Third Party Equipment Inspection Form

Document Id: TEC-WWD_FRM-013

Document Version: R00
Effective Date: 27 January 2011

Third Party Equipment Request for Installation

Operator Requirement Checklist OPS-101

Available from Pacific Drilling
440 VAC 1@ or 3@ Rig Air
Electrical power 220 VAC 1@ or 3@ Water Fuel PA Rig Phone
120
PSI

Third Party Requirements

Voltage Amperage
Air PA Water
AMP AMP Fuel Rig Phone Other

Third Party is responsible for Cables, Hoses and Consumables required for
Installation

YES NO N/A
1 Does the supplied equipment meet with applicable supply of machinery regulations (CE marking)?
2 Is the equipment suitable for intended use (correct ratings, no requirement to improvise, etc.)?
3 Are there known cases where the equipment has been abused?
4 Is the equipment part of a maintenance / inspection / test schedule?
5 Are PM’s of equipment manufacturer maintenance details available for this equipment?
6 Are all required maintenance accesses or adjustment areas readily accessible in a safe manner?
7 Is any equipment associated with the new equipment in need of maintenance?
8 Is the equipment described under point 7 readily accessible in a safe manner?
9 Are there likely to be any hazardous substances generated by the equipment?
10 Is there a requirement to provide ventilation at any stage during the installation, operation, maintenance or decommissioning of this
equipment?
11 Are the tools and processes necessary to perform maintenance permitted in the zone where the equipment is to be located?

Uncontrolled when printed. Refer to controlled electronic version. Page 1 of 9