectiveness of this Procedure
and associated records.

No. of Obs. No. of NC Cat = High=10 Score:

13. Isolations.

85 3 Lock Out / Tag Out Stations located 03-34-PRO

in SCR Room and Camp Engine /
Generator House?

86 3 Are locks identifiable and keyed 03-34-PRO

differently?
87 3 Evidence of Isolations and De- 03-34-PRO
Isolations conducted under PTWS?

88 3 Isolation Log available and 03-34-PRO

maintained up to date?
89 3 Evidence of Lock Out / Tag Out 03-34-PRO
training provided to relevant
personnel?

90 3 Assess and comment on quality and 03-34-PRO

effectiveness of this Procedure and
associated records on site.
No. of Obs. No. of NC Cat = High=10 Score:

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Contract Drilling

14. Hazardous Materials.

91 3 Are Material Safety Data Sheets 03-35-PRO

(MSDS) available for all chemicals?

92 3 Are hazardous and non-hazardous 03-35-PRO

materials segregated?
93 3 Are hazardous materials signed and 03-35-PRO
stored in designated area(s)?

94 3 Is adequately stocked PPE storage 03-35-PRO

locker(s) provided at mixing areas?

95 3 Are copies of relevant MSDS 03-35-PRO

available at chemical mixing areas?

96 3 Are eyewash and emergency shower 03-35-PRO

stations provided and functional at
chemical mixing areas?

97 3 Evidence of proper handling and 03-35-PRO;

mixing of caustic soda and other 4.5.1
corrosive chemicals?
98 3 Any asbestos on site? If so, 03-35-PRO;
comment on management of risks. 4.5.2
99 3 Any radioactive material on site? If 03-35-PRO;
so, comment on storage and 4.5.3
management of risks.
No. of Obs. No. of NC Cat = Med=7 Score:

15. Manual Handling.

100 7 Evidence of TRAs in place for manual 03-36-PRO

handling risks?
101 7 Evidence of manual handling training 03-36-PRO
provided to personnel?
No. of Obs. No. of NC Cat = Low = 5 Score:

16. Waste Management.

102 6 Are responsibilities for waste 03-41-PRO

management clearly defined in the
Contract?

103 6 Is there a contract-specific waste 03-41-PRO

management plan in place?

104 6 Are clean up equipment and 03-41-PRO

absorbent materials available on site?

105 6 Are all oil / fuel / cleaning fluids being 03-41-PRO;

managed in accordance with 4.2.4
Procedure?
106 6 Are all drilling chemicals / fluids 03-41-PRO;
managed in accordance with 4.2.5
Procedure?
107 6 Is an oil base mud contingency plan 03-41-PRO
required? If so, has Client provided?

108 6 Is waste segregation being practiced 03-41-PRO

and implemented effectively?

109 6 Are fuel transfers being managed in 03-41-PRO

accordance with Procedure? 4.2.10
No. of Obs. No. of NC Cat = Low = 5 Score:

17. H2S.

110 5 Assess H2S Exposure Level in 03-42-PRO;

accordance with Matrix and note 4.4
Response Level.
111 5 If H2S Contingency Plan is required, 03-42-PRO
is it available and up to date?

112 5 Does the H2S Contingency Plan 03-42-PRO;

comply with the Procedure? 5.0

113 5 Does the site conform to the Plan? 03-42-PRO

114 5 Is H2S equipment provided sufficient, 03-42-PRO
functional and properly maintained?

115 5 Evidence that all personnel have 03-42-PRO-

received appropriate H2S training?

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BMS COMPLIANCE INTERNAL AUDIT REPORT
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116 5 Evidence that H2S Drills and 03-42-PRO

Exercises conducted and recorded
on proper form?
No. of Obs. No. of NC Cat = Low = 5 Score:

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Contract Drilling

18. Control of 3RD Party Equipment.

117 3 Evidence of availability and use of 03-43-PRO

Permit for Installation of 3rd Party and
Subcontractor Equipment?
118 3 Are Permit records maintained and 03-43-PRO
up to date?

119 3 Evidence of full inspection and audit 03-43-PRO

of relevant equipment after 6
months?
No. of Obs. No. of NC Cat = Med=7 Score:

19. Fall Prevention and Protection.

120 3 Are all fall protection equipment 03-50-STD

identified / numbered?
121 3 Evidence of inspections and register 03-50-STD
of inspections?

122 3 Evidence of fall protection training 03-50-STD

provided to relevant employees?
123 3 Are inertia reels located for work on 03-50-STD
BOPs, monkey board and stabbing
board?
124 3 Are all ladders on site industrial 03-50-STD
grade?

