Occupational Safety & Health Administration OIL & GAS RIG INSPECTION CHECKLIST FOR DRILLING & WELL

SERVICING OPERATIONS
Operating Company: ______________________ Company Man: ______________________ Drilling/Servicing Company Name & Address: ______________________ ______________________ ______________________ ______________________ Phone #: _______________ Fax #:_________________ Safety Manager: ______________________ Toolpusher: Ton Miles Logged: Depth of Well: Rig #: _________________ OSHA Inspection #: ______________________ Date/Time of Inspection:

______________________ Location: Closing Conference Field:__________________ Date/Time: Well #:________________ Well Name:_____________ ______________________ ______________________ Inspected By: Section:________________ Coordinates:____________ ______________________ ______________________ Type of inspection: Serial #:________________ LEP: Town:_________________ Fatality: County:________________ Complaint: Zip Code:______________ No Inspection Driller: Number of employees: BOP Test: Days on Location: Site: _______ Total:______ Operations: DRILLING: SERVICING: Type of servicing operation conducted: CHECKLIST REVISION & ISSUE DATE:

Start Date: Completion Date:

Other employers on site:

17
OSHA-BRAO-O&G-CKLST-SST-001 REV17

DRAFT

Purpose:
This checklist is a product of the Occupational Safety & Health Administration, Baton Rouge Area Office, in conjunction with the OSHA Region 6 Regional Emphasis Program (REP or LEP) for the Oil & Gas Industry. The checklist combines the applicable requirements of 29 CFR 1910, American National Standards Institute (ANSI) Standards, American Petroleum Institute Recommended Practice 54 (API RP54), other more specific American Petroleum Institute Recommended Practices, and the current and previous checklists for drilling and well servicing rigs generated by the International Association of Drilling Contractors (IADC) and the Association of Energy Service Companies (AESC). This checklist is not all inclusive, but is intended to provide a clear and consistent inspection approach for inspecting drilling and servicing rigs during REP/LEP inspections conducted by OSHA, but may also be used for Complaint & Fatality Investigations. It is also intended for guidance and use by the numerous employers during their day-to-day inspections of their rigs, and for the post-LEP inspection dissemination of information to other rigs, branches, divisions, etc of the employers organization. The overall goal of the checklist is to assure that all employees working at Oil & Gas sites are provided a safe and healthy work environment in an extremely dangerous industry. This checklist shall be updated, as required, to keep up with advances in technology, changes in the industry and general updates to the contents of the checklist. Therefore, OSHA requests that all interested parties submit suggestions and recommendations to improve this checklist at any time to the Baton Rouge Area Office of OSHA, 9100 Bluebonnet Centre, Suite 201, Baton Rouge LA 70809.

References:
29 CFR 1910, Code of Federal Regulations, Safety & Health Regulations for General Industry 29 CFR 1926, Subpart P, Code of Federal Regulations, Safety & Health Regulations for Construction, Excavations and Trenching API Spec 4F, Specification for Drilling & Well Servicing Structures, 2nd Edition - 2001 API RP 4G, Recommended Practice for Maintenance & Use of Drilling and Well Servicing Structures, 3rd Edition - 2004 API RP 9B, Recommended Practice on Application, Care and Use of Wire Rope for Oilfield Service, 11th Edition - 2002 API RP 49, Recommended Practice for Drilling and Well Servicing Operations Involving Hydrogen Sulfide, 2nd Edition - 2001 API RP 53, Recommended Practice for Blowout Prevention Equipment Systems for Drilling Wells, 3rd Edition - 1997 API RP 54, Recommended Practice for Safety & Health for Oil & Gas Well Drilling and Servicing Operations, 3rd Edition 1999. API RP 67, Recommended Practices for Oilfield Explosives Safety. 1st Edition 1994. API RP 68, Recommended Practice for Oil & Gas Well Servicing and Workover Operations Involving Hydrogen Sulfide, 1st Edition 1998 API RP 500, Recommended Practice for Classification of Locations for Electrical Installations at Petroleum Facilities, 2nd Edition 1997 API RP 2003, Protection against Ignitions Arising out of Static, Lightning, and Stray Currents, 6th Edition 1998. ANSI B30.*, American National Standards Institute, Various crane (*type) standards ANSI B56.1, American National Standards Institute, Safety Standard for Low Lift and High Lift Trucks, 1993 edition ANSI B56.6, American National Standards Institute, Safety Standard for Rough Terrain Forklift Trucks, 2002 Edition ANSI Z358.1, American National Standards Institute, Emergency Eyewash & Shower Equipment, 2004 Edition. ANSI Z535.4, American National Standards Institute, Product Safety Signs & Labels, 2002 Edition

Legend:
SAT Satisfactory Condition or Yes Response UNS Unsatisfactory Condition or No Response N/A Not applicable DSB Condition applies to (D)rilling, (S)ervicing or (B)oth in general, but may not apply to a specific site. CDI Unsatisfactory condition that was corrected during the inspection or within 24 hours after the completion of the inspection. Standard Applicable OSHA, API, ANSI or other government or industry recognized standard. Highlighted Condition Description Applicable to environments containing Hydrogen Sulfide (H2S) and/or Sulfur Dioxide (SO2) ONLY.

