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EXHIBIT - 11

RIG INSPECTION & CERTIFICATION CHECKLIST

Rig: GD CHAAYA Date: 15TH Aug 2017


Observer: LOCATION:
NO. ITEM DESCRIPTION STATUS COMMENTS
1.0 DOCUMENTATION / CERTIFICATIONS
CERTIFICATION DOCUMENTS ON RIG
When were fixed fire
1-1 FOR “FIXED “FIRE EXTINGUISHERS. MED 26th Oct 2016
extinguishers last certified?
( VALID FOR 2 YEAR)
Certification documents on rig for When were portable (wheel
1-2 “Portable” fire extinguishers. (Valid for mount) fire extinguishers last MED 25th Oct 2017
1 year) certified?
Certification documents on rig for When were Air/Foam fire
1-3 Air/Foam Fire Extinguisher systems ( extinguishers last MED 26th Oct 2016
Valid for 2 years) certified?
Does crane operators
Crane Operator certifications ( Valid for
1-4 hold valid certificates MED Certs with Town
2years)
for operating cranes
Has banksman
1-5 Certified Banksman received any certified MED Certs with Town
training?
Number of life rafts on rig
5 in use x 2 spare, 25
1-6 Life Raft Capacity and certification Capacity of life rafts HIGH
EA. 8th Aug 2017
Date life rafts last certified

Crane load test certificate


1-7 Dates cranes last load HIGH 17th Jan 2013
(Valid four years )
tested?
Crane Inspection certificates Dates cranes last MPI
1-8 HIGH 18th Jan 2017
( Valid for 1 year) (MPI-Visual) inspected
Dates davits for life boats
Life boat/raft davit load test certificate
1-9 and life rafts were HIGH 13th Sep 2017
( Valid for 4 years) ( PLT )
certified?
Does key members of rig
hold valid IWCF
1-10 Well Control Certifications HIGH OIM
supervisory level
certificates
Dies catering crew hold
1-11 Catering Crew Health Certificates LOW Doctor
valid health certificates?
Does radio operator hold
1-12 Radio Operator certification valid radio operator LOW Yes
certificate
Hydrostatic test certificate for flexible Last OEM certification for
hoses in hydrocarbon or high pressure choke and kill lines
1-13 MED TP
system Last OEM certification for
BOP control hoses
Does welder hold valid
1-14 Certified Welder LOW Certs with Town
welding certificate?
Date high pressure
1-15 High Pressure mud hoses mud hose last OEM MED OIM
certified?
Does rig have updated Yes 23 Jan 2018
1-16 MODU Safety Certificate MED
MODY safety certificate
1-17 Class certificate ( Valid for 5 years) MED 16 Jan 2018
Annual Class Survey (Valid
1-18 MED 23 Jan 2018
for 1 year)

NO. ITEM DESCRIPTION STATUS COMMENTS

Machinery relief valves test certificate ( P-


1-19 tanks / air receivers) Date pressure relief valves MED December 2016
(Valid for 24 months) last tested and certified?
1-20 Dry Docking survey ( UWILD) MED 21st Nov 2015
Personnel basket certificate.( Valid for 1 . 9th January 2017
1-21 MED
year MPI / PLT)
Date Cranes SLI Load test - 17th Jan
inspected, calibrated and 2013.
1-22 Crane SLI certification HIGH
certified. Inspected & tested on
monthly basis.
Date H2S sensors last
1-23 H2S sensors calibrated and certified? HIGH Inspected & tested on
quarterly basis.
Derrick inspection checklist up to date and  Date Derrick base last TP
1-24 inspected? MED
documented ( Valid for 1 year)
Doe rig have dedicated Yes
1-25 Man rider checklist up to date and HIGH
man rider?
All alarm systems tested Inspected & tested on
testing /function checks for fire protection
1-26 and certified HIGH monthly basis.
systems ( Smoke, H2S, Fire, Abandon)

1-27 International Load line certificate Date last certified? MED 21st June 2017
1-28 International Sewage Pollution Certificate Date STP was certified MED 19th June2017
Does rig have PVT TP
systems in pits . Please
1-29 Rig Watch System HIGH
state type of system(
digital / float)
Does rig have flow show TP
1-30 Flow show system system in flowline. Date HIGH
last calibrated?
Does rig has PVT system TP
1-31 Trip Tank PVT system in trip tank ( digital / HIGH
float).
Does rig have certified Doctor
1-32 Doctor / medic doctor / medic on rig. ( MED
level of education)
Does rig have safety Yes
1-33 Safety Officer on Rig MED
officer on rig?
CO2 fire extinguishing bottles Date last certified? 26 Oct 2016
1-34 MED
( Hydro test valid for 10 yrs) Sep 2021
2.0 SAFETY :
Does rig have safety Yes
induction video on rig for
2.1 Rig safety Induction LOW
people arriving / departing
rig?
“T” card system used to Yes
2.2 Muster Stations LOW
identify people
Does rig have established Yes-SOC
2.3 Observation program safety observation program MED
on rig?
Does rig utilizes Yes
established JSA( Job
2.4 Pre-Job planning LOW
Safety Analysis program
for jobs?
Does rig conduct routine Yes
safety meetings LOW
2.5 Safety Meetings

