OIL AND GAS DRILLING RIG INSPECTION FORM

OPERATOR: Company Name DRILLING CONTRACTOR / RIG #: Rig Name DATE / TIME OF INSPECTION: Sunday, January 01, 2012
8:00 AM

LEASE NAME AND NUMBER: Lease Name INSPECTED BY: DC International Technician

STATE / COUNTY Lafayette Louisiana / Lafayette Parish Lafayette,

DRILLING FOREMAN: Drilling Foreman

TOOL PUSHER: Tool Pusher Name

DRILLER Driller Name

Compliant - Condition meets compliance Total Deficiencies: 27 out of 363 Non-Complaint - Condition does not meet compliance Yes - Condition meets compliance No - Condition does not meet compliance N/A - Not Applicable Standard Applicable -OSHA, API, ANSI, RAPPS, IADC or other government or industry recognized standard. (RAGAGEP) Recognized And Generally Accepted Good Engineering Practice per "OSHA"

OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. Condition Rating Standard 1910.145(c)(2)(i), RP54 7.1.2-3
Non Compliant Non Compliant Compliant

Comments No signs at entrance.

I.
1

DRILL SITE/LOCATION
Authorized Personnel Sign posted at entrance to site identifying requirements for hard hat, safety glasses, safety toe footwear. No Smoking Areas Designated & Posted. No Parking within 100 ft of the rig.

2 3 4

RP54 7.1.2-3 1910.145(c)(2)(i) RP54 6.1.15

Need signs for designated areas. No one parked within 100 feet with the exception of the BOP testing equipment.

5 5.1

1910.145(c)(2)(i), 1910.1000(e), 1910.1000(e), Are H2S controls in place where applicable 1910.1200(f)(5-6), RP54 7.1.2-3 including; warning signs, H2S monitors, N/A SCBA(s)/escape air, wind socks and H2S certification training? No flagging and no tie wire on shackle. Min 3 clamps with 3 inch Non RP4G 14.5.f Escape & Guy wires flagged with visible Compliant spacing material. No verification or certification tag found. Capacity of guywire anchors verified RP4G 14.1-4 Base Beam Anchor Screw-type Anchor Permanent (Cement) Anchor No Other____________ Verification Method:____________________________
Compliant Outhouse/restroom facility provided. Hard hats & Safety glasses available for Yes visitors at Tool Pusher/Drilling Foreman's office? All temporary housing/offices must be securely positioned and properly grounded. Compliant

6 7

1910.141(c)(1)(i) 1910.132(a)

RP54 6.1.16

9 10 11 12

Housekeeping, Is the area clean and free of debris and tripping hazards? Distance from overhead power lines GT 10 ft. Muster area designated and posted? Sign posted directing visitors to report to the Drilling Foreman / Toolpusher upon entry, visitors signed in and out?

Yes N/A Non Compliant Non Compliant

1910.22(a)(1), RP54 6.5.1 RP54 10.1.1 1910.38(c)(4) 1910.145(c)(3) Required signs are not available for area. No signs posted for sign in & out.

Confidential

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. Condition Rating Standard 1910.151(b), RP54 4.3.1 RP55 5.1-8 1910.133 RP54 6.1.7 Comments

II.
1 2 3 4

TRAINING, PPE & GENERAL SAFETY

First Aid Training provided, minimum of 2 Compliant certified per location. Compliant H2S Training provided, if applicable Face shield provided for removing tong dies Yes with proper tool Any prior incidents, near miss, Yes observations, etc. if any, are discussed during safety meeting Compliant No smoking rules observed Non Emergency Phone numbers posted
Compliant

5 6 7 8 9

RP54 7.1.3 RP54 4.2.1, RP55 4.6 RP54 8.3.2, 1910.145(c)(2)(i) Best Practice 1910.66

Not in Dog House. Need to place in dog house area. Place inside board area on picture.

10 11 12 13 14

Do Employees know were designated smoking areas are located? Do employees know were SPCC plan is located? Are full body harness and lanyard inspections being conducted monthly and documented? SRL's being inspected monthly and copies being obtained at location? Rig inspections being performed Pre-spud, periodic, HSE, etc.? All employees familiar with LOTO procedures and policies? Safe work permits being used and proper employees understand how to complete this form? Atmospheric tester available? Near Miss program being utilized on this location? Does rig crew know where to dispose of hazardous waste and are all containers labeled? (used oil, diapers, etc)

Yes Yes Non Compliant Yes Yes Yes Yes No Yes Yes Yes

Tool pusher house Monthly inspection must be done on lanyard and harness. Systems are in good visual shape, no paperwork for monthly inspections kept.

ANSI Z 3591 1910.212; 212(a)(2). 212(a) (3)(ii) Best Practice 29CFR 1910.147 Best Practice Needs to be performed. No forms being done. HSE inspection being done by HSE department and kept at office.

15 16 17

1910.146 (B) 29 C.F.R. 1904.35(B)(1) 1910.12 DOT drums are not marked and one drum needs to be emptied and properly disposed of by rig company. Personnel are disposing of product properly in drums.

