Inspection Checklist - Drill Rig

Department

Document

Version

Creation Date

Last Revision

SFTY

HSE 006

01

22.09.10

31.08.11

DRILL RIG INSPECTION CHECKLIST

SECTION 1 - GENERAL INFORMATION DATE:

RIG NO:

LOCATION:

TIME:

INSPECTED BY:

SECTION 2 - PPE (Behavioural)

Compliance

All using appropriate PPE and in good condition?

N/A

YES

NO

Comments

NO

Comments

NO

Comments

NO

Comments

NO

Comments

NO

Comments

1. Ear Protection 2. Gloves 3. Hardhat 4. Overalls 5. Safety Boots 6. Safety Glasses 7. Dust Mask 8. Safety Harness Total Behavioural: SECTION 3 - WORK AREA

Compliance

Description of condition 1. Free from slippery substances?

N/A

YES

2. Trip or other obstruction hazards? 3. Adequate lighting (illumination) for work at night? SECTION 4 - DRILL RIG

Compliance

Description of condition 1. Inspection list and Toolbox talk completed?

N/A

YES

2. Equipment in good condition? 3. All hazardous machine parts guarded? 4. Whip checks on all air hoses secure? SECTION 5 - ENVIRONMENT AL

Compliance

Description of condition 1. Waste / rubbish adequately controlled?

N/A

YES

2. Oil / Hazardous Substance Spillages controlled? 3. Adequate disposal systems and spill kits? SECTION 6 - DEMARCATION DEMARC ATION

Compliance

Description of condition 1. Access and exit routes demarcated?

N/A

YES

2. Demarcation around work area and sumps? 3. Demarcation / Barricading in good condition? SECTION 7 - HOUSEKEEPING HOUSEKEE PING

Compliance

Description of condition 1. Working area clean and tidy?

N/A

2. No redundant materials? 3. Tools and Items stored away after use? 4. Adequate storing space? 5. Stacking of Drill Rods safe? Page 1 of 2

YES

Department

Document

Version

Creation Date

Last Revision

SFTY

HSE 006

01

22.09.10

31.08.11

DRILL RIG INSPECTION CHECKLIST

SECTION 8 - SAFETY & EMERGENCY

Compliance

Description of condition 1. Stretcher in place?

N/A

YES

NO

Comments

2. First Aid boxes available and Contents correct? 3. Trained First Aiders available on site? 4. Safety Signage displayed? 5. 2 x Fire Extinguishers available and checked? Total Operational: SECTION 9 - TOTAL OBSERVATIONS

Safe

Unsafe

% Safe

Behavioural Operational Total SECTION 10 - RECOMMENDATIONS / COMMENTS

SECTION 11 - SUPERVISOR ACTION PLAN - Action to be taken

Safety Representative Signature

Commitment Date

Drilling Supervisor Signature

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