Disclaimers:
This information has been developed by OSHA and is intended to assist employers, workers, and others as they strive to improve workplace safety & health. While we attempt to thoroughly address specific topics and/or hazards, it is not possible to include discussion of everything necessary to ensure a healthy and safe working environment. Thus, this information must be understood as a tool for addressing workplace hazards, rather than an exhaustive statement of an employers legal obligations, which are defined by statute, regulations and standards. Likewise, to the extent that this information references practices or procedures that may enhance health or safety, it cannot, and does not create additional legal obligations. Finally, over time, OSHA may modify rules and interpretations in light of new technology, information or circumstances; to keep apprised of such developments, or to review information on a wide range of occupational safety and health topics, you can visit OSHAs website at www.osha.gov. Inspection results documented by this completed check list are valid only for this inspection and are not valid indicators of past or future inspection history of the employer. Distribution of this check list is unlimited OSHA, Employers, & Industry Groups

Summary of Changes to this Revision

CHECK LIST ID # 1 LINE ITEM # 1, 5 5 6 22,23,25 23 23a 25 27 1 1a,2a 3 3 4,4a,5,6,8 3d 7 9 thru 35 8,10,11,19,22,24,30 14a 1,4,5,8 6 7 8 3,4,11 2a 9 14,24,30 24a 30 8,8a,12,14 8 13a 13b 12,13 14 thru 26 15 25 18, 19 5b,17,19,37 5j,5k,5l 8,29,30,31,42 9,10,11 9 12 thru 48 16,18,20,26 21,23,24,25,31,33,40,41 2,5,6,10,11,12,13,20,21,22, 38 3 4 thru 35 10,11,12,13,18a,21,31 16,22,24,26,27 23,41 35,36 37 thru 45 1,7 2,12 10,12 12 LINE PAGE # 1 2 DESCRIPTION OF CHANGE

Revision #

17

3A

3B

10

11

Change Revision number and date issued Added new industry standard reference, Z535.4 Deleted standard reference for RP54 7.1.2-3 Added additional standard references to RP49 & 68 Changed standard references for RP49 & 68 Changed DSB Column to B Deleted standard reference for RP54 6.5.1 Added entire new line Added new standard reference Deleted line and added entire new line Added CPR to condition description Added and/or training documentation available to condition description Renumbered to 3a Added entire new line Renumbered to 3b-3f Changed DSB Column to B Renumbered to 4 Renumbered to 5 thru 31 Changed condition description Added entire new line Changed condition description Added additional standard reference Added new standard reference Changed standard reference Deleted standard reference Added additional standard reference Added new standard reference Changed condition description Added entire new line Added new standard reference and changed Column DSB to B Change condition description Added new standard reference Delete standard reference and change to 13 and changed Column DSB to B Deleted entire line Delete from this section and moved to section 20G as lines 10 & 11a. Also added new standard references Renumbered to 12 thru 24 Changed DSB Column to B Added entire new line Change condition description Change condition description Change DSB Column to S Change DSB Column to B Renumbered to 9a thru 9c and added additional standard reference Added entire new line Renumbered to 10 thru 46 Added additional standard reference Added new standard references Changed condition description Renumbered to 2a and deleted standard reference Renumbered to 3 thru 34 Changed DSB Column to B Added new standard references Deleted standard references Deleted entire line Renumbered to 35 thru 42 Added new standard reference Deleted standard reference Changed condition descriptions Changed to 26

12

CHECK

PAGE

LIST ID #

13 16

17 20

ITEM # 13 thru 26 26 30, 31 29a, 29b 6,9 12 5 4,5,8,9 16 23,24,25,26 A1

DESCRIPTION OF CHANGE Renumbered to 12 thru 25 Changed DSB Column to B Deleted entire lines Renumbered to 30 and 31 Changed DSB Column to S Deleted standard reference Deleted standard reference Changed condition description Changed standard reference Added new standard reference Standard reference clarified

1.