Confidential

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 18 Condition Does the rig crew know how to perform a BOP Drill? Are the rig crew training records on site and current? Are fuel transfer sheets being performed? Is the escape buggy getting inspected monthly? Is the Confined Space Entry equipment in good working order? Is the Gas Detector in working order (charged) and calibrated? How is the general safety culture on this location? Safety meetings conducted and properly documented: pre-job/JSAs, d t d pre-tour, t j b/JSA weekly? Accidents, if any, are discussed during safety meetings. Proper clothing worn by crew; no loose clothing or jewelry, hard hat, glasses, safety shoes, gloves, fall protection other PPE as necessary? Are designated "Smoking Areas" established? Are smoking rules observed? Rating
No Yes Yes No N/A Yes Yes Yes Yes

Standard 1926.21

Comments Need to have record on location. Need to have (at the minimum) an online copy that can be pulled during inspections.

19 20 21 22 23 24 25

RP54 4.3.1 Best Practice RP54 6.10.1 29 CFR 1910.146(d)(1) Best Practices Opinionated. Think if you would want to work on this rig? RP54 6.1.7 When rigged up. Documented needs to be done monthly. Currently rigged up with improper clamping.

26 27

RP54 6.1.7 RP54 5.1, RP54 5.2 1-8, 1910.132(a)

Yes

28

RP54 7.1.3
No

Needs to be established "Smoking Area" with signs and insure all are following designated area.

29 30 31 32 33

Injuries reported and documented Yes immediately. First Aid Kit/Bloodborne Pathogen Kit Yes available on site. Are all containers properly labeled per Compliant HAZCOM? Are MSDS available and accessible at all Compliant times? Does contractor have a Hazard Recognition Yes Program in use?

RP54 4.1.1-2 RP54 4.3.2, 1910.151(b), 1910.1200(e)(1-5) 1910.1200 (g) (1) IADC MSDS sheet need to be in shaker area if doors are available. No doors on shaker system. Compliant results good. At pusher house. Tool pusher knows the incidents when first aid kept in his office. One on rig floor also.

Confidential

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 34 Condition Rating BOP training provided for Pushers and Yes Drillers? Is BOP training documented at the rig? Written Contractor Safety Program in Yes place? Hearing protection required and provided. Compliant Does the Operator / Drilling Contractor Yes have a New Hire Training Program in place? Explain-Type? Are all injuries and illnesses reported immediately to a supervisor? Are written reports prepared as soon as practical and is Yes every incident involving an injury being investigated and are steps being taken to prevent recurrence? Is there an Emergency Response Plan Yes available? trained il bl ? Has H personnel l been b t i d on the plan? Is all rotating equipment properly guarded; drive belts, shafts, pony rods, etc.? Head and valve covers fully bolted. Shear pin pop-off valve present and covered. Ends of relief lines secured with adequate safety cable. Ends of mud vibrator hose snubbed with adequate safety cable. Housekeeping - Is area clean and free of debris and tripping hazards? Adequate lighting provided. Bagged material properly stacked and protected from the weather?
Non Compliant Compliant Compliant Compliant Compliant Yes Compliant

Standard RP54 6.4.4

Comments

35 36 37

RP54 6.1.7 RP54 5.3.1-2, 1910.95(a) IADC and RP54 6.1.7b.

Yellow for new employee. Green, grey, black, and white for other employee. See Justiss SOP.

38

RP54 4.1.1-3

39

1910.38 (b)

IIIA. MUD PUMP AREA

1 RP54 6.8.2-3, 1910.219(e)(1-6), 1910.219(c)(2)(i) Need to use guards on hole open area. Reposition meters if possible.

2 3 4 5 6 7 1

1910.169(b)(3)(i-iv) IADC IADC RP54 6.5.1, 1910.22(a)(1) RP54 9.14.7 1910.176(b)

IIIB. MUD MIXING AREA

Compliant

Confidential

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 2 Condition Gloves, Aprons, Boots, or other PPE, as appropriate, available and in good condition? Employees using all required PPE? All chemicals are properly labeled including PPE Required warning signs (Grouped or individual signs). Personal protective equipment properly maintained and in a clean & sanitary condition. Eye wash station and emergency shower; unobstructed and in close proximity, properly designed in good working order and plumed with a clean water supply? Adequate ventilation in mud mixing area? Elevated loading door opening protected? Adequate Adeq ate lighting provided? pro ided? Housekeeping - Is area clean and free of debris and tripping hazards? Is the personnel required to mix or handle mud chemicals being properly trained regarding safe handling and use. Are they aware of the potential hazards and PPE measures required. Are MSDS's available to personnel prior to and during chemical mixing. Adequate stairs with handrails properly secured? Adequate walkways and guardrails. Guardrails installed on all raised platforms, walkways, etc above 48? Walkways free from obstruction and/or damage? Guardrails provided on crossovers? PPE Required warning signs erected (grouped or individual signs).
Confidential

Rating
Compliant N/A Compliant

Standard RP54 5.2.4, RP54 6.13.2, 1910.132(a), 1910.133(a), 1910.134(a)(2), 1910.138(a)(1) 1910.132(a), 1910.133(a), 1910.138(a)(1) 1910.145(c)(2)(i), 1910.145(c)(3)