125 3 Are all stepladders and extending 03-50-STD

ladders on site of non-conductive
fiberglass construction?

126 3 Do all fixed ladders on site conform to 03-50-STD;

this Standard? 4.1.5
127 3 Do all steps and stairways on site 03-50-STD;
conform to this Standard? 4.1.6
128 3 Assess and comment on the 03-50-STD
implementation and effectiveness of
this Standard on site.
No. of Obs. No. of NC Cat = High=10 Score:

20. Fire Protection and Drills.

129 5 Is there an adequate Fire Plan 03-51-STD;

located in Toolpusher’s Office, Rig 4.1.2
Floor and Mess Hall?

130 5 Is there a separate Camp Fire Plan 03-51-STD

appropriately displayed?

131 5 Evidence of appropriate training in 03-51-STD

fire fighting by relevant personnel?

132 5 Are paints and other flammable 03-51-STD;

materials stored in conformance with 4.1.8
this standard?
133 5 Is all fire fighting equipment 03-51-STD;
designated, available, and functional 4.2.4
and conforming to minimum
standards?
134 5 Evidence of adequate supply of 03-51-STD
spares?

135 5 Evidence of conduct of Fire and 04-40-STD

Muster Drills weekly?

136 5 Are proper forms used and 03-51-STD

maintained up to date?
No. of Obs. No. of NC Cat = High=10 Score:

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21. Medical.

137 7 Is there a suitably qualified Doctor / 03-52-STD

Medic available on site? If so, state
qualification.

138 7 Is a Medical Treatment Log available 03-52-STD

and maintained up to date?

139 4 Check against any Medical Treatment 03-40-PRO

Records available – are all incidents
being reported?

140 7 Are any drugs secured and properly 03-52-STD

managed?

141 7 Is there an up to date inventory of 03-52-STD

prescription drugs on site?
142 7 Are medical / clinical waste products 03-52-STD;
disposed in accordance with 4.4.6
Standard?
143 7 Is Hospital / Sick Bay adequately 03-52-STD
secured when not in use?
144 7 Assess and comment on the 03-52-STD
awareness and compliance with
blood-borne pathogen protocol.

145 7 Assess and comment on medical 03-52-STD

facility, including adequacy of
equipment and medicines on site.

146 7 If there is no medical facility on site, 03-52-STD

assess and comment on
arrangements in place for medical
emergency.
No. of Obs. No. of NC Cat = Med=7 Score:

22. Inspections.

7 Evidence of weekly inspections of 03-52-STD

Camp, kitchens and
accommodations?

7 Are the inspections a true reflection 03-52-STD

of the standard of health and
hygeine?

7 Are observations recorded in the rig 03-52-STD

I.C.R.
7 Are proper inspection forms used and 03-52-STD
records maintained up to date?

No. of Obs. No. of NC Cat = Med=7 Score:

Total Obs. Total NCs Total Score:

Scoring method:

For sections classed as High the scoring will be:

10 (ten) points for full compliance.
8 (eight) points if 1 observation is noted.
4 (four) points if 2 to 3 observations are noted.
2 (two) points if 4 observations are noted.
0 (zero) points if 1 or more Non Conformities are noted

For sections classed as Medium the scoring will be:

7 (seven) points for full compliance.

5 (five) points if 1 observation is noted.
3 (three) points if 2 observations are noted.
1 (one) point if 3 observations are noted.
0 (zero) points if 1 or more Non Conformities are noted

For sections classed as Low the scoring will be:

5 (five) points for full compliance.
4(four) points if 1 observation is noted.
3 (three) points if 2 to 3 observations are noted.
1 (one) point if 4 observations are noted.
0 (zero) points if 1 or more Non Conformities are noted

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BMS INTERNAL AUDIT REPORT
Drilling International

Attachment 2
Copy of Internal Audit Checklist (Working Copy)

LOCATION: AUDITOR:
MANUAL OR PROCEDURE: BMS 03 – Health, Safety and Environment Manual

DATE OF AUDIT: DEPT/PERSON:

S = Satisfactory, U = Unsatisfactory, N/A = Not applicable, O = Observation

Serial No. WPTS INQUIRY Ref. OBSERVATION / REMARKS

Category

1. Manuals and Statements.

1 1 BMS 03 Manual available and up BMS 03

to date?
2 1 WDI HS&E Policy Statement 03-12-POL
available and visible?
No. of Obs. No. of NC Cat = Low = 5 Score:

2. Risk Assessment and TRA.

3 1 TRA Worksheets maintained in 03-11-POL

BMS 06.3 binder?
4 1 SOPs developed and maintained 03-11-POL
in BMS 06.1 binder?
5 3 Are Risk Assessment Prompt 03-31-PRO
Cards in use / available on site?
6 3 Are proper TRA forms available 03-31-PRO
and in use?
7 3 Are TRAs filed properly (06.3 03-31-PRO
binder), up to date with evidence
of review?
8 3 Evidence of review of TRAs at 03-31-PRO
Pre-Tour and/or Pre-Task
Meetings?
9 3 Assess and comment on quality 03-31-PRO
of TRAs on site.
10 3 Assess and comment on 03-31-PRO
effectiveness of TRA process on
site.
No. of Obs. No. of NC Cat = High=10 Score:

3. Hazard Identification and TOFS.

11 2 Evidence of establishment and 03-13-POL

use of TOFS, including record on
Daily Drilling Reports?
12 2 Evidence of establishment and 03-20-POL
use of SafeStart / Hazard
Identification (HazID) forms?
13 2 Evidence of daily review and 03-20-POL
feedback of HazID forms?
14 2 Evidence of tracking and close 03-20-POL
out of issues raised on HazID
forms?
15 2 Are proper HazID forms available 03-30-PRO
and being used?
16 2 Assess and comment on 03-30-PRO
effectiveness of this Procedure
on site.
No. of Obs. No. of NC Cat = High=10 Score:

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4. Emergency Planning.

17 5 Country Emergency Response 03-21-POL

Plan (ERP) in place and up to
date?
18 5 Worksite ERP in place and up to 03-21-POL
date?
19 5 ERP(s) conform to policy? 03-21-POL;
No. of Obs. No. of NC 4.2.1
Cat = Med=7 Score:

5. Incident Reporting.

20 4 Evidence of incident reporting? 03-22-POL

21 4 Are proper Incident Report forms 03-22-POL
being used?
22 4 Evidence that all incidents are 03-22-POL;
being reported, in accordance 4.3.8 and
with policy? 4.4.1
23 1 Assess and comment on overall 03-23-POL
quality and effectiveness of
HS&E communications at the
worksite.
24 4 Review Incident Reports for site; 03-40-PRO;
are they complete and properly 4.1
administered?
25 4 Check against any Medical 03-40-PRO
Treatment Records available –
are all incidents being reported?
26 4 Assess and comment on quality 03-40-PRO
of reporting and investigation of
incidents.
No. of Obs. No. of NC Cat = High=10 Score:

6. Communications.

27 1 Evidence of Pre-Tour, Pre-Task 03-23-POL

and Weekly HS&E Meetings
being held?
28 1 Evidence of Country 03-23-POL
Management Monthly HS&E
Meetings being held?
29 1 Evidence of Weekly HS&E 03-23-POL
Reports being received and
communicated?
30 1 Evidence of HS&E Bulletins 03-23-POL
being received and
communicated?
No. of Obs. No. of NC Cat = High=10 Score:

7. Policy Compliance.

32 1 Assess and comment on 03-24-POL

awareness of Drug & Alcohol
Policy.
33 1 Evidence of Drug & Alcohol 03-24-POL
Policy implementation?
34 1 How often is drug testing 03-24-POL;
conducted? 4.5
35 10 Evidence of Country Transport / 03-25-POL
Driving Policy in place?
36 10 Assess and comment on 03-25-POL;
compliance with Vehicle 4.2 and 4.3
Transport Policy
37 1 Is there a Smoking Policy in 03-27-POL
place?
38 7 Is the policy communicated and 03-52-STD;
implemented in conformance with 4.1
Standard?
No. of Obs. No. of NC Cat = Low = 5 Score:

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8. Personal Protective Equipment.

