PT.

lndodrill lndonesia
SAFETY INSPECTION PROGRAM
SURFACE DIAMOND TRACKED & SKID

DArE oF tNSpECflON: n se?rgF.lBEB- ?ztg

\-- tNspEcrroN By: pAU^JA[, p1Eg1"16u4p. !

Rre NUMBER & strE AW*K lfiK P?ote-cT

SAFETY RATING % 93z
AUDITORS SIGNATURE:

DRILLERS SIGNATURE:

EXPLANATORY NOTES:

Compliance "YES I NO" Does or does not comply with relevant legislative requirements or
PT. lndodrill lndonesia's standards where appliOable.

Safety Rating % This is established by dividing no answers by yes answers and

multiplying by 100, this sum isthen subtracted from 100 and gives
the overall safety rating.

100 - (NO x 100) = Safety Rating % i

vEs

INSPECTION OUTCOMES:

If the score is below 90% the rig must be shut down until the non-compliant issue$
have been rectified and Site Manager signs off for the rig to re commence operatiops.

Form No. PT. lndodrill Indonesia HSE-001 Surface Diamond Tracked Skid Mounted Rigs
Page 1 of 10
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 Compliance Risk Assessment
Low - High -
Yes No
Med Extreme
SECTION 1 -WORK AREA

Are signs Cesignating mandatory PPts prominently displayed?

Following signs in place where applicabie.

. Danger - Obtain permission from Crew before approachlng drill
. Danger- Crush Hazard le
- Hands & Feet l-

. Danger
- Rotating Machinery Drilling in Progress
. Danger - Hot Equipment

Unused signs removed \/

Signs correctiy located and visible \.-

Site layout arranged to allow clear escape routes in case of an emergency? \, ta

Are there any trees that may pose a risk if ihey feil

the drill site geotechnically sound no ground movement t-

-
SECTION 2 - DAILY PRE.START CHECKS

Completed and signed

SECTION 3 - PPE SAFETY EQUIPMENT

Suiiable Safety Boots worn \-

Suitable PPE clothing worn v
ls PPE required and being used adequately? (E"9. dust masks, protective
clothing, gloves, shirts tucked in etc.)

Hard hat, worn and have current "do not use after" dates l/
Ear protection, present and worn ,ea

Safety glasses, present and worn V V

Suitable safety boots worn \./' t\,^

loves, present and worn

Suitable clothing v
Sun protection i hats / sleeves / long pants w
Sunscreen available \-/
SECTION 4 - SAFETY EQUIPMENT
r,1
First Aid Kit complete tidy and stored in a clean dry area with signage

Eye wash boitle iocated in a suitable location anci ready for immediate use?
t- w
ls there adequate potable water for the number of persons on site?
u w
For consumption over the 12-hour shift?

Fire Extinguishers - 2 available, charged - stamp on service tag up to date \./

ls "Rotating Rods" safety sign clearly visible and in correct position
\-/

Have all "E Stops" got clearly visible signage V V

Form No. PT. lndodrill lndonesia HSE-001 Surface Diamond Tracked Skid Mounted Rigs
Page 3 of '10
 Compliance Risk Assessment
Low - High -
Yes No
Med Extreme
SEGTION 4 - SAFETY EQUIPMENT cont.'

Are all "E Stops" operational and tested

Do all personnel know how to stop rotation, shut down rig, equipment, etc. in
the event of an emergency?

ls there an effective communication link (radio/telephone) established and

maintained between the drill site and office?

lf VHF / UHF radio is in use has a radio check been performed

Communication hardware e.g. sat phone, radio, mobile phone available and
charged?

Are all personnel familiar with the operation of the respective communication \- w
equipment

Are the emergency procedure & contact numbers current and clearly
displayed

-cCTlON 5 - ENVIRONMENTAL
Spill kit complete, tidy, inventory list enclosed and signage visible w
Are all leaks adequately contained and repaired as soon as possible?
Are oil containers correctly labelled \./ V
ls oil stored in a bunted area

No oil spills under or around the rig

Oil / Muds stored in a dry area and labelled correctly

Does the site and activities comply with the group's environmental Operating
Procedures?

Has care been taken to minimise disturbance to flora, fauna and land? \./
ls fluid discharged from the drill hole controlled so as not to create
channelling and is it contained in a sump?

ls the fluid discharged channel clear of the rigs jack-up legs?

^'e the fuel tanks, pumps and generators contained within secondary w
structure to prevent spills to land?

Are methods being used to contain and avoid fuel spills during refuelling?
Are oil changes or major services to equipment conducted on land that if a t^
spill occurs does not flow in to waterways?