Comments

3 4

RP54 6.13.2, 1910.132(a), 1910.134(h)(2)(i)

Compliant

1910.151(c) , Z358.1 5.4.2, RP54 4.4.1

Compliant Compliant Compliant Compliant Compliant

7 8 9 10 11

IADC 1910.23(c)(1) RP54 9.14.7 9 14 7 1910.22(a)(1) 1910.1200 (g) (1)

Yes

IIIC. MUD TANKS & PITS

1 2 3 4 5 6

Compliant Compliant Compliant Compliant Compliant Non Compliant

1910.24(h), 1910.23(d)(1) 1910.23(c)(1) 1910.23(c)(1), 1910.23(d)(1) 1910.23(c)(1) 1910.23(c)(1) 1910.145(c)(2)(i), 1910.145(c)(3)

Need to be signs on PPE

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 7 8 Condition Chemical hazard warning signs erected? Rating
Non Compliant

Standard 1910.145(c)(2)(i) 1910.23(c)(3)

Comments Needs signs on chemical hazards

Shale shakers, agitator shafts, and all other Compliant rotating equipment properly guarded?

10 11 12 13 14 15 16 17 18

1910.307(b)(1-3) & subsections, 1910.307(c), Explosion proof equipment, fixtures and RP500 5.3, RP500 10.1-16 wiring used. Class 1 Div 1/2. Data plates on Compliant equipment legible? Compliant RP54 9.14.7 Adequate lighting provided? N/A 1910.132(a), 1910.133(a), 1910.138(a)(1) Employees using all required PPE? Jetting hoses properly secured if applicable RP54 9.11.2
Compliant Compliant Compliant Compliant Compliant Compliant Yes

Personal protective equipment properly stored? Housekeeping - Is the area clean and free of debris and tripping hazards? All unused floor holes covered? Electric wiring in good condition? Drive belts and shafts guarded? Permitted and non permitted signage is in appropriate area's Material Handling Equipment (fork lift) operators trained and certified? Personnel basket securely attached to forks? (If applicable). Personnel wearing proper fall protection while in basket? Backup alarm operational? Fork Lift equipped with seat belts? Seat belts in use by operators? Fork Lift inspected prior to use? (daily).

RP54 6.13.2, 1910.132(a), 1910.134(h)(2)(i) 1910.22(a)(1), RP54 6.5.1 1910.23(a)(8), 1910 23(a)(8) 1910.23(a)(9) 1910 23(a)(9) 1910.303(b)(1-2), 1910.303(c) 1910.219(e)(1-6, 1910.219(c)(2)(i) IADC

IV. MATERIAL HANDLING EQUIPMENT

1 2 3 4 5 6 7
Compliant N/A Compliant Non Compliant Compliant Compliant Compliant

1910.178(l)(1-8), B56.6 5.16, B56.6 5.17.1-4 1910.178(m)(12)(i), B56.6 5.15.1(b) B56.6 5.15.1(k) B56.1 4.15.1, B56.6 5.13.1-2 B56.1 5.3.19 B56.1 5.3.19 1910.178(p)(7), B56.6 6.5.1-2 1910.303(f) No backup alarm on forklift not working. Need fixed.

Every tower, insure all paperwork available for inspections.

V.
1

Electrical Specific Inspection

Are the breakers in the electrical panel property labeled?
Yes

Confidential

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 2 3 Condition Are the electrical panels accessible? (No boxes, etc. stacked in front of them?) Are the electrical lines in good condition? (No splices, cuts, black tape: look for things OSHA would look for) Are the electrical lines in good condition? (wire no pulled away from the connector, strain relief in place, etc.) All power strips in the work area (Doghouse, SCR house, etc.) GFIC protected? Do all lights have covers and are secure? Is the equipment on location properly grounded /bonded? (Have RM show you how grounding and bonding is tied into all mobile equipment. Moving parts guarded? Generators properly grounded? Cover panels on electrical control boxes installed and closed? All electrical controls marked as to their function and legible? HIGH VOLTAGE warning signs erected? Insulating mats available at electrical panels? Condition of electrical wiring, no splices or visible damage? Rig wiring properly installed to prevent abrasion, vehicular and foot traffic, burns, cuts and damage from other sources? Unused electrical outlets covered? Air compressors properly guarded? Air storage tanks equipped with pop-off valve? Rating
Yes Yes

Standard RP54 6.5.1 1910.303(b)(1-2),1910.305(a)(2)(iii), RP54 10.2.3,RP54 9.13.3 1910.303(b)(1-2),1910.305(a)(2)(iii), RP54 10.2.3, RP54 9.13.3 RP54 10.2.1, 1910.307(b)(1-2), RP500 5.3, RP500 6.1-2 1910.307(b)(1-2) RP54 9.14.11

Comments

Yes

No Yes Yes

Vendor power strips need to be reviewed. Two separate power strips pointed out to Customer. Surge protector strips only, not GFIC strips.