DRILL SITE/LOCATION
4

Section N/A:______

#
1 1a 2 3 4 5

Condition
Authorized Personnel Sign Posted at entrance to site Visible rig identification sign erected at entrance to site road and at all directional changes on site road (for 911 services) Hard Hat/Safety Glasses/Steel Toe Shoe Signs Posted at entrance to site and other prominent locations on site No Smoking Areas Designated & Posted No Parking within 100 ft of the rig or within the guywire perimeter H2S/SO2 warning signs erected, if applicable, at entrance to site and at other prominent locations on site

S U N D C Standard A N / S D T S A B I
B B B B B B 1910.145(c)(2)(i) 1910.151(a) 1910.145(c)(3) RP54 7.1.2-3 1910.145(c)(2)(i) RP54 6.1.15 RP49 8.1 RP68 8.1 1910.145(c)(2)(i) 1910.1000(e) 1910.1200(f)(5-6) RP49 5.1, 8.2.1 RP68 6.9, 8.2.2 RP49 8.1 RP68 8.1 1910.1000(e) RP49 6.2-4 RP68 6.2-4 RP49 6.5 RP68 6.4 RP49 6.6.1 RP68 6.5 1910.134(d)(2)(i) RP49 6.6.2 RP68 6.5.1, 6.7 RP49 6.6.2 RP 68 6.5.1, 6.7 RP49 6.6.2 RP68 6.5.1, 6.7 RP68 6.6, 6.7 RP4G 14.5.f RP4G 14.1-4

5a 6 6a 7 7a 8 8a 8b 9 9a

Terrain evaluated for H2S/SO2. H2S/SO2 monitoring devices in use, if applicable H2S monitoring equipment properly maintained & calibrated Positive pressure/pressure demand breathing apparatus with full face piece used while working in areas where atmospheric concentrations exceed 10 ppm (H2S) or 2 ppm (SO2) Emergency escape air packs and life lines are readily and quickly available, if applicable Emergency escape air packs properly maintained and fully charged Emergency escape air packs stored in a convenient, clean and sanitary location Standby rescue person with suitable rescue equip. & appropriate breathing apparatus provided Escape & Guy wires flagged with visible material Capacity of guywire anchors verified Base Beam Anchor Screw-type Anchor Permanent (Cement) Anchor Other____________ Verification Method:____________________________ Outhouse/restroom facility provided or in close proximity to the site. (LT 10 min travel time or 2 miles, whichever is less) (Facility in close proximity only applies if the site is active for less than 1 day) Outhouse clean and sanitary, if provided. Hard hats & Safety glasses available for visitors Toolpushers trailer grounded Toolpushers trailer securely positioned Housekeeping Distance from overhead powerlines GT 10 ft Toolpusher at rig location Muster area designated Muster area posted Visitor tracking system. Sign posted directing visitors to report to the toolpusher upon entry Warning signs clean and visible

B B B B B B B B B B

10

1910.141(c)(1)(i)

11 12 13 14 15 16 17 18 18a 19 19a 20

B B B B B B B B B B B B

1910.142(d)(10) 1910.132(a) RP54 6.1.16 RP54 6.1.16 1910.22(a)(1) RP54 6.5.1 RP54 10.1.1 1910.38(c)(4) 1910.145(c)(3) 1910.38(c)(4) 1910.145(c)(3) 1910.1200(f)(9)

21 22 23 23a 24 25 26 27

All vessels labeled as to their contents Supply storage house clean Crew change house clean Work areas are maintained clean and free of debris and tripping hazards Wind Sock available. Evacuation/All-clear alarms Hazardous locations identified Rig substructure, Derrick mast, and other equipment, as appropriate, are grounded to prevent the build up of static charge

B B B B B B B B

1910.1200(f)(4-5) 1910.22(a)(1) RP54 6.5.1 1910.22(a)(1) 1910.22(a)(1) RP54 6.5.1 RP49 8.2.3 RP68 6.8, 8.2.4 1910.38(d) 1910.1200(f)(5-6) RP54 6.1.16

2. #
1 1a 2 2a 2b 2c 2d 3 3a 3b 3c 3d 3e 3f 4 5 6 7 8 9 10 11 12 13 13a

TRAINING, PPE & GENERAL SAFETY Condition

First Aid/CPR Training provided Certification Card(s) available and/or training documentation available H2S Training provided, if applicable Certification Card(s) available and/or training documentation available H2S training documentation of rig personnel available Onsite H2S safety review conducted H2S training drills conducted on a regular basis Regularly scheduled and impromptu meetings of the crew in which probable hazards, problems of the job, and related safe practices are emphasized and discussed Pre-Job safety meeting held Pre-tour safety meetings conducted Weekly safety meeting being conducted Special safety meetings conducted when H2S/SO2 present Safety meetings properly documented Accidents, if any, are discussed during safety meetings OSHA poster posted Safety equipment available Proper clothing worn by crew (No loose clothing). Hard hats used by crew Appropriate eye protection for the work being done is worn by personnel Hard toed shoes used by crew Jewelry or other adornments subject to snagging or hanging not worn in the work area Fall protection used, when required No Smoking rules observed OSHA Log available on location. ______accidents during current year Injuries reported and documented immediately

