PHYSICAL BARRIER CHECK FORM

GeoMarket: Saudi Arabia Preparation Date: 13-Dec-23

Baker Hughes
Operating Office: Nominating Authority : Baker Hughes
LAWHAH
Field: Designated Field Personnel: RONY JOE

Well: LWHH_6_2 Customer and SAP Job #: Aramco

Rig: EXL-IVA Run / Trip #: 14-Dec-23

D Activity and Service: MIT Pull / Install / Job #: NA

WIRELINE - RIG OPERATIONS

Flow Paths: Example: Through the drill pipe, annulus around the drill pipe, annulus / annuli between casing and formation
C1 C2
(List flow paths to the right)

Barrier Description Qualification Questions Yes / No Notes

(see "Example Qualification Questions" tab for sample questions.)
Was integrity tests performed on valve? Yes
B
Was the valve function tested ? Yes
A) MASTER VALVE
A AB

Was integrity tests performed on valve? Yes

Was the valve function tested ?
Yes
B) SWAB VALVE

Is Equipment certification upto date and current? Yes

Yes
CASING & SET CEMENT Has the equipment been pressure tested prior to job?

Is the equipment certification up to date and current? Yes

Can the Wireline toolstring be raised/lowered freely through safety head? Yes

Has the BOP passed the pressure test? Yes

Has the rig crew been communicated to avoid any tool joints across BOP during trips? Yes
D) Coil Tubing BOP
Have choke and Kill line size been checked? Yes

Check Date: 13-Dec-23 Customer Name and Signature:

BHI Designated Personnel

Signature Required RONY JOE
THIS FORM (TOGETHER WITH THE INFORMATION THEREON) IS THE PROPERTY OF BAKER HUGHES OILFIELD OPERATIONS, INC, (BHOO), AND IS COMPANY CONFIDENTIAL INFORMATION WITH ALL RIGHTS RESERVED TO BHOO. IT MAY NOT BE COPIED OR REPRODUCED IN WHOLE OR IN PART WITHOUT THE EXPRESS WRITTEN CONSENT OF BHOO. THIS FORM IS FOR INFORMATIONAL
PURPOSES ONLY FOR BHOO’S INTERNAL PROCEDURES AND SHOULD NOT BE RELIED UPON BY ANY THIRD PARTY TO DETERMINE WHETHER ADEQUATE SAFETY MEASURES OR APPROPRIATE OPERATIONAL PROCEDURES HAVE BEEN TAKEN. FURTHERMORE, BY FILLING OUT THIS FORM, BHOO DOES NOT ASSUME ANY RESPONSIBILITY FOR ACTIONS TAKEN IN RELIANCE ON THE INFORMATION
CONTAINED IN THIS FORM AND DOES NOT WARRANTY THE CORRECTNESS OF THE INFORMATION HEREIN. BHOO DOES NOT INDEPENDENTLY VERIFY THE VARIOUS TASKS LISTED HEREIN HAVE BEEN PERFORMED, RATHER BHOO RELIES ON THE REPRESENTATIONS OF OTHERS TO ASSESS EACH TASK. THIS FORM MAY NOT BE USED DIRECTLY OR INDIRECTLY IN ANY WAY DETRIMENTAL TO
BHOO’S INTEREST. BHOO SHALL UNDER NO CIRCUMSTANCES BE RESPONSIBLE FOR CONSEQUENTIAL DAMAGES OR ANY OTHER LOSS, COSTS, DAMAGES OR EXPENSES INCURRED OR SUSTAINED IN CONNECTION WITH THE USE OF THIS FORM TOGETHER WITH ITS INFORMATION. BHI’S LIABILITIES AND OBLIGATIONS SHALL BE GOVERNED BY BHOO’S STANDARD TERMS AND CONDITIONS OR
THE APPLICABLE EXECUTED MASTER SERVICE AGREEMENT.