6 7

VI. VI GENERATOR AREA

1 2 3 4 5 6 7 8
Compliant Non Compliant Compliant Compliant Compliant Non Compliant Compliant Compliant Compliant Compliant Compliant

1910.212(a)(1) RP54 9.14.11 1910.305(b)(2), 1910.335(a)(2)(ii) 1910.303(f) 1910.145(c)(2)(i), 1910.305(b)(2)(ii) 1910.335(a)(2)(ii) 1910.303(b)(1-2) 1910.305(a)(2)(iii), RP54 10.2.3

Ground clamp incorrect, hose clamp shown below

Not installed

9 10 11

1910.305(b)(1-3) 1910.212(a)(1) 1910.169(b)(3)(i-iv)

One in electrical room not covered

Confidential

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 12 Condition Lockout/Tagout program utilized? Adequate Lockout/Tagout devices available? Hearing Protection Required warning signs erected? Hearing protection available? Adequate lighting installed? Housekeeping - Is area clean and free of debris and tripping hazards? Wires are note running along the ground All light fixtures properly guarded from damage? Receptacles and plugs in good condition? Water hose used for washing area kept away from generator f t skid/SCR/VFD kid/SCR/VFD House? Generator skid door props properly pinned? Rating
Compliant Compliant Non Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant

Standard RP54 6.9.1, RP54 9.14.9

Comments

13 14 15 16 17 18 19 20

1910.145(c)(2)(i) 1910.95(a) RP54 9.14.7, RP54 9.14.4, 1910.303(h)(3)(ii) RP54 6.5.1 RP54 10.2.3, 1910.305(a)(1)(iii) (G) 1910.307(b)(1-2) 1910.303(b)(1) IADC Needs to have box of plugs available. No plugs available in high noise area.

21

IADC

VII. FIRE PROTECTION

1 A minimum of 4 No.20 fire extinguishers with a Class BC rating available at the drill Compliant site. This a minimum requirement and operations may dictate use of more or larger sized equipment. Fire extinguishers fully charged, current Non inspection, proper gauges, properly located Compliant at their assigned locations? Are crew members familiarized with the Yes location of fire control equipment and trained in the use of such equipment? Portable containers for storing flammable Compliant liquids should be UL or FM approved or equivalent. RP54 7.2.4, RP54 7.2.5

1910.157(c)(4)

Tags missing inspection tags. Accumulator system for BOP system. One located in incorrect area as opposed to sign pointing to fire Extinguisher.

1910.157(g)(1), 1910.157(g)(2)

1910.106(d)(2), RP54 8.1.1

Confidential

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 5 Condition Rating Any area that has flammable containers stored should be posted with a sign, "NO Compliant SMOKING OR OPEN FLAME", or equivalent. Spark arrestors or equivalent equipment shall be provided on all internal combustion N/A engine exhausts located within 100' of the wellbore. Fuel storage tanks properly located All storage valve connections identified as to their function Discharge nozzles, hoses, valves in good condition Piping and fuel lines in good condition Stationary ladders on storage tanks in good condition Adequate lighting provided "Flammable" warning signs erected on all sides "No Smoking" signs erected on all sides B/C Class fire extinguisher available and identified Fuel tanks properly labeled, "NFPA HazCom", "Off Road Usage", "Flammable", "No Smoking" Flammable warning signs erected on all sides "No Smoking" signs erected on all sides Vapor release vents elevated & away from ignition sources B/C Class fire extinguisher available and identified Housekeeping - Is area clean and free of debris and tripping hazards
Confidential

Standard RP54 7.1.2

Comments

RP54 9.15.3

Not within 100 ft of well area

VIII. FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS

1 2 3 4 5 6 7 8 9 10
Compliant Compliant Compliant Compliant Compliant Compliant

RP54 8.3.5, 1910.106(b) 1910.106(b) 1910.106(b) 1910.106(b) 1910.27(f)

RP54 9.14.7 1910.145(2)(i), 1910.1200(f)(5-6), RP54 Compliant 7.1.2-6, RP54 8.4.1d RP54 7.1.2-6, 1910.145(c)(2)(i), RP54 8.4.1d
Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant

RP54 7.1.2-6, 1910.145(c)(2)(i), 1910.157(d)(1) RP54 8.4.1d, 1910.1200(f)(4-5)

11 12 13 14 15

1910.145(2)(2)(i), 1910.1200(f)(5-6), RP54 7.1.2-6, RP54 8.4.1d RP54 7.1.2-6, 1910.145(2)(i), RP54 8.4.1d 1910.106(b)(2)(iv)(c), 1910.106(b)(2)(v)(g) RP54 8.4.1e, 1910.157(c)(1), 1910.157(d)(1) RP54 6.5.1, 1910.22(a)(1)

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 16 Condition All open valves/piping capped, bull plugged, etc. Ends of pipe racks and separate layers of pipe properly chocked? Spacers used to separate layers of pipe Pipe racks are level and stable Pipe rack catwalk in good condition and at the same height? V-door slide in good condition including stops on V-door or catwalk? Derrick stand and ladder in good condition Adequate lighting provided Housekeeping - Is area clean and free of debris and tripping hazards Rating
Compliant