No. ITEM DESCRIPTION STATUS COMMENTS


Does rig conduct tourly Yes
2.6 Pre tour meetings LOW
pre tour safety meetings?
Does rig have waste Yes
2.7 Waste Management / Handling LOW
management program?
Does rig hold daily Yes
2.8 Morning Planning Meetings LOW
planning meetings
Does rig hold routine Yes
2.9 Drills drills with crews for fire, LOW
abandon and H2S
Critical Jobs- JSA meeting attended by Who attend Pre-job LOW OIM
2.10
NDC and OPCO supervisors meetings with crews?
Emergency Flow Chart and reporting Does rig have emergency LOW OIM
2.11
protocol posted on each rig evacuation plan on rig?.
Is accommodations on rig MED OIM
2.12 Accommodations pressurized
pressurized
Does rig have dedicated HIGH Yes
2.13 Helicopter Crash Kit
helicopter crash kit?
Rig has all necessary PPE on rig for Required PPE available on
2.14 HIGH Yes
workers rig?
High noise areas identified, signs in place Engine room, rig floor,
2.15 HIGH Yes
& PPE available.
3.0 EMERGENCY SYSTEMS
 Rig has emergency
Emergency lights lighting and walkway
3-1 HIGH Safety
reflectors

How does contractor Safety


3-2 Emergency drills documents MED
document drills
Station muster bill is updated, known to Safety
3-3 HIGH
crew members and posted.
3-4 Fire /safety plans are posted on main areas HIGH Safety

Emergency stations defined Safety


3-5 posted,unobstructed and lighted for the HIGH
night
Emergency routes exit signs are fitted, Safety
3-6 HIGH
sufficient and of luminous type.
Emergency route exists & stairways are Safety
3-7 HIGH
unobstructed.
Public address system available and Safety
3-8 Rig has gai-tronics system HIGH
audible overall the rig
3-9 Radio Station License ( Valid for 1 year) LOW 8th December 2017
Intrinsically safe portable radios (
3-10 MED Yes
Valid for 1 year)
First aid kits are adequately stocked and
3-11 HIGH Doctor
distributed ( Four on Rig)
Doctor
3-12 O2 resuscitator (2+2 spare cyls. ) HIGH
Doctor
3-13 Para guard stretchers (2 Nos.) HIGH
Minimum / Maximum quantity of medical Doctor
supplies kept on rig.
3-14 MED

No. ITEM DESCRIPTION STATUS COMMENTS

4 MARINE / LIFE SAVING APPLIANCES & EQUIPMENT


 Water and food Water-Aug 2021
4-1 Life Boats rations valid: MED Food-Jan 2022
 Date last certified 29 Aug 2012
How often are they
4-2 Life buoys (light & smoke signals) MED Monthly
checked
Location of life jacket 209, Lifeboats,
4-3 Life jackets (105%) MED
boxes and numbers Accomodation
4-4 Life Boat Davits Last date load tested MED 14 Sep 2012
4-5 Life Boat Hook Releases Last Certification MED 29 Aug 2012
4-6 Life Boat Davits and Winch Anchors Last certification MED 29 Aug 2012
4-7 Lifeboat pendant wires Last date replaced MED 14 Sep 2012
Smoke floats= 4 (Apr
Distress signals are in dates:
Are distress signals 2018)
i) Smoke floats 4 required
4-8 required in lifeboats up to MED Hand flares (12)
ii) Hand flares (12)
date? parachute flares 20
iii) parachute flares 20 required
required
Does life jackets have
4-9 Life jacket Boxes in good condition lights, whistle and HIGH Yes
reflectors
4-10 Life Raft davit Falls ( Valid for 4 years) Last MPI Inspected MED Not Applicable
5.0 FIRE FIGHTING SYSTEMS:
5-1 Contractor has an Emergency control plan on the rig HIGH OIM
How often are drills OIM
5-2 Fire drills MED
conducted?
Fire pumps with separate power sources Auxiliary generator will
5-3 HIGH YES
(Capacity & performance). run fire pumps
Designed to operate : 1-
raw water pump, Port Bow
crane, emergency lighting,
5.4 Emergency Generator Capacity HIGH YES
fire pump #2, air
compressor #3, driller’s
console, Koomey unit,
Wireline unit, STP,
Potable water pump,
welding machine, Bildge
pump
Fire hoses are kept protected properly & fitted with
5-5 Condition of fire hoses? HIGH Yes/ Good
jet /spray nozzles.
Fire hydrants unobstructed and maintained to open / Are fire hydrants clearly HIGH
5-6 Yes
close easily identified?
Last date checked and HIGH
Fire monitor (water / foam) maintained and tested tested?
5-7 15th Aug 2017
(check performance) What type of foam does
contractor have in tank?
5-8 Fire hose reels (Racks) Condition of hose reels? HIGH Good
Does rig have water HIGH
5-9 Water screen (aft) OIM
curtain/ screen on rig?
Does rig have set up for HIGH
flare booms and related
5-10 Flare water screen Yes
water curtain