39 8 Appropriate PPE being worn by 03-26-POL

all personnel?
40 8 Are any personnel wearing 03-26-POL
jewellery on site?
41 8 Are WDI provided red coveralls 03-26-POL
with reflective strips available?
42 8 Are new hires provided with 03-26-POL
fluorescent orange hard hats?
43 8 Is Rig Doctor / Medic provided 03-26-POL
with distinctive and identifiable
work clothing and/or hard hat?
44 8 Are 5 green hard hats labeled 03-26-POL
‘Visitor’ available?
45 8 Is appropriate hearing protection 03-26-POL
provided / available and being
worn?
46 8 Is appropriate eye protection 03-26-POL
provided / available and being
worn?
47 8 Is appropriate respiratory 03-26-POL
protection provided / available
48 8 and being
Assess andworn?
comment on use and 03-26-POL
condition of PPE on site.
No. of Obs. No. of NC Cat = Med=7 Score:

9. Inductions.

49 9 Evidence that a worksite HSE 04-41-STD-

induction is given and recorded. 01
50 9 Assess and comment on the 04-41-STD
effectiveness of this program.
No. of Obs. No. of NC Cat = Med=7 Score:

10. Permit To Work.

51 3 Evidence of proper management 03-32-PRO

and administration of Permit to
Work System (PTWS)?
52 3 Are proper PTW and associated 03-32-PRO
Checklist forms being used?
53 3 IS PTW Log Book available and 03-32-PRO
up to date?
54 3 If possible, conduct check of ‘live’ 03-32-PRO
Permit and comment.
55 3 Evidence that all relevant 03-32-PRO
operations are being conducted
under PTWS?
56 3 Assess and comment on 03-32-PRO
effectiveness of PTWS on site.
No. of Obs. No. of NC Cat = High=10 Score:

11. Confined Space/Gas Detection.

57 3 Are proper signs in place at 03-33-PRO

access to confined spaces?
58 3 Is there a list of Authorized Gas 03-33-PRO
Testers for site?
59 3 Evidence of calibration of gas 03-33-PRO
testing equipment
60 3 Calibration Log available and 03-33-PRO
maintained up to date?
61 3 Evidence of application of control 03-33-PRO;
measures for confined space 4.7
entry?
62 3 Evidence of training of personnel 03-33-PRO
involved in confined space entry?
63 3 Assess and comment on the 03-33-PRO
quality and effectiveness of this
Procedure and associated
records.
No. of Obs. No. of NC Cat = High=10 Score:

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12. Isolations.

64 3 Lock Out / Tag Out Stations 03-34-PRO

located in SCR Room and Camp
Engine / Generator House?
65 3 Are locks identifiable and keyed 03-34-PRO
differently?
66 3 Evidence of Isolations and De- 03-34-PRO
Isolations conducted under
PTWS?
67 3 Isolation Log available and 03-34-PRO
maintained up to date?
68 3 Evidence of Lock Out / Tag Out 03-34-PRO
training provided to relevant
personnel?
69 3 Assess and comment on quality 03-34-PRO
and effectiveness of this
Procedure and associated
records on site.
No. of Obs. No. of NC Cat = High=10 Score:

13. Hazardous Materials.

70 3 Are Material Safety Data Sheets 03-35-PRO

(MSDS) available for all
chemicals?
71 3 Are hazardous and non- 03-35-PRO
hazardous materials segregated?

72 3 Are hazardous materials signed 03-35-PRO

and stored in designated area(s)?

73 3 Is adequately stocked PPE 03-35-PRO

storage locker(s) provided at
mixing areas?
74 3 Are copies of relevant MSDS 03-35-PRO
available at chemical mixing
areas?
75 3 Are eyewash and emergency 03-35-PRO
shower stations provided and
functional at chemical mixing
areas?
76 3 Evidence of proper handling and 03-35-PRO;
mixing of caustic soda and other 4.5.1
corrosive chemicals?
77 3 Any asbestos on site? If so, 03-35-PRO;
comment on management of 4.5.2
risks.
78 3 Any radioactive material on site? 03-35-PRO;
If so, comment on storage and 4.5.3
management of risks.
No. of Obs. No. of NC Cat = Med=7 Score:

14. Manual Handling.

79 7 Evidence of TRAs in place for 03-36-PRO

manual handling risks?
80 7 Evidence of manual handling 03-36-PRO
training provided to personnel?
No. of Obs. No. of NC Cat = Low = 5 Score:

15. Committees and Meetings.

81 1 Evidence of conduct of Pre-Tour, 03-37-PRO

Pre-Task and Weekly HS&E
Meetings?
82 1 Are proper meeting forms being 03-37-PRO
used and signed by attendees?
83 1 Evidence of review of Weekly 03-37-PRO
HS&E Meetings by STP/DH?
84 1 Evidence of review of Weekly 03-37-PRO
HS&E Meetings by worksite
manager?
85 1 Evidence of Pre-Move, Pre-Spud 03-37-PRO
and Client Operations Meetings?