Standard RP54 8.3.3

Comments

IX. PIPE RACK AREA

1 2 3 4 5 6 7 8
N/A N/A N/A N/A N/A N/A N/A N/A

1910.176(b), RP54 9.12.3 RP54 9.12.5 IADC IADC IADC 1910.27 RP54 9.14.7 1910.176(c), RP54 6.5.1

Pipe in use at this time

Confidential

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 9 10 Condition Drilling line from spool elevated off ground Safety Warnings in place for Hydraulic Pipe Rack and verification of HPR inspection? Rating
Compliant N/A

Standard IADC RAGAGEP

Comments Need to put guard on skid system. Was previously installed but removed. Standard system with warnings available

X.
1 2

BLOW-OUT PREVENTERS
BOP properly installed, 3rd party tested, Compliant and properly documented? All lines, valves, check valves and flow fittings should have a working pressure at least equal to the rated pressure of the ram Compliant BOP's in use. This equipment will be tested during the initial test of the BOP rams. Wheels and stems in place, if automatic device is not available? BOP stack properly stabilized? All hydraulic lines connected ? All unused hydraulic lines capped and secured? Accumulator bottles labeled with contents, and other appropriate warning signs? Accumulator valves in appropriate position, open or closed (never neutral), properly identified both purpose and position? Gauges suitable for operating pressure and drilling fluid service should be installed so that drill pipe and annulus pressures may be accurately monitored and readily observed at the station where well control operations are to be conducted. Choke manifold and line secured and accessible? Blooey line with pilot installed if applicable?
Confidential

RP54 6.4.1, RP54 6.4.41, RP 54 6.4.13 RP53 10.2.1

3 4 5 6 7 8

Compliant Compliant Compliant N/A Compliant

IADC RP54 6.4.10 RP54 6.4.18 RP54 6.4.18, RP53 10.2.1i 1910.1200(f)(5-6) RP54 7.2.2

Compliant

RP53 8.2i

Compliant

10 11

Compliant Compliant

RP54 6.4.18 IADC

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 12 13 Condition Adequate lighting provided? Warning signs erected (Flammable, Hard Hat, H2S, Eye Protection, Confined Space, Authorized Personnel) Proper drainage provided and general housekeeping of koomey and cellar area? Hydraulic lines protected? BOP spare parts (for the service intended) are carefully stored, maintained and readily available. Including a complete set of ram rubbers, complete set of bonnet or door seals, plastic packing for BOP secondary seals. Ring gaskets to fit end connections. A spare annular BOP packing element and a complete set of seals. A flexible fl ibl choke h k or kill line li if in i use. "Ask "A k Toolpusher" Metal clad lines secured with adequate safety cables? Rating
Compliant Non Compliant Compliant Compliant

Standard RP54 9.14.7 1910.145(c)(2)(i), RP54 7.1.2-3

Comments Signs needs to be displayed . Fire extinguisher not with proper tag. Black tape on electrical cord and plug need to be replaced.

14 15 16

RP54 6.5.2 RP53 12.5.2 RP53 6.4 Armor core on lines.

Compliant

17

Compliant

"General Duty Clause" OSHA

All additional questions (1-51) in Section 9 will be used at the discretion of the DCI customer and their individual needs.
1 2 3 4 5 6 Floor mounted and remote accumulator controls available? Remote unit used to actuate pipe rams once a week? Off floor controls are effective if floor unit is destroyed. Alternate power source exists for accumulator : Type_________________ Light on rig floor in plain view of driller? Operating ranges of accumulator pumps regulated from 2700 PSI to 3000 PSI?
Yes Yes Yes Yes Yes Yes

RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP Electric, air, and nitrogen bottle accumulator exists

Confidential

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 7 Condition Accumulator pump charging time less than 15 minutes: Ensure 1000 PSI to 3000 PSI rise? Accumulator fluid and strainers in good condition: Inspected_________________ Accumulator bottle isolation valve open? Accumulator pre-charge pressure _______ Last inspected_________ Accumulator _________ Annular ________ Manifold ________ (Pressures) Accumulator air pressure at least 75 PSI Drawings available showing BOP stack, lines, valves and manifold used? Assembly rating greater than or equal to casing burst pressure or formation breakdown pressure ( (whichever is l less). b kd hi h i ) WECO 1502 hammer unions used on surface casing valves? Necessary manipulations of BOP stack can be made without going under rig floor? Well can be closed in quickly while observing and controlling casing pressure? Hydraulic or Manual locks on preventers: If manual, are hand wheels and shafts attached? Clearance for tool joints between pipe rams (pipe can be stripped through rams). Is it possible to pump into well with blind rams closed? Blind rams equipped with cover but no lock? Choke flow line equipped with master valves on each choke manifold wing? Is the fill up line separate from the kill line? Rating
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Standard RAGAGEP

Comments

8 9 10 11

RAGAGEP RAGAGEP RAGAGEP RAGAGEP

Tank in front of system that is in good condition. Attached to skid. 1500 psi per charge