Are only limited quantities (daily use) of substances that have the potential to
cause harm to the environment, restricted to application (e.9. salt)

Have noise levels have been measured and recorded r/ \,/

COMMENTS:

Form No. PT. lndodrill lndonesia HSE-001 Surface Diamond Tracked Skid Mounted Rigs
Page 4 of 10
 Compliance Risk Assessment
Low - High
Yes No
Med Extreme
SECTION 6 - WASTE MANAGEMENT & HOUSEKEEPING

ls waste oil contained in appropriate'used containers and removed from drill

site?

Rubbish disposal, General waste and rods removed from site

ls waste segregated into appropriate and labelled containers / bins

ls the site free of litter

ls food waste removed daily

Work area clear \./

No trip hazards

Are stairs, ladders and platforms free of tripislip hazards? (e.9. mud, oil,
grease, tool's, equipment, etc.)

Tool boxes clean

parts stored correctly

Equipment supplies arranged & stored correctly in or on racks / boxes

Are supplies stored free from falling, tripping, egress or wind-blown hazards

ls the site free of overhead hazards? (E.9" unsecured materials, cabling, etc.)

Rods I Casing stored correctly in racks

Access to first aid equipment clear in case of an emergency

Access to firefighting equipment clear in case of an emergency

SECTION 7. HAND TOOLS

Condition of stilson hooks, heels and body

Condition of hammers I handles

Condition of tube I barrel wrenches

Are all hand tools in good serviceable condition

,ll hand tools clean and in correct storage position

SECTION 8 - WORK PROCEDURES

Are personnel aware of correct manual lifting techniques

Are SOP's available for alltasks and up to date
Are all items that exceed 25kg in weight lifted by mechanical means of by more
than one person?

Are MSDS sheets readily available to personnel

Are the MSDS sheets current and up to date for the products being used

COMMENTS:

Form No. PT. lndodrill lndonesia HSE-001 Surface Diamond TrackeC Skid Mounted Rigs
Page 5 of 10
 Compliance Risk Assessment
Low - Hlgh -
Yes No
Med Extreme
SECTION 9. FIRE PROTECTION

Are personnel trained and/or instructed to deal wiih identified fire risks? l^

ls the drill cre\/ aware that split or leaking fuel cr oi! on the drill can be
vaporised by cooling fans and explode on contact with electrical sparks or hot
engine components?

ls there a large dry powder-multipurpose) fire extingursher kept on the drilling

rig and at least one fire extinguisher in each support vehicle and structure? v
These units should be mounted in conspicuous locations out of harm's way.

Are all flammable and/or hazardous materials stored away from ignition t./
sources and Iabelled appropriately?

Are all compressed gas cylinders accurately labelled and separately stored as
to type in a secured upright position?

Are fire breaks (if applicable) been setup \-

.ECTION
10 - RIG SET- UP

During drill rig moves at remote sites, are communications with base camp and
ior office fully operational until the last load is moved?
Layout provides safe access egress in case of an emergency?

Floodlstorm protection (if applicable)

Combusiible materials cleared
Pipe rack stability

Steps / ladders secure

Platforms/decks clean and in good condition free of triplslip hazards? (E.9.

mud, oil, grease, tools, equipment etc.)
v
l\-/
Site free of trip Hazards Y
Rig is securely supported on blocks andior Jacks \--
Guard rails in serviceable condition?
:scape ladder reachable in each sump

Drill Pad Assessment client input? \./

Have all members of the drill crew attended training on the dangers of
overhead power lines?

SECTION 11 - CONTROL PANEL

No oil leaks on the control panel

Condition of controls on control panel

Are all labels, gauges and warnings on the drill console clean and legible?

Do all gauges and controls operate correctly

ls the emergency stop button operating correctly la

GOMMENTS:

Form No. PT. lndodrill lndonesia HSE-001 Surface Diamond Tracked Skid Mounted Rigs
Page 6 of 10
 Compliance Risk Assessment
Low - High -
Yes No
Med Extreme
$ECTION 12. MAST

Pivots Points (greased and in good condition)

Condrtion of mast (Cracked or ciamaged)

Condition of Mast Stay legs, secured correctly

Condition of fall arresting system \.4

V I.
Mast locks (Available and in good condition)

Lynch Pins Fitted on adjustable mast legs

ls the rig level and stable

Check Condition of Rod Slides

Does the rig mast appear to be structurally sound and not bent or twisted l,/
\o oil leaks on any ol the mast & feed hydraulic cylinders

GTION 13 - FOOT CLAMPS

Condition of foot clamps - no operational issues \-
No oil leaks on the unit or hose

Bushes and bearing in good condition

No loose bolts

Jaws in good condition, not slipping on rods

w

Are all grease nipples on the foot clamp greased daily

SECTION {4 _ HOISTING EQUIPMENT

Wireline cable free from knots, kinks and frays?

No oil leaks on Wireline equipment

Guards fixed on moving parts

Spooling device (fitted and in good condition)

holding * drum does not creep

Condition of O/Shot and lifting dogs

ls the main winch cable free from knots, kinks and frays

Does the main winch brake hold under load V

Sheaves and snatch block (greased and in good condition)

Are pull-down / pullback chains or cables in good condition?

Rope clamps (dog clamps) fitted correctly

Allrotating pullies, chain blocks. sheave blocks guarded to prevent injuries?

Are all guards and interlocks designed and constructed to comply with V
legislation, codes of practice and recognized leading practice?

COMMENTS:

Form No. PT. lndodrill lndonesia HSE-001 Surface Diamond Tracked Skid Mounted Rigs
Page 7 of 10
 Gompliance Risk Assessment
Low - High -
Yes No
Med Extreme
SECTION 15. CIRCULATION SYSTEM
Condition of Kelly and suction hoseb t,

lr'
Pressure relief valve operating & set correctly

Are all the outlets of pressure relief valves clear of obstruction?

Guards on moving parts

No oil leaks on hydraulic water pump motor

Are all circuiating systems in good condition and free from leaks and
damage?

Water pressure gauge operating correctly

Condition of water swivel - no leaks, greased

SEETION 16 - DRIVE / POWER SYSTEMS

Emergency engine shut down (operational)

Do all personnel know how to stop rotation, shut down rig, generator,
compressor, etc. in the event of an emergency?

Fan guards fitted

Hot area guards fitted or lagged (Exhaust, Turbo etc.)

Blockage indicators OK on filters

Covers fitted to battery boxes

Are all rotating shafts, counter or tension units and travel paths and pinch \,,
points adequately guaroed?

SECTION 17 _ ROTATING DRILLING SYSTEM

Condition of head no oil leaks etc.

Head alignment

Guide followers

Drive splndle in good condition

Saver sub - threads in good condition

Are all guards and interlocks designed and constructed to comply with \./'
legislation, codes of practice and recognized leading practice?

ls the breakout arm free and clear of the spin cage when operated

SECTION 18 _ HOISTING EQUIPMENT

Hoist plugs (Greased and serviced)

Hoisting plug subs (Threads in good condition)

./
Rod Handler (lf Fitted) in good working order - no faults

COMMENTS:

Form No. PT. lndodrill lndonesia HSE-00'1 Surface Diamond Tracked Skid Mounted Rigs
Page 8 of '10
 Compliance Risk Assessment
Low - High -
Yes No
Med Extreme
SECTION 21 - ELECTRICAL
Are power tools and extension cords in good condition
Condition of lamp cables

Are electrical cabling hazards minimised, (bury, elevate, barricade)

Are all electrical units, cords, lights tested and tagged? \/
Are residual current devices/ground fault circuits in use?
Are only authorised personnel performing electrical inspection, maintenance \.. \a
and repair work and testing within the prescribed period

Power boards RCD tested t/

SECTION 22 _ LIGHTING PLANT

ls the unit setup on a level area with stabilizer legs in use (where fitted) v t/

Floodlight condition - No broken damaged glass diffusers (UVC rays)

londition of electrical sockets
Adequate lightlng / Correct lamp placements
Earth stake install into ground
No leaks on diesel engine \,/
Appearance - clean
Are residual current devices/ground fault circuits in use
RCD tested
Are all isolation points clearly identified
Auxiliary lights in good working condition
Side covers closed V
ls the lighting mast structurally sound and operate correctly
Does the operation comply with BLAP Lock out -Tag out procedure v
Are log books detailing testing and inspection maintained and available? \,/'
Are all lights on the drill rig mast operating correctly
SECTION 23 - TRACKED or MULIT STEERED PLANT
Walk around machine to visibly check for damage
Fire extinguisher - pressure / tag upto-date and attached
Fire suppression system operational, in date & safety lock secure
Are all lnstruments & lights gauges working?
Are seat belts fitted and serviceable?
Check light - rotating beacon operational?
Check lights and instruments working?
Check radio is operational (if fitted)working? \.-
Test horn operation \.4

Check condition of all engine belts?

Is the exhaust adequately shielded, check for leaks and tightness V
Clean air filter indicator
Check hydraulic oil & engine oil
Form No. PT. lndodrill lndonesia HSE-001 Surface Diamond Tracked Skid Mounted Rigs
Page 9 of 10
 Compliance Risk Assessment
Check for oil and water leaks Low - High -
Yes No
Med Extreme
Check radiator level t-
Check battery level (no naked flarnes near battery) cover fitted
Personnel operating this plant-equipment have training, accredited t/
certificates?

COMMENTS:

Form No. PT. lndodrill lndonesia HSE-001 Surface Diamond Tracked Skid Mounted Rigs
Page 10 of 10