NO. ITEM DESCRIPTION STATUS COMMENTS


Does rig have
Four fireman outfits, complete & fireman’s locker with
5-11 HIGH Yes
accessible complete firefighting
gear?
What type of system HIGH
does contractor have
Fire extinguishing system for FM 200, Drill Water Room and
5-12 in engine room?
combustion machinery Auxcillary Room
Where is it activated
from?
Portable fire extinguishers are Distributed as per fire HIGH
5-13 Yes
properly distributed and marked plan?
5-14 Fire detection and alarm system Serviced / Certified HIGH Serviced & Tested on monthly basis.
Flammable gas detection and alarm HIGH Serviced & Tested on quarterly basis.
Serviced / Certified
5-15 systems (HC) ( H2S) ( Valid for 1
year)
Where does HIGH
Fire blankets? (rig floor,machinery
contractor have their
5-16 deck, welder, fireman locker, Safety
fire blankets
helicopter crash box)
located?
Fire doors condition of seals & fire Last date seals HIGH
5-17 Good
exits replaced?
Air / Foam Fire Extinguishing HIGH
5-18 Last Date Certified 26th Oct 2017
System
5-19 Galley Fire Extinguishing System Last Date Certified HIGH 26th Oct 2017
6 WELDING AND STAIRWAYS:
Check condition of
safe welding area-
6-1 Safe Welding Area HIGH OIM
Properly marked /
identified ; away for
zone 1 and zone 2
areas.

Are th storage racks


for oxygen and
Flash back arrestors are fitted on
6-2 acetylene bottles MED Yes
oxygen/ acetylene cutting gear
clearly separated with
covered top?
6-3 Smoking areas are designated . MED Yes
 Safety alerts, and
safety slogan signs
posted around rig. (
advise workers to
read and discuss
Instructive safety signs are
6-4 some of these topics MED Safety
displayed.
in the pre tour
meetings
 Share information
on posters with new
employees
Does contractor have Safety
anti slip plates on
6-5 Stairs and walkways stairways and if yes, MED
are they in good
condition
Does contractor have Safety
Vertical Ladders around rig to anti-fall protection
6-6 HIGH
elevated areas on vertical ladders:
guards, fall arrestors
What is the general
overall
6-7 Housekeeping around rig HIGH Good
housekeeping
condition of the rig?
Condition of HIGH Safety
6-8 Portable ladders
portable ladders
Condition of grating HIGH
6-9 Gratings in safe and good condition Yes
around rig?
6-10 Walkways Are walkways HIGH
around rig clearly Yes
marked?

NO. ITEM DESCRIPTION STATUS COMMENTS


6.2 STORAGE / CONSUMABLES:
Storage & handling of
dangerous goods Does rig have dedicated
6.2.1 (Explosive / flammable storage area for explosives HIGH Yes
liquids, chemicals and with jettison skid.
radioactive substances)
Are fuel, pot water, drill MED
6.2.2 Liquid transfer lines / hoses water, liquid mud /brine lines Yes
clearly identified?
Bulk transfer lines and Are bulk transfer lines MED
6.2.3 Yes
hoses properly identified?
Are bulk transfer hoses in
good condition?
Last date diesel transfer hose MED
replaced? 2nd Aug 2017
6.2.4 Diesel transfer hoses
Condition of fuel transfer Good
hose
Does rig have dedicated MED
6.2.5 Liquid mud transfer line transfer hose and line for Yes
liquid mud?
Condition of drip pans around MED
6.2.6 Drip Pans are clean Good
rig
Does paint locker have fire HIGH
6.2.7 Proper paint store Yes-CO2
suppression system?
Does rig have dedicated
Material / stores are stored
6.2.8 storage area for operator HIGH OIM
properly
owned equipment?
Hazard chemical area
identified, coned & chained, Does rig have dedicated
6.2.9 with sign in place and storage area for hazardous HIGH No
segregated from other waste?
chemicals.
Does rig have dedicated sack
Used chemical sacks are
6.2.10 room in machinery deck MED Yes
disposed of properly
level?
Does rig have storage
All waste containers labeled containers for collecting
6.2.11 HIGH No
correctly with contents waste on rig? ( green, blue,
white, red).
No reuse of caustic soda Does rig have trash
6.2.12 HIGH Yes
cans for storage/trash Compactors
Deck hopper can hold
Sufficient room on deck
6.2.13 jumbo bag without being HIGH No deck hopper
hopper for jumbo bags
supported by crane
All drums in good condition Does rig have dedicated
6.2.14 MED Yes
– no rust or dents storage area for drums on rig?
Does rig have dedicated drum
6.2.15 Handling of drums MED Yes
lifters that are certified.
Does rig have dedicated mud
6.2.16 Mixing hoppers HIGH Yes
mixing hopper in sack room?
Does rig have dedicated
6.2.17 Caustic storage area storage area for caustic soda HIGH No
cans?
7.0 MACHINERY:
Does rig have emergency
7-1 Emergency cold start unit HIGH YES
cold start for engines?
Does rotating machinery have
guards? HIGH
Are guards in good
condition?
All rotating parts and drive
7-2 YES – GOOD CONDITION
belts are guarded
NO. ITEM DESCRIPTION STATUS COMMENTS
ALL HOSES ARE IN GOOD
Visual check for leaks on Check condition of lines on
CONDITION AND HAVE
7-3 pipes, hoses,valves and rig, water, fuel, air cement, HIGH
PROTECTION ON IT AGAINSTA
connection etc;
ABRASION
7-4 1) SPARK ARRESTORSA
Diesel engines: ARE PRESENT ON
a) Hazardous area EXHAUST
ii) Spark arrestors 2) SHUT OFF VALVE
exhaust
Safety devices on engines? PRESENT
iii) shut-off valve HIGH
starting 3) OVERSPEED AND
arrangement OVER HEAT CUT OUT
iv) Over speed & over ARRANGEMENTSARE
heat cut outs PRESENT ON EVERY
INDIVIDUAL ENGINE.
7-5 Emergency automatic and
manual shut-off Date last tested. HIGH