Section N/A:______

S U N D C Standard A N / S D T S A B I
B B B B B B B B B B B B B B B B B B B B B B B B B 1910.151(b) RP54 4.3.1 RP54 4.3.1 RP49 5.1-6 RP68 5.1-7 RP49 5.6 RP68 5.7 RP49 5.6 RP68 5.7 RP68 5.6 RP49 7.9, 10.7 RP68 7.10, 11.5 RP54 6.1.7 RP54 6.1.7 RP54 6.1.7 RP54 6.1.7 RP49 11.10.1b RP68 10.2.2.7b RP54 6.1.7 RP54 6.1.7 1903.2(a)(1) 1910.132(a) RP54 5.2.5 RP54 5.2.6 1910.132(a) RP54 5.2.1 1910.135(a)(1-2) RP54 5.2.2 1910.133(a)(1-5) RP54 5.2.3 1910.136(a) RP54 5.2.7 RP54 5.5.1 RP54 7.1.3 1904.29(a-b) 1904.40(a-b) RP54 4.1.1-2

14 14a 15 16 16a 17 18 19 20 21

First Aid Kit available on site Bloodborne Pathogen Kit available on site Adequate communications on site Emergency phone numbers posted Provisions made for prompt medical attention for serious injuries HAZCOM program. MSDSs available and accessible at all times Safe Behavior Modification Program in use Adequate communication w/other contractors on site Emergency response plan

B B B B B B B B B B

1910.151(b) RP54 4.3.2 1910.151(b) RP54 12.3.1-3 RP54 4.2.1 RP49 7.6-7 RP68 7.7-8 1910.151(a) RP54 4.2.2 1910.1200(e)(1-5) RP54 6.1.12 1910.1200(g)(1)

22 23 23a 24 25 26 27 28 29 30 31

Designated rig personnel have an adequate understanding of, and are able to operate the BOP system Written safety program Respiratory Protection Program Hearing protection use required in areas where needed Job Safety Analysis (JSA) conducted for each task Short Service Program. Type:_______________ Time:______________ Long Hair contained All incidents resulting in injuries to employees investigated and documented to prevent recurrence Smoking or open flames not permitted within 20 ft of compressed gases are used or stored Flammable liquids not stored within 50 ft (15.2m) of wellbore Critical Equipment periodically inspected & tested

B B B B B B B B B B B

1910.38(b) 1910.120(q)(1-2) RP49 7.3-8 RP68 7.3-9 RP54 6.4.4 RP54 6.1.7 1910.134 (all sections) RP54 5.3.1-2 1910.95(a)

RP54 5.2.8 RP54 4.1.3 RP54 8.3.2 RP54 8.4.3 RP54 9.16.1-3

3A. #
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

MUD PUMP AREA Condition

All belts, drive chains, gears, shafts and drives guarded Poney rods guarded Rotating parts guarded Mud pump head and valve covers fully bolted Shear pin pop-off valve properly covered Ends of relief lines, high pressure lines, etc secured Ends of mud vibrator hose snubbed Pressure relief valves installed General housekeeping of the area Adequate lighting provided Approved lighting for the location available High pressure fitting used in high pressure system Discharge lines from relief valves are anchored Pumps, piping, hoses, valves and other fittings are maintained in good operating condition Pumps, piping, hoses, valves and other fittings not operated at pressures greater than working pressures

Section N/A:______ S U N D C Standard A N / S D T S A B I

B B B B B B B B B B B B B B B RP54 6.8.2-3 1910.219(e)(1-6) 1910.219(c)(2)(i) RP54 6.8.2-3 1910.212(a) 1910.212(a) 1910.219(i)(2) 1910.169(b)(3)(i-iv) RP54 9.13.11 RP54 9.13.2-3 RP54 9.13.2-3 1910.169(b)(3)(i-iv) RP54 9.13.8 RP54 6.5.1 1910.22(a)(1) RP54 9.14.7 1910.307(b)(1) RP500 5.3 RP500 10.1-16 1910.169(b)(3)(i-iv) RP54 9.13.4 RP 54 9.13.2 RP54 9.13.4 RP54 9.13.4

Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______

3B. MUD MIXING AREA #

1 2 2a

Section N/A:______ S U N D C Standard A N / S D T S A B I

B B B 1910.176(b) RP54 5.4.1 1910.134(d)(1-3) RP54 5.1 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) 1910.132(a) 1910.134(h)(2)(i) 1910.145(c)(2)(i) 1910.145(c)(3) 1910.145(c)(2)(i) 1910.132(a) 1910.134(h)(1) 1910.151(c) Z358.1 5.4.2 RP54 4.4.1 1910.151(c) Z358.1 5.4.2 RP54 4.4.1 Z358.1 5.1.6 Z358.1 4.1.4 Z358.1 5.4.3 1910.145(c)(2)(i) Z358.1 5.4.2 1910.151(c) 1910.141(a)(3)(i) 1910.141(b)(1)(i) RP54 9.11.5 1910.23(c)(1) 1910.307(b)(1) RP500 10.1-16 RP54 9.14.7 RP54 6.5.1 1910.22(a)(1)

Condition
Bagged material properly stacked Assessment for respirator use conducted, documented and available. Adequate personal protective equipment available: Rubber Gloves Apron Face Shield Goggles Respirator: mask Full Face Other:________

2b 3 3a 3b 4 5-1 5-2 5a-1 5a-2 5b 5c 6 7 8 9 10 11 12 13

Employees using all required PPE Personal protective equipment properly stored PPE Required warning signs erected (Grouped or individual signs) Chemical hazard warning signs erected Personal protective equipment properly maintained and in a clean & sanitary condition. Eye wash station available in close proximity (10 seconds walking distance from hazard) Emergency Shower* available in close proximity (10 seconds walking distance from hazard). (* especially when caustic is used, but not limited to) Eye wash provides a minimum continuous flow of 0.4 gallons of water/solution per minute for 15 minutes Emergency Shower provides a minimum continuous flow of 20 gallons of water per minute for 15 minutes. Eye wash/emergency shower location identified with visible sign Eye wash/emergency shower access free from obstructions Eye wash station/emergency shower in working order Eye wash station/emergency shower in a clean & sanitary condition Eye wash station/emergency shower providing clean water supply Adequate ventilation in the area Elevated loading door opening protected Approved lighting for the location available Adequate lighting provided General housekeeping

B B B B B B B B B B B B B B B D B B B

Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________

_______________________________________________________________________ _____

3C. #
1 2 3 4 5 6 6a 7 8

MUD TANKS & PITS Condition

Adequate stairs with handrails 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) Chemical hazard warning signs erected Shale shaker properly guarded Explosion proof equipment, fixtures and wiring used in the vicinity of the shale shaker. Class 1 Div 1/2 Location

Section N/A:______ S U N D C Standard A N / S D T S A B I

B B B B B B B B B 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) 1910.145(c)(2)(i) 1910.23(c)(3) 1910.307(b)(1-3) & subsections 1910.307(c) RP500 5.3 RP500 10.1-16 RP 54 9.14.8 1910.219(c)(2)(i) RP54 9.11.2 RP54 9.11.2 1910.307(b)(1-3) & subsections 1910.307(c) RP500 5.3 RP500 10.1-16 1910.307(b)(1-3) & subsections 1910.307(c) RP500 5.3 RP500 10.1-16 1910.219(e)(1-6 1910.219(c)(2)(i) 1910.307(b)(1) RP54 9.14.7 RP54 5.4.1 1910.134(d)(1-3) 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) RP54 6.13.2 1910.132(a) 1910.134(h)(2)(i)

9 10 11 12 12a

Agitator shafts & couplings properly guarded Mud guns properly secured Jetting hoses properly secured Desander Unit in good condition Explosion proof equipment, fixtures and wiring used in the vicinity of the Desander. Class 1 Div 2 Location Desilter Unit in good condition Explosion proof equipment, fixtures and wiring used in the vicinity of the Desilter Class 1 Div 2 Location Degasser Unit in good condition Drive belts and shafts guarded Approved lighting for the location installed Adequate lighting provided Assessment for respirator use conducted, documented and available. Adequate personal protective equipment available: Rubber Gloves Apron Face Shield Goggles Respirator: mask Full Face Other:________ Employees using all required PPE Personal protective equipment properly stored