12 13 14

RAGAGEP RAGAGEP RAGAGEP

15 16

RAGAGEP RAGAGEP

17

RAGAGEP
Yes

18

RAGAGEP
N/A Yes Yes Yes Yes Yes

19 20 21 22 23

RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP

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Confidential

OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 24 25 26 Condition Choke line straight, free of bends? Hydraulic choke equipped with emergency back- up. Type: ____________________ Choke manifold pressure rating __________ Is it correct for this application? Upper Kelly valve or Top Drive Unit with manual & hydraulic valves? Is drill pipe float used? Are crossover subs available for IBOP & TIW? Pit volume totalizer & recorder mounted in plain view of driller? Flow indicator available, if flow line can't be seen from rig floor? Pump stroke counter and/or trip tank for use in hole filling checks? i critical iti l h l filli h k? Sufficient way to monitor casing wear? Maximum allowable surface pressures upon closing in well specified and posted? Surface casing held in tension until cement set to avoid misalignment? "on bottom" drills held at intervals, timed, & recorded on IADC? "while tripping" drills held at intervals, timed & recorded on IADC? "drill collar" drills held at intervals, timed & recorded on IADC? "out of hole" drills held at intervals, timed & recorded on IADC? Slow pump rates recorded hourly & after mud density changes? Pipe slugged with sufficient time allowed for fluid level to balance before TOOH? Flow checks made prior to TOOH, at the casing shoe & at collars? Rating
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Standard RAGAGEP RAGAGEP RAGAGEP

Comments

10000 psi front end, 5000 psi on back side

27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42

RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP

Canrig Top Drive, subs ready to go.

Confidential

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Form: DCI LR Audit (Comprehensive).xlsx Updated on 11/06/2012

OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 43 Condition During trips are ram-type BOP's operated and choke and kill valves flushed? Is hole filled continuously from trip tank (preferred) is there a specified number of stands: Rig equipped with trip tank? Written trip records kept by crew? Crew instructed in procedures during trip if swabbing or lost circulation occurs? Are approved kill sheets used & updated daily? Leakoff pressure recalculated & posted after every mud density change? Maximum allowable mud density posted? DC, DP, hole & mud pump capacity figures available? il bl ? Rating
Yes

Standard RAGAGEP

Comments

44

RAGAGEP
Yes Yes Yes Yes Yes Yes Yes Yes

45 46 47 48 49 50 51

RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP

XI. DERRICK & SUBSTRUCTURE

1 2 3 4 5 Derrick/A-Frame assembly and Compliant substructure pins with keepers in place? Derrick guyed, if applicable. N/A N/A Condition of guy lines. N/A Clamps properly installed. Does the derrick or mast have a name plate permanently attached to the derrick, that includes the manufacturer, model number Compliant and serial number, hookload capacity and whether guying is applicable and if so the recommended guying pattern. Damage and/or corrosion visible in derrick N/A and/or substructure? (waste metal). Condition of derrick ladder? Climb assist device available, in good condition, adequate number of clamps? Boatswains chair available for hoisting personnel and utilized when necessary?
Confidential

RP54 9.2.8 RP4G 13.1 RP4G 13.1.1 RP9B 3.7.4 RP54 9.2.2

RP54 9.16.1

7 8 9

Yes Yes Yes

RP54 9.3.1-2 1910.27(d)(5) IADC

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 10 11 Condition Full body harness with lanyard available and in good condition? Fall protection devices in use: Derrick Board, Crown Section, Backside of derrick (stabber), Substructure? Fall Protection Required warning signs erected? Verify that contractor has a Cat. 1,2,3,4 process in place to identify structural issues. The remaining questions are designed to identify any noticeable items from the floor or ground. Derrick/Tubing boards in good condition? Guardrails installed on derrick board? Pipe fingers in good condition, safety cables attached? Crown guardrails Cro n g ardrails installed? Crown sheave guards in place? Safety retainers in use on hinge pins? Derrick hydraulic system free of leaks? (if applicable). Dead line properly anchored? Booms and boom lines in good condition? Adequate lighting provided? Derrick free of loose and unnecessary objects. Derrick emergency escape line properly installed, Geronimo on line, anchored with a clear path? Tubulars, Drill Pipe, etc racked or hung in derrick are secured to prevent them from falling? Mud standpipe secured, mudhose snubbed at both ends? Rotary beams and all braces are in good condition? Rating
Yes Compliant Compliant

Standard 1910.132(c), RP54 5.5.1 1910.132(c), RP54 5.5.1

Comments

12 13

1910.145(c)(2)(i) RAGAGEP

Compliant

14 15 16 17 18 19 20 21 22 23 24 25

Compliant Compliant Compliant Compliant Compliant Compliant N/A Compliant Compliant Compliant Compliant Compliant

RP54 9.2.17 RP54 9.3.17, RP54 5.5.1 RP54 9.2.17 RP54 9 9.3.17, 1910.23(c)(1) 3 17 1910 23(c)(1) RP54 9.7.5 RP54 9.2.8 IADC RP54 9.6.5, RP9B 3.3.9 IADC RP54 9.14.7 RP54 8.2.5 RP54 6.10.1

26

RP54 6.12.1
Compliant Compliant Compliant

27 28

IADC IADC

XII. DRILL FLOOR AREA

Confidential Page 17 11/9/2012 Form: DCI LR Audit (Comprehensive).xlsx Updated on 11/06/2012

OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 1 2 3 Condition OSHA poster posted in Dog House? Emergency phone numbers posted in Dog House? Safety (stabbing) valve and handle with cross over sub if necessary properly located on floor? Remote BOP hydraulic controls accessible? Rotary floor in good condition? Rotary chain drive guarded? All unused floor holes covered with a secure cover? "Driller at or near controls unless the drawworks brake has been tied down or securing it with a catch lock, unless the drawworks is equipped with an automatic driller". d ill " Drillers controls properly labeled/identified? Pipe slips & Dies in good condition? Racking floor area in good condition? V-door gate or net provided and in place? Rating
No N/A Yes Compliant Compliant Compliant Compliant

Standard 1903.2(a)(1) RP54 4.2.1 RP55 4.6 RP54 6.4.2

Comments Need fire, ambulance, closes hospital

4 5 6 7 8

IADC IADC 1910.212(a)(1-3) 1910.23(a)(8-9), RP54 9.1.1, RP54 9.3.20, RP54 9.3.21 RP54 9.4.4

Yes

9 10 11 12 13

Compliant Compliant Compliant Non Compliant

IADC RP54 9.9.2 IADC 1910.23(c)(1) RP9B 3.2.7 1910.212(a)(1) RP9B 3.3.3

Gate or Net needed

14 15 16 17 18 19 20

Air hoist lines properly guarded in good condition, line properly laid with functional Compliant line guide and brake? Cathead friction surface in good condition?
N/A N/A N/A N/A Compliant Compliant Compliant

RP54 9.5.1 IADC RP54 9.5.10 IADC RP9B, 3.3.3, RP9B, 3.3.10 IADC RP54 9.4.2, RP54 9.6.4
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Cathead line divider/grip in good condition? Catline not worn or kinked? Kelly cock wrench and safety valve accessible? Drilling Line in good condition? Tail rope being used, rigged up correctly and in good shape? Drawworks properly guarded?

Confidential

OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 21 22 Condition Drill line slip/cut recorded on ton mile book? Proper lay of drill line and sufficient wraps left on drum with blocks in down position? (minimum 10 wraps). When were the Hydraulic or Hydromatic brakes last serviced and what is the contractor's maintenance schedule? Dog knot secure? Adequate lighting provided? General housekeeping. Minimum 2 exits from drill floor doghouse? Drill floor doghouse doors installed properly? Drinking water available? MSDS Station readily readil available? a ailable? Life basket/Fire Blanket available Factory ends of snub line? First aid kit available in doghouse? Non skid material used around rotary? Guardrails installed along open edges of drill floor? Tong body and jaws, keepers, counter weights, snub lines and jerk lines all in good condition? Tong safety handles installed? Crown-o-Matic device operational, logged on IADC? Safety signage posted? All overhead lights have safety cables? Rating
Compliant Compliant

Standard RAGAGEP RP9B 3.3.10(b)

Comments

23

RAGAGEP
Safe Compliant Compliant Compliant Yes Yes Compliant Non Compliant Compliant Compliant Yes Compliant Compliant Compliant Compliant Non Compliant Yes Compliant Compliant Compliant Compliant Compliant Compliant

24 25 26 27 28 29 30 31 32 33 34 35 36

IADC RP54 9.14.7 RP54 6.5.1, 1910.22(a)(1) 1910.36(b)(1) 1910.36(e)(2) 1926.51 RP54 6.1.12 6 1 12 I.S. I.S. 1910.151(b) RP54 9.3.11 RP54 9.3.17, 1910.23(c)(1) IADC

Need it in the dog ho house se Life Basket in Dog House, No fire blanket on rig

37 38 39 40 1 2 3 4 5

IADC IADC IADC IADC RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP

Page 19 11/9/2012

Needs to be on system

Top Drive
TD: Guard Bolts. TD: Blower Motor Mounts. TD: Oil Cooler Bolts. TD: Housing To Frame Bolts. TD: Lube Pump Assembly Mounts.
Confidential

Form: DCI LR Audit (Comprehensive).xlsx Updated on 11/06/2012

OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 Condition TD: Guard Deflector. TD: Link Tilt Cylinder Retainer. TD: Link Tilt Mount. TD: Bail Clamp Cylinder Pins. TD: Lower Link Support Pins. TD: Spark Arrestor Screen. TD: Elevator Alarm Targets. TD: BUW Mounts. TD: BUW Positioning Cylinder. TD: BUW Stop Pins (L-shaped pins). TD: BUW Gripper Cylinder. TD: BUW Slides. TD: BUW Stabbing Guide. TD: Tool Joint Clamp(s) & Bolts. TD: Actuator Valve / Covers. TD: LWCV Pinion Retainer Bolts. Rating
Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant

Standard RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RP54 9.7.1 RP54 9.7.4 IADC RP54 9.7.1 RP54 9.7.1, RP54 9.7.8 RP54 9.7.3 RP54 9.7.5
Page 20 11/9/2012