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BMS INTERNAL AUDIT REPORT
Drilling International

86 1 Is there an established Safety 03-37-PRO

Committee?
87 1 Is there a list of Safety 03-37-PRO
Committee members?
88 1 Evidence of Safety Committee 03-37-PRO
Meetings conducted at least
quarterly?
89 1 Evidence of formal handovers 03-38-PRO
between relevant personnel?
90 1 Assess and comment on overall 03-38-PRO
quality of handovers and
associated records on site.
91 1 ‘Information Board’ provided and 03-39-PRO;
visible to all personnel? 4.1
92 1 Is information on board 03-39-PRO
appropriate, relevant and up to
date?
93 1 ‘Worksite Safety Record Status 03-39-PRO;
Board’ provided and visible with 4.2
relevant up to date information?
No. of Obs. No. of NC Cat = High=10 Score:

16. Waste Management.

94 6 Are responsibilities for waste 03-41-PRO

management clearly defined in
the Contract?
95 6 Is there a contract-specific waste 03-41-PRO
management plan in place?
96 6 Are clean up equipment and 03-41-PRO
absorbent materials available on
site?
97 6 Are all oil / fuel / cleaning fluids 03-41-PRO;
being managed in accordance 4.2.4
with Procedure?
98 6 Are all drilling chemicals / fluids 03-41-PRO;
managed in accordance with 4.2.5
Procedure?
99 6 Is an oil base mud contingency 03-41-PRO
plan required? If so, has Client
provided?
100 6 Is waste segregation being 03-41-PRO
practiced and implemented
effectively?
101 6 Are fuel transfers being managed 03-41-PRO
in accordance with Procedure? 4.2.10
No. of Obs. No. of NC Cat = Low = 5 Score:

17. H2S.

102 5 Assess H2S Exposure Level in 03-42-PRO;

accordance with Matrix and note 4.4
Response Level.
103 5 If H2S Contingency Plan is 03-42-PRO
required, is it available and up to
date?
104 5 Does the H2S Contingency Plan 03-42-PRO;
comply with the Procedure? 5.0
105 5 Does the site conform to the 03-42-PRO
Plan?
106 5 Is H2S equipment provided 03-42-PRO
sufficient, functional and properly
maintained?
107 5 Evidence that all personnel have 03-42-PRO-
received appropriate H2S
training?
108 5 Evidence that H2S Drills and 03-42-PRO
Exercises conducted and
recorded on proper form?
No. of Obs. No. of NC Cat = Low = 5 Score:

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BMS INTERNAL AUDIT REPORT
Drilling International

18. Control of 3RD Party Equipment.

109 3 Evidence of availability and use 03-43-PRO

of Permit for Installation of 3rd
Party and Subcontractor
Equipment?
110 3 Are Permit records maintained 03-43-PRO
and up to date?
111 3 Evidence of full inspection and 03-43-PRO
audit of relevant equipment after
112 3 6 months? of fall protection 03-50-STD
Evidence
training provided to relevant
No. of Obs. employees?
No. of NC Cat = Med=7 Score:

19. Fall Prevention and Protection.

113 3 Are all fall protection equipment 03-50-STD

identified / numbered?
114 3 Evidence of inspections and 03-50-STD
register of inspections?
115 3 Are inertia reels located for work 03-50-STD
on BOPs, monkey board and
stabbing board?
116 3 Are all ladders on site industrial 03-50-STD
grade?
117 3 Are all stepladders and extending 03-50-STD
ladders on site of non-conductive
fiberglass construction?

118 3 Do all fixed ladders on site 03-50-STD;

conform to this Standard? 4.1.5
119 3 Do all steps and stairways on site 03-50-STD;
conform to this Standard? 4.1.6
120 3 Assess and comment on the 03-50-STD
implementation and effectiveness
of this Standard on site.
No. of Obs. No. of NC Cat = High=10 Score:

20. Fire Protection and Drills.

121 5 Is there an adequate Fire Plan 03-51-STD;

located in Toolpusher’s Office, 4.1.2
Rig Floor and Mess Hall?
122 5 Is there a separate Camp Fire 03-51-STD
Plan appropriately displayed?
123 5 Evidence of appropriate training 03-51-STD
in fire fighting by relevant
personnel?
124 5 Are paints and other flammable 03-51-STD;
materials stored in conformance 4.1.8
with this standard?
125 5 Is all fire fighting equipment 03-51-STD;
designated, available, and 4.2.4
functional and conforming to
minimum standards?
126 5 Evidence of adequate supply of 03-51-STD
spares?
127 5 Evidence of conduct of Fire and 03-51-STD
Muster Drills at least monthly?
128 5 Are proper forms used and 03-51-STD
maintained up to date?
No. of Obs. No. of NC Cat = High=10 Score:

21. Medical.

129 7 Is there a suitably qualified 03-52-STD

Doctor / Medic available on site?
If so, state qualification.
130 7 Is a Medical Treatment Log 03-52-STD
available and maintained up to
date?
131 7 Are any drugs secured and 03-52-STD
properly managed?