7-6 Does machinery deck level YES


Machines adequate
have adequate ventilation? HIGH
ventilation
7-7 ONLY ENGINE ROOM HAS
Does ventilation fans have
Exhaust fans for machinery DAMPENERS , REST ALL FANS
dampeners to close off HIGH
ventilation HAVE COVERS THAT CAN BE
ventilation in case of fire?
CLOSED FROM THE MAIN DECK.
7-8 Emergency fuel shut-off YES CAN BE OPERATED FROM
HIGH
valve THE PUMP ROOM.
7-9 HAND HELD TOOLS ARE IN
Hand tools are in good
Conduct visual inspection for GOOD CONDITION AND NO
condition and properly MED
homemade tools HOME MADE TOOLING IS USED
stowed
AS PER COMPANY POLICIES.
7-10 Grinders are fitted with eye YES
guards and goggles are MED
available on location
7-11 Efficient bilge pumping YES 2NOS AIR POWERED AND
system, two pumps powered 2NOS ELECTRIC POWERED.
HIGH
from independent sources,
water pumps condition
7-12 Raw water tower, pipes, YES
lines, valves in good
condition
7-13 Water Makers in good YES
HIGH
condition
7-14 Engine Room CO2 Fire RIG HAS FM200 UNIT
Extinguishing system ( HIGH
Valid for 2 years)
7-15 What company has cement Schlumberger.
Cement unit ( Diesel power)
unit on rig? HIGH Under Cantilever.
/ ( Electric)
Location of cement unit
7-16 DRILL MACHINE, BENCH
GRINDERR ARE ALL GUARDED.
Ensure no unsecured shelves,
Mechanic shop MED ALL TOOLS ARE KEPT SECURED
tool boxes, drill press, etc. are
IN TOOLBOX OR DEDICATED
CUPBOARDS.
7-17 Make and model HEADHUNTER MODEL
Sewage treatment plant
Last date inspected and MED TWHMX7205
operating efficiently
certified?
7-18 Does rig have separate bulk N/A
Bulk Air Compressors air compressor with air dryer HIGH
for cement bulk tanks?
7-19 MED 3 NOS FOR NORMAL RUNNING
AND 1NOS AS EMERGENCY
How many rig air
compressors are available?

Rig air compressors

NO. ITEM DESCRIPTION STATUS COMMENTS


8.0
ELECTRICAL INSTALLATIONS

8-1
High Voltage signs posted MED YES

8-2 Emergency sources of Emergency generator


power: 5th level Accommodation deck.
a) Provision MED Every 1000 hrs
b) Location
c) Period of services
8-3 Periodic testing of complete How often is emergency WEEKLY
emergency system (manual generator operated? MED
& automatic)
8-4 Does rig have adequate YES
lighting around rig?
Lighting condition of the rig Does contractor utilize HIGH
support cables around light
fixtures with convers?
8-5 Cables & wires properly is GOOD
Condition of wiring and
properly sealed and MED
receptacles on rig
insulated
8-6  Cracked cable and loose NO
Electrical sockets and
glands on the sockets
terminals are of marine use HIGH
 Loose socket under
type
shakers.
8-7 Effective earthling and Physical condition of earth GOOD
MED
boding for static electricity wiring on machinery?
Electrical control rooms SCR rooms clearly YES
8-8 MED
clearly identified identified?
Are the electrical control YES
Electrical control rooms
8-9 rooms on the rig properly HIGH
properly cooled
ventilated and cooled?
Non - conducting mats in Does SCR room have non- YES
8-9 front and rear of switch conducting mats in electrical HIGH
board control rooms?
Proper houses & ventilation Storage area for batteries YES
8-10 MED
for accumulation batteries properly ventilated?
Starting arrangement for AUTO
What does emergency
8-11 emergency generator HIGH
generator operate?
(function test)
Does rig have water proof YES
Outside installation (water
8-12 receptacles and junction HIGH
proof)
boxes “
GOOD
Junction boxes:
A - Impact protection (I. P). Condition of electrical HIGH
8-13
B - Bolts junction boxes?
C - Rubber seal

MED YES
8-14 Signal lights Does rig have fog horns?
9.0 LIFTING
Crane manuals and Date Cranes last load tested LT-Jan 2013
9-1 HIGH
certificates and MPI inspected? MPI-Jan 2017
Cranes & lifting appliances
general
Overall condition of cranes,
Pallet lifter
cab, leaks, fall from heights
protection, date wire rope
9-2 HIGH Good
replaced.

No. ITEM DESCRIPTION STATUS COMMENTS


Does each crane have a
Load rating chart / boom
9-3 boom indicator / load chart HIGH Yes
angle indicator
available?
Hook load indicator / alarm
with current inspection
9-4 Date last certified? HIGH
certification

Does cranes have limit


9-5 Limit switches HIGH Yes
switches?
Does crane have audio
9-6 Audio / visual alarms HIGH Yes
alarms in cranes
All lifting slings, shackles
Conduct visual inspection of
and chain blocks in good
lifting gear?
condition with certification
9-7 Does contractor have MPI MED Yes
& color coded to current
inspection for lifting gear
standards ( Loose lifting
conducted on routine basis?
gear valid for 6 mo)
Wire rope on cranes
9-8 MED Yes-18th July 2017
properly maintained Date last replaced?
SWL must be marked on
9-9 crane booms or lifting HIGH Yes
frames.
Crane communication
9-10 Good
system
Approved type of safety
9-11 MED Yes
hook with clip
All lifting pad eyes with Are all padeyes certified?
current inspection Does contractor have
9-12 HIGH Yes
certification & correct color homemade padeyes around
code, ( Valid for 6 mo) rig?
Crane daily inspection and
Does contractor utilize a
9-13 log book available and MED Yes
crane inspection log book?
documented
Crane windows in good Crane’s cabins corroded with
9-14 condition with no cracks or cracked windows ( STBD HIGH Yes
damage side)
9-15 Fall arrestors in use Date last certified? MED Safety
Does contractor utilize
9-16 Use and handling tag lies designed tag lines or only tag MED Only tag lines made at rig
lines made at rig?
Personnel and cargo baskets
9-17 Date last certified? HIGH 9th Jan 2017
( MPI / PLT valid for 1 yr)
Runway beams are certified
9-18 BOP beams last certified? LOW ??????
( MPI / PLT valid for 1yr)
Chain Blocks certified (PLT
 MPI conducted
9-19 valid for 1 yr) ( MPI MED Yes
 PLT conducted
valid for 6-mon)
 Oil leaks observed on
9-20 Maintenance of cranes HIGH No
engines
10.0 HELIPORT:
Compliance code must
10-1 Helideck area / obstructions comply with new Abu Dhabi MED ????? Comply with CAP 437
code- NDC to steward
HIGH
Where are drains on heliport
10-2 Helideck drainage facilities Both skimmer and PL Tank.
directed?
Compliance code must
10-3 Navigation lights comply with new Abu Dhabi MED ????? Comply with CAP 437
code- NDC to steward
Corroded with dents and few
10-4 Safety nets (1.5 meter wide) HIGH ????? Comply with CAP 437
broken wires.
Main and emergency access
routes Are emergency access routes
Yes
clear of obstruction and MED
10-5
identified?

No. ITEM DESCRIPTION STATUS COMMENTS


Compliance code must
Helideck marking (unit
10-6 comply with new Abu Dhabi MED ????? Comply with CAP 437
identification circle)
code- NDC to steward
Last date firefighting systems
Fire fighting arrangements
10-7 on heliport checked and HIGH 26th Oct 2016
(Dry power - foam - co2)
certified?
Compliance code must
10-8 Tie- down points comply with new Abu Dhabi MED ????? Comply with CAP 437
code- NDC to steward
Does wind sock meets all
10-9 Wind direction indicator regulations MED ????? Comply with CAP 437
Location of wind sock?
Compliance code must
Helideck surface ( non -
10-10 comply with new Abu Dhabi MED ????? Comply with CAP 437
skid )
code- NDC to steward
10-11 Helicopter crash kit Location and availability HIGH ????? Comply with CAP 437
11.0 DRILL FLOOR:
11.1
Staircases in good condition
Ensure non skid plates are in
11.1.1 and equipped with good HIGH
good condition
handrails.
 Date last MPI Inspected
 Are safe hand placement
Slips, elevators ( MPI every
11.1.2 areas identified? HIGH
6-mon)
 Slip handles in good
condition?
 Martin Decker was
calibrated
 Check audible and visual
11.1.3 Panel on drillers console alarms for supply air to HIGH
driller’s console
 Driller’s console
pressurized-
 Manual rig tongs identify
Condition of Manual rig
pinch points and safe
tongs, elevators, slips, (
11.1.4 hand placement areas. HIGH
MPI Valid for 6-mon) (
 Date last MPI
Conducted June-2009)
Inspection?
Overall condition of power 1) CONDITION IS GOOD
Condition of Power
tong? 2) HYDRAULICALLY
Tongs( MPI Valid for 6-
11.1.5 Type of power tong on rig? HIGH OPERATED – BAND
mon) ( Conducted June-
Safe hand placement areas BRAKE TYPE 2NOS AND
2009)
identified on tong? CAM PROFILED 1NOS
What type of BOP Control
Driller’s BOP control
11.1.6 unit does contractor have on
unit working properly
rig floor?
Snub line lock nut is Date last certified?
11.1.7 HIGH
tighten/ Easy Torque
 Brake band on
Cathead inspection for drawworks MPI
11.1.8 grooves wearing, drum conducted : HIGH
guards, signs of wear  Drawworks last
overhauled :
Hand tools cleaned, shelved Condition of hand tools
11.1.9 HIGH GOOD
and in good condition. on rig floor?
Condition of air tuggers on 1) SWL STAMPED
rig floor: 2) GUARD IS PRESENT
 Safe Working load stenciled 3) NO LEAKS ON TUGGERS
Air hoist/man rider guard, on tuggers
11.1.10 in good condition and  Guard on air tuggers. HIGH
brakes working  Leaks around air tuggers.