Comments

Iron Roughneck
Iron Roughneck (IR): HPU Showing 22002500 psi. IR: Line Control Port 1900-1950 psi. IR: Hydraulic Lines Not Leaking . IR: Unit Properly Stored If Not In Use. IR: Unit Turned Off When Not In Use. IR: Employees Properly Trained . IR: Employee Clear Of Unit If Moving. IR: Unit Has Clear Path For Operating. IR: Operator Controls Located Properly. IR: Preventive Maintenance (Daily) . Traveling blocks in good condition? Traveling blocks properly guarded? Sheave guards in good condition? Bales and/or links in good condition? Elevators in good condition? Hoisting hook equipped with safety latch or equivalent? Crown block assembly secured?
Confidential

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Compliant Compliant Compliant Compliant Compliant Compliant Compliant

XIII. HOISTING TOOLS, HOOKS, BAILS, ELEVATORS

Form: DCI LR Audit (Comprehensive).xlsx Updated on 11/06/2012

OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 8 9 1 Condition Suspension cables and lifting chains are grade 8 and tagged? Hoisting line inspected daily? Hot work permitted utilizing customers Hot Work Process which meets minimum industry standards? Drilling Foreman trained on customers Hot Work and Confined Space permitting standards? Certified welders utilized? Appropriate protective attire worn for welding and cutting ops. Helmets with face shields used during operations? Fire extinguishing equipment available and fire watch utilized? Confined spaces properly labeled? Rating
Non Compliant Yes

Standard RP54 6.11.1 RP54 9.6.1 RP54 20.1.1, 1910.252(a)(2)(iv)

Comments No tags on cable for Spinner. Cotter pin needs to change on overhead shackle system. See picture on replacement part.

XIV. HOTWORK AND CONFINED SPACES

N/A

RAGAGEP
N/A N/A N/A N/A N/A N/A

3 4 5 6 7

RP54 20.1.4 RP54 20.1.3, 1910.252(a)(2)(vi) RP54 20.2.1, 1910.252(b)(2)(i)(A-D) RP54 20.2.2, RP54 20.2.3, 1910.252(b)(2)(i)(A-D) 1910.146(c)(2) 1910.145(c)(2)(i) RAGAGEP

Confined Space Entry Permit issued by Drilling Foreman or rig contractor for CS entry? Permits are completed properly and filed at the job site?

N/A

N/A

1910.146(d)(1-14) 1910.146(e)-(l) RP54 6.7.4(b) RP54 6.7.5(b) RP54 6.7.4(a) 1910.146(c)(1)

10

Gas detection devices are available and calibrated per manufactures specifications?

N/A

XV. ENVIRONMENTAL
1 2 3 4 Sediment migrating off location? Gullies or ditches forming along location slopes? Re-vegetation less than 70%? BMPs not present on location?
Confidential

N/A N/A N/A N/A

RAPPS RAPPS RAPPS RAPPS

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OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. 5 6 7 8 9 10 11 1 2 3 4 5 6 7 Condition BMPs need maintenance or removal? Reserve pit free of oil and trash? Reserve pit liner, good integrity, anchored properly? Reserve pit has sufficient free board? Reserve pit fall controls in place? Secondary containment (berms/ditches) adequate and maintained? Pipe dope is lead free? Adequate stairs provided off rig, min. of 2 for drill floor? Stairs level, secure with no obstructions? Adequate handrails provided on stairs with 4 or more risers? Stair treads of uniform size made with nonskid material? Stair treads free of damaged? Stairs properly installed and pinned if required? Guardrails, Midrails, & Toeboards installed along all open side edges of floors, platforms, etc, 4ft above ground level. Rating
N/A N/A N/A N/A N/A Compliant Compliant

Standard RAPPS RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP 40CFR 261-262 RP54 9.3.10, 1910.24(b) RP54 9.3.9 RP54 9.3.8, 1910.24(h) RP54 9.3.9, 1910.24(d) RP54 9.3.11

Comments

XVI. STAIRS, LADDERS, HANDRAILS & GUARDRAILS

Compliant Compliant Compliant Compliant Compliant Compliant

Bottom stair rung on shaker side of catwalk stairs needs to be repaired.

RP54 9.3.8 1910.23(c)(1), RP54 9.3.17

Compliant

XVII. ADDITIONAL FINDINGS

1 2 3 4 5 6 7 8 9 10
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP RAGAGEP
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Confidential

OIL AND GAS DRILLING LAND RIG INSPECTION FORM

No. Condition Rating Standard Comments
Definitions : SPCC (Spill Prevention, Control, and Contamination), SRL (Self Retracting Lanyard), HSE (Health, Safety, & Environmental), BOP (Blow Out Preventor), SCR (System Control Room), VFD (Variable Frequency Drive), RM (Rig Manager), TOOH (Trip out of hole), GFIC (General Fault Interuption circuit), JSA (Job Safety Analysis), OSHA (Occupational Safety and Health Administration), LOTO (Lock Out/Tag Out), SCBA (Self Contained breathing apparatus), RAGAGEP (Recognized And Generally Accepted Good Engineering Practice), RAPPS (Reasonable and prudent practices for stabilization (Clean Water Act))

Confidential

Page 23 11/9/2012

Form: DCI LR Audit (Comprehensive).xlsx Updated on 11/06/2012