B B B D D

13 13a

D D

14 14a 15 16 17 17a

D D B B B B

17b 18

B B

10

19 20 21-1 21-2 21a-1 21a-2 21b 21c 22 23 24 25 26 27 28

Personal protective equipment properly maintained and in a clean & sanitary condition. Stairways and ladders secured Eye wash station in close proximity (10 seconds walking distance from hazard) Emergency Shower* available in close proximity (10 seconds walking distance from hazard). (* especially when caustic is used, but not limited to) Eye wash provides a minimum continuous flow of 0.4 gallons of water/solution per minute for 15 minutes Emergency Shower provides a minimum continuous flow of 20 gallons of water per minute for 15 minutes. Eye wash/emergency shower location identified with visible sign Eye wash/emergency shower access free from obstructions Eye wash station/emergency shower in working order Eye wash station/emergency shower in a clean & sanitary condition Eye wash station/emergency shower providing a clean water supply General Housekeeping All unused floor holes covered Electric wiring in good condition Data plates on equipment legible

B B B B B B B B D D D B B B B

RP54 6.13.2 1910.132(a) 1910.134(h)(1) RP54 9.3.8 1910.151(c) Z358.1 5.4.2 RP54 4.4.1 1910.151(c) Z358.1 5.4.2 RP54 4.4.1 Z358.1 5.1.6 RP54 4.4.1 Z358.1 4.1.4 RP54 4.4.1 Z358.1 5.4.3 1910.145(c)(2)(i) Z358.1 5.4.2 RP54 4.4.1 1910.151(c) 1910.141(a)(3)(i) 1910.141(b)(1)(i) 1910.22(a)(1) RP54 6.5.1 1910.23(a)(8) 1910.23(a)(9) 1910.303(b)(1-2) 1910.303(c)

4. #
1 1a 2 3 4 5 6 7 8 9

MATERIAL HANDLING EQUIPMENT Condition

Material Handling Equipment (fork lift) operators trained and certified. Training & Certification documents available on site Correct type of Fork Lift, etc in use for the location 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) Fork lift stability during movement or lifting

Section N/A:______

S U N D C Standard A N / S D T S A B I
B B B B B B B B B B 1910.178(l)(1-8) B56.6 5.16 B56.6 5.17.1-4 1910.178(l)(6) B56.1 5.2.19 B56.6 5.6.2 B56.6 6.2.16 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 B56.6 5.3.3

11

5.

#
1 2 3 4

GENERATOR AREA & ELECTRICAL SYSTEMS Section N/A:_________ Condition S U N D C Standard A N / S D T S A B I

Generators properly located 100ft + from wellhead Moving parts guarded Generators properly grounded Cover panels on electrical control boxes installed and closed. Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ All electrical controls marked as to their function and legible. HIGH VOLTAGE warning signs erected Insulating mats available at electrical panels All electrical tools grounded Condition of electrical wiring Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ Electrical wires properly strung Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ Electrical wiring properly secured Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ Overload protection installed on all generators Unused electrical outlets covered Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ Air compressors properly guarded Air storage tanks equipped with pop-off valve Lockout/Tagout devices available Hearing Protection Required warning signs erected. Hearing protection available Adequate lighting installed B B B B RP54 9.14.2 1910.212(a)(1) RP54 9.14.11 1910.305(b)(2) 1910.335(a)(2)(ii)

5 6 7 8 9

B B B B B

1910.303(f) 1910.145(c)(2)(i) 1910.305(b)(2)(ii) 1910.335(a)(2)(ii) 1910.304(f)(5)(v) 1910.303(b)(1-2)

10

1910.305(a)(2)(iii) RP54 10.2.3 RP54 9.13.3

10a

10b 11

B B

RP54 9.14.3 1910.305(b)(1-3)

12 13 14 15 16 17

B B B B B B

18 19 20 21

Approved lighting for the location provided. (Class 1 Div 2 Location under worst case condition) General Housekeeping S.C.R. House, if available, in good condition Equipment properly classified for the location

B B B B

1910.212(a)(1) 1910.169(b)(3)(i-iv) RP54 6.9.1 RP54 9.14.9 1910.145(c)(2)(i) 1910.95(a) RP54 9.14.7 RP54 9.14.4 1910.303(h)(3)(ii) 1910.303(g)(1)(v) 1910.307(b)(1) RP54 9.14.10 RP500 5.3 RP54 6.5.1 1910.307(b)(1-2) RP54 9.14.6 RP54 10.2.1 RP500 5.3 RP500 6.1-2 RP54 10.2.1 1910.307(b)(1-2) RP500 5.3

22

Electrical wiring/fixtures/etc approved for the location (Cl 1 Div 1 or 2 location) (Based on worst condition scenario)

12

23 24

Wires not running along the ground Cords less than #12 are not spliced Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ Splices on hard service cords #12 or larger retain outer insulation, outer sheath protection properties and usage characteristics of the original cords. Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ All light fixtures properly protected from damage Receptacles and plugs in good condition Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ Water hose used for washing area kept away from generator skid Generator skid door props properly pinned Fire extinguishers rated for electrical fires (B-C) Fire extinguishers located properly and not obstructed Electrical extension cords properly insulated Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ Plugs of electrical extension cords in good condition Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________ Electrical cords, fixed or extension, not run through doorways Electric cord and cable strain relief Mud Gen/SCR house Stor Tanks Sub Struct. Drill Floor Derrick Other:________________

B B

RP500 6.1-2 RP54 10.2.3 1910.305(a)(1)(iii)(G) RP54 10.2.4 1910.305(g)(2)(ii) RP54 10.2.4 1910.305(g)(2)(ii)

24a

25 26

B B

1910.307(b)(1-2) 1910.303(b)(1)

27 28 29 30 31a

B B B B B 1910.157(d)(1) 1910.157(c)(1) RP54 6.5.5 1910.303(b)(1)(iii) RP54 9.14.5 1910.303(b)(1) RP54 9.14.5 1910.305(a)(2)(iii)(G) 1910.305(g)(1)(iii)(C) 1910.305(g)(2) (iii)

31b

32 33

B B

Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _________

13

6. #
1 2 3a 3b 4

FIRE PROTECTION Condition

B/C class fire extinguishers available Adequate number of fire extinguishers available Fire extinguishers properly charged Fire extinguishers with equipped with gauges Fire extinguishers properly located and in/at their assigned locations.

Section N/A:______ S U N D C Standard A N / S D T S A B I

B B B B B RP54 7.2.4 RP54 7.2.5 1910.157(d)(2-6) RP54 7.2.4 RP54 7.2.5 1910.157(c)(4) 1910.157(c)(4) 1910.157(c)(1) 1910.157(c)(4) RP54 6.5.5 RP54 7.2.2 RP54 12.1.3 1910.157(g)(1) 1910.157(g)(2) 1910.106(d)(2) RP54 8.1.1 RP54 7.1.2-6 RP53 15.11 RP53 16.11 RP49 8.2.6 RP68 8.2.8 RP49 8.2.6 RP68 8.2.8

4a 5 6 7 8

Employees properly trained to operate fire extinguishers Open pit burning not permitted Flammables stored in UL listed safety cans No Smoking rules enforced Flare lines are as long as practical and as straight as possible and securely anchored Space around flares and burn pits should be cleared of brush and grass. Boiler Safety Controls operating properly Condition of boiler Welding work performed safely Engines located within 100 ft of the well have spark and heat arrester, or water, on all engine exhausts All engines located approx 100 ft from the well or gas source, if possible Fire extinguishers tagged and/or inspection data recorded Fire extinguisher location easily identified

B B B B B

8a 9 10 11 12 13 14 15

B D D B B D B B

RP54 7.2.6 RP54 9.15.3 RP54 9.14.2 1910.157(e)(1-5) RP54 7.2.3 RP54 7.2.7 1910.157(c)(1) RP54 6.5.5 RP54 7.2.2

Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _____ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________

14

_______________________________________________________________________ _______________________________________________________________________ _____

7. FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS, Including FRAC TANKS, & NON-FLAMMABLE STORAGE TANKS Section N/A:______ #
1 1a 2 3 4 5 6 7 8 9 10 11 12

Condition
Fuel storage tanks properly located H2S precautions enacted All storage valve connections identified as to their function Discharge nozzles in good condition Discharge hoses in good condition Discharge valves in good condition LPG storage tanks and compressed gas cylinders in good condition Piping and fuel lines in good condition Stationary ladders on storage tanks in good condition Adequate lighting provided Approved lighting for the location installed Fuel tanks properly labeled on all sides Flammable warning signs erected on all sides

S U N D C Standard A N / S D T S A B I
B B B B B B D B B B B B B RP54 8.3.5 1910.106(b) RP49 10.4 RP68 10.2.4 1910.106(b) 1910.106(b) 1910.106(b) 1910.106(b) 1910.106(b) RP54 8.3.8 1910.106(b) 1910.27(f) RP54 9.14.7 1910.307(b)(1) RP500 5.3 RP500 10.1-16 RP54 8.4.1d 1910.1200(f)(4-5) 1910.145(c)(2)(i) 1910.1200(f)(5-6) RP54 7.1.2-6 RP54 8.4.1d RP54 7.1.2-6 1910.145(c)(2)(i) RP54 8.4.1d RP54 7.1.2-6 1910.145(c)(2)(i) RP54 8.4.1d 1910.106(b)(2)(iv)(c) 1910.106(b)(2)(v)(g) RP54 6.5.1 1910.22(a)(1) RP54 6.5.1 RP54 8.4.1e 1910.157(c)(1) 1910.157(d)(1) RP54 8.3.3 RP2003 4.5.2