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Drilling International

132 7 Is there an up to date inventory of 03-52-STD

prescription drugs on site?
133 7 Are medical / clinical waste 03-52-STD;
products disposed in accordance 4.4.6
with Standard?
134 7 Is Hospital / Sick Bay adequately 03-52-STD
secured when not in use?

135 7 Assess and comment on the 03-52-STD

awareness and compliance with
blood-borne pathogen protocol.
136 7 Assess and comment on medical 03-52-STD
facility, including adequacy of
equipment and medicines on site.

137 7 If there is no medical facility on 03-52-STD

site, assess and comment on
arrangements in place for
medical emergency.
No. of Obs. No. of NC Cat = Med=7 Score:

22. Inspections.

138 7 Evidence of weekly inspections of 03-52-STD

Camp, kitchens and
accommodations?
139 7 Are proper inspection forms used 03-52-STD
and records maintained up to
date?
No. of Obs. No. of NC Cat = Med=7 Score:

Total Obs. Total NCs Total Score:

Scoring method:

For sections classed as High the scoring will be:

10 (ten) points for full compliance.
8 (eight) points if 1 observation is noted.
4 (four) points if 2 to 3 observations are noted.
2 (two) points if 4 observations are noted.
0 (zero) points if 1 or more Non Conformities are noted

For sections classed as Medium the scoring will be:

7 (seven) points for full compliance.

5 (five) points if 1 observation is noted.
3 (three) points if 2 observations are noted.
1 (one) point if 3 observations are noted.
0 (zero) points if 1 or more Non Conformities are noted

For sections classed as Low the scoring will be:

5 (five) points for full compliance.
4(four) points if 1 observation is noted.
3 (three) points if 2 to 3 observations are noted.
1 (one) point if 4 observations are noted.
0 (zero) points if 1 or more Non Conformities are noted

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Attachment 3
Copy of Internal Audit Checklist (Working Copy)

LOCATION: AUDITOR:
MANUAL OR PROCEDURE: BMS 01, 05, 06, CCQ
DATE OF AUDIT: DEPT/PERSON:

S = Satisfactory, U = Unsatisfactory, N/A = Not applicable, O = Observation

Serial No. WPTS INQUIRY Ref. OBSERVATION / REMARKS

Category

1. BMS 01 - Business Management System

1 1 Are the BMS manuals (controlled

copies) updated? 01-35-STD

2 1 Is the correct version of the I.C.R.

being used? Is it being used 01-31-STD
effectively?
2. BMS 05 - Engineering

4 Is the Hazardous Area Plan posted

conspicuously at the rig site? 05-50-STD

5 Are all pressure lines correctly colour

coded? Is the rig painted using the 05-70-STD
correct colour?
2 Is the casing fill up line correct and
used with LP pump from the trip tank? 05-91-STD
Is the SOP and TRA correct?

3. Corprate Communications - CCQ, CCS, CCTech

1 Are the EEP posters correctly
displayed CCQ2

1 Are the Daily rig site operation review

forms being completed CCQ 52

1 Are PTW used for crown bypass

CCQ 56
activities?
1 Has the Fall Alerts video training been
conducted? CCS 7/10

4. BMS 06 - Operations and Maintenance

2 Is the Equipment Operating Limits
posted in the Dog House? 06-22-POL

2 Are the correct Pre-Spud checklist

06-31-PRO
being completed?
1 Is there a record of the monthly
Mast/Substructure DROPS Inventory? 06-42-STD

1 Is the Tools Aloft Log Sheet available

06-42-STD
and being completed?

1 Is the Derrick Temporary Equipment

06-42-STD
Register being used?

2 Are the CCTV cameras,monitors and 06-54-STD

recorder correctly positioned?

5 Is the PRV Register available and up 06-90-STD

to date? Are the PRVs tagged?
Maximum six months between testing
and resetting.
5 Is the Pressure Vessel Register
available and correct? Max five (06.7) 06-92-STD
years between

Is there an accurate rig move plan

including heights, widths and weights?
06-67-STD
No. of Obs. No. of NC Cat = High=10 Score: