COASTAL DRILLING

RIG SAFETY AUDIT ACTION LOG

Date: 30 Dec 11 location: Laffitte- Semco LLC Rig: 22 well number AUDIT DATE TRACKING CODE # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 PRIORITY RATING 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 DATE CORRECTED Audit Conducted By: Casey Weatherford Toolpusher: Mike Anderson Date Complete: COMMENTS Trash and gear on top of fire station on heliport Light out on starboard side of heliport Cap for bottle needs to be stored so not loose gear Light out on heliport-starboard side of rig Light out on heliport-port side of rig Light out on heliport-port side of rig Light out on heliport-port side of rig Light out on heliport-front side of rig Loose gear under heliport screen Piece of pipe left on helideck railing Trash on top deck of rig Deck drain clogged with trash Gear and trash on deck of emergency gen. room Water jugs need to be stenciled Trash bag needs to be stenciled Pollution pan needs to be cleaned out-trash removed Painting gear and gloves behind drill line spool Lens cracked on light on rig floor Oil on deck in driller shack Pollution pan needs to be cleaned out Bucket lids need to be stenciled/several buckets need to be re-stenciled Bucket needs to be stenciled/disposed of Silicone tube/other gear needs be removed from derrick leg Paint brush under decking on shaker Paint thinner needs to be stored in paint locker Light in shaker shack needs safety cable PPE Box needs safety gear replaced Airhoist needs SWL sign and coastal employee only sign PPE box needs to be put back in proper location DOT drum needs trash removed Safety harness left on deck by cement tanks Trash left on top of gear locker Light on top of SCR house needs safety cable Rags on top of SCR house Drums need to be stenciled/safety harness stored

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
1

Date Completed:

Comments: Trash and gear on top of fire station on heliport

Priority Rating

x
1 2 3 4 Check One

Tracking Code
2

Date Completed:

Comments: Light out on starboard side of heliport

astal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
3

Date Completed:

Comments: Cap for bottle needs to be stored so not loose gear

Priority Rating

x
1 2 3 4 Check One

Tracking Code
4

Date Completed:

Comments: Light out on heliport-starboard side of rig

astal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
5

Date Completed:

Comments: Light out on heliport-port side of rig

Priority Rating

x
1 2 3 4 Check One

Tracking Code
6

Date Completed:

Comments: Light out on heliport-port side of rig

astal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
7

Date Completed:

Comments: Light out on heliport-port side of rig

Priority Rating

x
1 2 3 4 Check One

Tracking Code
8

Date Completed:

Comments: Light out on heliport-front side of rig

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
9

Date Completed:

Comments: Loose gear under heliport screen

Priority Rating

x
1 2 3 4 Check One

Tracking Code
10

Date Completed:

Comments: Piece of pipe left on helideck railing

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
11

Date Completed:

Comments: Trash on top deck of rig

Priority Rating

x
1 2 3 4 Check One

Tracking Code
12

Date Completed:

Comments: Deck drain clogged with trash

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
13

Date Completed:

Comments: Gear and trash on deck of emergency gen. room

Priority Rating

x
1 2 3 4 Check One

Tracking Code
14

Date Completed:

Comments: Water jugs need to be stenciled

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
15

Date Completed:

Comments: Trash bag needs to be stenciled

Priority Rating

x
1 2 3 4 Check One

Tracking Code
16

Date Completed:

Comments: Pollution pan needs to be cleaned out-trash removed

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
17

Date Completed:

Comments: Painting gear and gloves behind drill line spool

Priority Rating

x
1 2 3 4 Check One

Tracking Code
18

Date Completed:

Comments: Lens cracked on light on rig floor

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
19

Date Completed:

Comments: Oil on deck in driller shack

Priority Rating

x
1 2 3 4 Check One

Tracking Code
20

Date Completed:

Comments: Pollution pan needs to be cleaned out

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
21

Date Completed:

Comments: Bucket lids need to be stenciled/several buckets need to be re-stenciled

Priority Rating

x
1 2 3 4 Check One

Tracking Code
22

Date Completed:

Comments: Bucket needs to be stenciled/disposed of

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
23

Date Completed:

Comments: Silicone tube/other gear needs be removed from derrick leg

Priority Rating

x
1 2 3 4 Check One

Tracking Code
24

Date Completed:

Comments: Paint brush under decking on shaker

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
25

Date Completed:

Comments: Paint thinner needs to be stored in paint locker

Priority Rating

x
1 2 3 4 Check One

Tracking Code
26

Date Completed:

Comments: Light in shaker shack needs safety cable

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
27

Date Completed:

Comments: PPE Box needs safety gear replaced

Priority Rating

x
1 2 3 4 Check One

Tracking Code
28

Date Completed:

Comments: Airhoist needs SWL sign and coastal employee only sign

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
29

Date Completed:

Comments: PPE box needs to be put back in proper location

Priority Rating

x
1 2 3 4 Check One

Tracking Code
30

Date Completed:

Comments: DOT drum needs trash removed

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
31

Date Completed:

Comments: Safety harness left on deck by cement tanks

Priority Rating

x
1 2 3 4 Check One

Tracking Code
32

Date Completed:

Comments: Trash left on top of gear locker

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
33

Date Completed:

Comments: Light on top of SCR house needs safety cable

Priority Rating

x
1 2 3 4 Check One

Tracking Code
34

Date Completed:

Comments: Rags on top of SCR house

stal Drilling

Survey Pictorial

Coastal Drilling
Rig Number: 22 Rig Survey Pictorial Date Of Survey:

Rig Managers Signature: Priority Ratings:

1 = Immediate action needed 3 = Correct Within 30 Days 2 = Correct Within 10 Days 4 = Correct by Next Rig Move

Priority Rating

x
1 2 3 4 Check One

Tracking Code
35

Date Completed:

Comments: Drums need to be stenciled/safety harness stored

Priority Rating 1 2 3 4 Check One

Tracking Code
36

Date Completed:

Comments:

stal Drilling

Survey Pictorial