No. ITEM DESCRIPTION STATUS COMMENTS


Mousehole covered, anti- Does rig floor have anti slip
11.1.11 HIGH
slip mates mates around rotary?
Rotary hose is properly
MED
snubbed at both ends Date rotary hose last
11.1.12
Machines around rig floor replaced?
are properly guarded.
Does driller keep a derrick
Derrick log Book located on
11.1.13 log book for tools carried up HIGH
rig Floor
in derrick?
House keeping in good
order, small loose
Overall housekeeping around
11.1.14 items/tools kept in safe HIGH
rig floor.
place, ropes & slings off the
floor, proper
11.1.15 HIGH
Does driller have posted
Shut-in procedure on rig floor
Well Control Kill sheet /
11.1.16 Does driller have chart with MED
Updated and posted
capacities and displacement
for their tubulars.
Full opening ball valve
(drill pipe safety valve) with Does contractor have FOSV
11.1.17 proper cross over (s), and IBOP on rig for their MED
available, tested and ready drill pipe?
while tripping and drilling
Date FBH last inspected and
Harnesses in good
11.1.18 certified? HIGH
condition.(
Full body harness being
worn by derrick man while Derrick climber in good
11.1.19 HIGH
in the derrick & secondary working condition?
fall protection
V-door has three bar safety
11.1.20 MED
barrier to prevent falls
Number of hydraulic
11.1.21 choke manifold MED
operated chokes?
Number of hand adjustable
11.1.22 Choke manifold MED
chokes
Does choke manifold have
11.1.23 Choke Manifold HIGH
buffer chamber
Can flow for choke manifold
be directed to mud gas
11.1.24 Choke Manifold HIGH
separator, trip tank or
overboard?
 Drill line anchor base
last MPI inspected?
 Drill line not spooling
correctly on drum
Drill line,(straight, no signs
 Size and Type of drill
11.1.25 of damage and spooled HIGH
line on rig?
correctly)
 Length of drill line
remaining on spool?
 Number of lines block
strung up to?
Slip handles are straight
Overall condition of slip
11.1.26 with safety pins installed HIGH
handles?
and stop in place.

Date Elmago brake last


LOW
11.1.27 Elmago Brake inspected ? N/A

NO. ITEM DESCRIPTION STATUS COMMENTS


Does rig floor drains tie into
11.1.28 Rig Floor Drains LOW
oil water separator?
Date stabbing board last
11.1.29 Stabbing Board MED
inspected and MPI certified?

Top drive condition and Date Top drive last OEM


11.1.30 HIGH
maintenance inspected?
BOP remote choke control
Type and location of BOP
11.1.31 unit located on the HIGH
remote control units on rig?
cantilever
* Rotary table * Conducted :
11.1.32 * Rotary Beams * Conducted : HIGH
* Master bushings / inserts * Conducted :
Overall condition of choke
11.1.33 Condition of choke panel HIGH
panel?

Rig floor emergency Is an emergency shower


11.1.34 MED
shower located on rig floor?
Choke Manifold, Stand pipe
manifold, ( MPI / UT
11.1.35 Date Conducted : HIGH
certification required every
two years
Does rig have dedicated man
11.1.36 Man Rider on rig floor HIGH YES
rider on rig floor?
HP cement and mud lines to
11.1.37 rig floor ( MPI / UT every 2 Conducted: HIGH
years)
Type of gauges on driller’s LOW
console?
11.1.38 Driller’s console Date last calibrated?
Does rig have anti-collision
system for traveling block?
Number of compartment
?
Number of centrifugal
pumps?
Volume of
compartment(s)
11.1.39 Trip Tank condition HIGH 2NOS CENTRIFUGAL PUMPS
Does trip tank have bbl
markers
Does trip tank have
digital or float readout to
rig floor?

Have contractor supply NDC


11.1.40 BOP spare parts with list of BOP and choke MED
manifold spare parts.
Does rig have a dedicated
area for mud logging unit
11.1.41 Mud Logging Unit HIGH YES
with electrical and water
supply?
Are low over heard
11.1.42 Low over head hazards HIGH
hazards identified?
Doe contractor have mud
fliter screens in suction line
11.1.43 Mud Screens LOW
of mud pit and discharge of
mud pumps?

Does rig have a slick line unit


Slick line unit in good
on rig floor? YES
11.1.44 working condition MED

No. ITEM DESCRIPTION STATUS COMMENTS

Inner Rotary Bushings Does contractor have ability


11.1.45 LOW
Locked to lock inner rotary bushings?
Electrical boxes, wiring, Overall condition of electrical
11.1.46 trays on rig floor and under boxes wiring, and wire trays HIGH Good
rotary are in good condition on and under rig floor.
Overall condition of
11.1.47 Condition of grasshopper grasshopper wiring tray to rig HIGH
floor?
Eye wash station on rig Doe rig floor have eye wash
11.1.48 HIGH
floor operable station?
11.2 DERRICK:
Is an aircraft warning light
11.2.1 Aircraft warning lights HIGH YES
installed at crown area?
11.2.2 Derrick ladder Condition of derrick ladder? HIGH
Does derrick man have
Fall Arrestors ( Visual -
11.2.3 secondary fall protection HIGH
Valid for 1 year)
located at monkey board?
Overall condition of monkey
board?
Monkey board have metal
Last date monkey board
guards, leveled free of
certified and MPI inspected?
11.2.4 tripping hazard and doesn’t HIGH
Does contractor have camera
contain loose tools ( Valid
located at monkey board?
for 1 year)
Date drill pie fingers last MPI
inspected?
Crown Block ( O/H valid  MPI conducted on
11.2.5 for 5 years, MPI valid for 6  O/H conducted on HIGH
mo)
Traveling Block( O/H valid
MPI conducted on:
11.2.6 for 5 years, MPI valid for 6 HIGH
O/H conducted on:
mo)
Top Drive ( O/H valid for 5 O/H conducted on:
11.2.7 LOW
years, MPI valid for 6 mo) MPI conducted on:

Are derrick lights secured


11.2.8 Flood lights and derrick HIGH YES
with safety wire?
structure
Drilling Hook and swivel( O/H conducted on June-
11.2.9 O/H valid for 5 years, MPI 2004(Expired) HIGH
valid for 6 mo) MPI conducted on May-2009
 MPI conducted on
Derrick members and
derrick base ?
11.2.10 braces HIGH
 Full derrick inspection
Valid for 1 yr MPI
conducted ?
Does rig have crown-o-matic
on drawworks?
Anti-Collision System/
11.2.11 Does rig have anti –collision HIGH
Crown-o-matic
system at driller’s console?

Drawworks in good
Brake bands and linkage MPI
11.2.12 working condition – no oil HIGH
conducted on ?
leaks

MPI inspection conducted:


Elevator links and dead line
11.2.13 HIGH
anchor

NO. ITEM DESCRIPTION STATUS COMMENTS

Easy torque unit ( Valid for Does rig have Easy-Torque


11.2.14 HIGH Yes – 1nos
1 year) unit ?

Stay wire for derrick


11.2.15 Date last replaced? HIGH
climber
11.3 ACCUMULATOR / BOP’s
 Conducted :
 Over condition of
accumulator bottles?
1) CONDITION IS GOOD
 Does each bank of
2) EVERY BANK HAS
bottles have an isolation
ISOLATION VALVE
Accumulator bottles (Hydro valve ?
11.3.1 HIGH 3) 28 MANIFOLD AND
test every 5-yrs)  Total number of
10SHEAR.
accumulator bottles ?
4) BALDDER TYPE
 Type of accumulator 5) 19/04/2017
bottles; Float or bladder?
 Date last pre-charge test
conducted?
 PLT conducted on:
BOP trolley beam and
 MPI conducted on:
winches/ Lifting Frame
(PLT every 1 yr; MPI every
11.3.2 HIGH
1 yr)

All hand wheels are


installed on the kill & choke
11.3.3 HIGH
side of the BOP (incl.
hydraulic valve)
 MPI / UT conducted on:
HP flexible BOP lines (kill,  Date last replaced?
11.3.4 choke) ( Valid for 2 years)  Does rig have co-flex HIGH
Replace every 5 yrs coke and kill lines?

Valves on standpipe
manifold are numbered
11.3.5 HIGH
with color coded drawing
in the dog house
 lighting under rotary
11.3.6 Rotary and cantilever areas  lighting under the HIGH
cantilever
Pressure gauge on choke
Does choke manifold have a
manifold with no threaded
drill pipe and annulus gauge
11.3.7 connections on choke HIGH
installed if hand choke
manifold correct W.P.
required?
range & in good condition.

No threaded connections on Does choke manifold have


11.3.8 HIGH
choke manifold any threaded connections?

Emergency light and siren Does accumulator unit have


11.3.9 installed and working on light or alarm when pumps HIGH YES
koomey unit start?
HIGH
Hydraulic hoses from
koomey unit to suit case are
11.3.10 MPI / UT conducted on?
properly protected and in
No. ITEM DESCRIPTION STATUS COMMENTS
Overall condition of BOP
Winches?
11.3.11 BOP hoisting Winches HIGH GOOD. NO AIR OR OIL LEAKS.
Date last certified?
Any visual signs of leaks?
11.3.12 PVT and Trip Tank alarms Last date calibrates: HIGH TESTED MONTHLY
BOP ‘s Single ( OH every  Date preventers last OEM
3-years) inspected?
BOP ‘s Double( OH every  Does Contractor use clamp
11.3.13 5-years) hub connections or flanged? HIGH
BOP’s Annulars ( OH every  Does contractor have mud
3 yrs) cross installed for choke and
kill lines?
Overall condition of MGS?
Poor Boy Gas Buster in
11.3.14 Does MGS have an HIGH
good condition
inspection plate installed?
Koomey HP lines( MPI/ UT
11.3.15 Conducted on: HIGH
every 2 yrs)
 Overall condition on
accumulator unit
Koomey unit checked and
 Date accumulator last
11.3.16 working properly ( Test and HIGH
OEM inspected?
certify every 2-years)
 Type and number of air
and electric pumps?
11.4 SHAKERS AND MUD MIXING AREA and MUD PIT AREA:
Shaker stairs are guarded Overall condition of shaker
11.4.1 HIGH
and clean area?
No evidence of improper
11.4.2 Mud mixing PPE available? MED
chemical mixing procedures
Chemicals properly stored  Where does contractor
11.4.3 MED
in the sack room. store sack chemicals?
Mud discharge system
Date last inspected and
11.4.4 (hoses, lines, covers ) in HIGH
tested?
good condition.
High pressure fitting are Does contractor have any
11.4.5 properly rated, tighten and mixed matched hammer HIGH
in good condition. unions on rig ( 1002/1502).
Overall condition of mud
11.4.6 mud agitator in pits agitators in pits? MED GOOD

Emergency shower installed


and in proper working order
11.4.7 connected to potable water Verification required. MED
source at mixing/shaker
area
PPE available for mixing Verification required. MED
11.4.8
chemicals.
Mixing area clean of trash, Verification required. MED
pallet strapping, broken
11.4.9 pallets, excess mud
chemicals, etc. and free of
tripping hazards.
Chemical data sheets Verification required. MED
11.4.10 available and posted & in
multiple languages.
Verification required. MED
Safety signs in place (skin,
eye respiratory) and easily
seen./sufficient ventilation
11.4.11

NO. ITEM DESCRIPTION STATUS COMMENTS


Stairs to mud tanks easily Verification required. MED
accessible & free of
obstructions. Mud tanks
neat and clean, no excess
11.4.12
items being stored, railings
and grating in good
condition and there are no
tripping hazards.
Emergency shower on mud Verification required. MED
tanks installed, easily
11.4.13 accessible, in good working
order and connected to
potable water source.
All motors explosion & Verification required. MED
waterproof, properly
11.4.14 grounded, with lockout pins YES
for the switch & legible id
plate installed
No hazardous chemicals Verification required. MED
11.4.15
stored @ mud tank
All butterfly valve handle Verification required. MED
11.4.16
installed.
Safety relief valves on mud MED
pumps installed correctly
11.4.17 with safety lines properly Date of last certification: TESTED MONTHLY
installed

Dump valve and pressure


Overall condition of
11.4.18 gauge on degasser in good HIGH GOOD
degasser?
working order
Shale shakers properly
grounded over rubber Overall condition of shale
11.4.19 HIGH GOOD
mountings, maintained shakers?
properly
Lighting for mud tanks,
Sufficient lighting available?
11.4.20 shakers and mixing area HIGH YES
adequate.
 Air exchange rate of
fresh air every 5 minutes
11.4.22 Pit Room Ventilation HIGH
for ventilation system
 Verification required?
Overall condition of caustic
Caustic barrel in place / mixing barrel?
11.4.23 HIGH
good condition Location of caustic mixing
barrel?
Electrical wiring / boxes in Condition of junction boxes,
11.4.24 MED GOOD
good shape receptacles on mud pits?
Electrical trays, plus,
Condition of wiring, wire
11.4.26 wiring in pit room is in HIGH GOOD
trays in pit room?
good condition
Does contractor have ability
Big bag stand available and to mix jumbo bags of
11.4.27 HIGH
in good condition chemicals?

12.0 VESSELS:
Overall condition of fixed
Fixed air lines in good
12.1 lines on rig? HIGH Good and color coded.
condition and color coded
Are lines color coded?
Air hose connections with Does contractor utilize safety
12.2 correct psi rated safety pin wires for crows foot color MED Yes
and safety line installed coded?
Pressurized vessels are in
good condition  SWP is stamped on vessels
 No welding on vessels

12.3 HIGH Yes

NO. ITEM DESCRIPTION STATUS COMMENTS


13.0 CLINIC:
13.1 Office housekeeping in Overall over view of clinic?
good order, loose
MED
equipment not stored on the
floor
13.2 Clinic neat, clean, with Sufficient quantity of
sufficient supplies and medical supplies HIGH
locked
13.3 Clinic oxygen pack in good Date last hydro tested?
condition and with current HIGH
test certificates
14.0 ACCOMMODATIONS:
14.1 Food handlers wearing &
using proper P.P.E Galley crew wearing proper HIGH
PPE when handling food?
14.2 Ventilation system in good Verification required? HIGH Good & clean
working order and clean
14.3 Cold stores refrigeration  -18 C or below in freezer HIGH
units in good working and 6C in chiller req’d)
order, at required
temperatures, clean inside YES
& no produce stored on the
floor

14.4 Refrigerated food properly Verification required? HIGH


segregated & stored neatly
14.5 Food serving areas clean Verification required? HIGH
and maintained
14.6 Food waste properly Verification required? HIGH
disposed of in a closed
container during & after
meal times
14.7 Kitchen, clean, and nothing Verification required? HIGH
being stored open
14.8 Dry stores clean, no open Verification required? HIGH
food, nothing stored on the
floor and food expiry dates
14.9 Water coolers cleaned and Verification required? HIGH
maintained
14.10 Overall housekeeping in Verification required? HIGH
mess halls is neat, clean and
organized
14.11 Sleeping rooms clean, Verification required? HIGH
bedding changed to
schedules and towels/soap
available
14.12 Laundry service is provided Verification required? HIGH
with proper P.P.E, soaps,
disinfectants, dryer filters
clean, neat, clean & orderly
14.13 Common bathroom is clean, Verification required? HIGH
no water standing, hot water
heater in good condition, no
mold, proper hand washing
(no laundry soap powder) &
drying available

14.14 Lighting in galley are Verification required? HIGH


YES
adequate
14.15 First aid kit and fire blanket Verification required? HIGH
available, in good condition
and in plain view
14.16 Galley Fire Suppression Verification required? HIGH
System
15.17 Fire door condition and Verification required?
HIGH
exits

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