13 14 15 16 17 18 19 20

No Smoking signs erected on all sides No Open Flame signs erected on all sides Vapor release vents elevated & away from ignition sources General housekeeping Grass & debris kept away from area B/C Class fire extinguisher available and identified Protective caps on all fuel cylinders Fuel & Flammable Storage tanks ESD protected: Splash Filling Prohibited Fill Line & Discharge Velocity Limited Grounded Contents of NON-FLAMMABLE storage tanks identified on all sides of tank(s)

B B B B B B B B

21

1910.145(c)(2)(i) 1910.145(c)(3)

15

Comments:______________________________________________________________ _______________________________________________________________________

8. #

PIPE RACK AREA Condition

Section N/A:______ S U N D C Standard A N / S D T S A B I

B B B B B B B B B B B B B B B B 1910.176(b) RP54 9.12.3 1910.176(b) RP54 9.12.5 1910.176(b) RP54 9.12.3

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Ends of pipe racks properly chocked Spacers used to separate layers of pipe Layers of pipe properly chocked Pipe racks are level and stable Pipe rack catwalk in good condition Pipe rack and catwalk at same height Stairs with handrails provided V-door slide in good condition Pipe stops used on V-door slide in good condition Pipe tubs and bridles in good condition Derrick stand and ladder in good condition Dead end of drilling line anchored Employees not permitted on top of pipe Adequate lighting provided Approved lighting installed General housekeeping

1910.24(h)

1910.27 RP9B 3.3.9 RP54 9.14.7 1910.307(b)(1) RP500 5.3 RP500 10.1-16 1910.176(c) RP54 6.5.1

Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________

16

9. #
1 2 3 3a 4 5 6 7 8 8a 8b 9 9a 10 11 11a 12 13 14 15 16 17 18 19 20 21 22 23 24 25

BLOW-OUT PREVENTERS Condition

BOP properly installed BOP properly tested Input date and results on cover page BOP functional All lines, valves, check valves, flow fittings, etc have a working pressure ET/GT the rated working pressure of the rams in use 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 unit properly located Accumulator bottles labeled with contents Accumulator operational warning signs erected Accumulator valves in appropriate position, open or closed Accumulator valves identified as to purpose and position Gauges properly installed & located Choke manifold and line secured Choke manifold accessible Adequate lighting provided Approved lighting for the location installed Warning signs erected Flammable H2S Hard Hat Eye Protection Confined Space Auth. Personnel Ear Protection Proper drainage provided General housekeeping Safety (stabbing) valve and handle for tubing installed Choke manifold hydraulic controls accessible Choke manifold gauges in working order Hydraulic lines protected BOP Control Lines & Valves identified Preventor work boards secure Daily inspections of the BOPs conducted Complete set of spare parts maintained & readily available Kill line system connected and functional

Section N/A:______ S U N D C Standard A N / S D T S A B I

B B B B B B B B B B B B B B B B B B B D B B B B B B D B B B RP54 RP54 RP54 RP54 RP53 6.4.1 6.4.1 6.4.13 6.4.7 10.2.1

RP54 6.4.10 RP54 6.4.18 RP54 6.4.18 RP53 10.2.1i RP54 7.2.2 1910.1200(f)(5-6) 1910.145(c)(2)(i) RP54 7.2.2 RP54 7.2.2 RP53 12.5.3f RP53 8.2i RP54 6.4.18 RP53 8.2c RP54 9.14.7 1910.307(b)(1) RP500 5.3 RP500 10.1-16 1910.145(c)(2)(i) RP54 7.1.2-3 RP54 6.5.2 RP54 6.5.1 1910.22(a)(1) RP54 6.4.2 RP53 8.2j RP53 8.2i RP53 12.5.3g RP53 12.5.2 RP54 6.4.11 RP53 12.5.3f 1910.28(a)(11) RP54 6.4.7 RP53 6.4 RP53 10.1-4

Comments: ________________________________________________________________________

17

_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ______

10. #
1 2 3 4 5 5a 5b 5c 5d 5e 5f 5g 5h 5i 5j 5j 5k 5l 5m 5n 5o 5p 6 7 8 9 9a 9b 9c 10 11 12 13 14

DERRICK & SUBSTRUCTURE Condition

Derrick/A-Frame assembly pins in place Assembly pins secured with keepers Substructure assembly pins in place Substructure assembly pins secured with keepers Derrick properly guyed, if applicable Guy wires properly tensioned prior to loading CROWN TO GROUND GUY LINES Number of guy lines utilized as per the mast manufacturers recommendations Condition of guy lines Diameter of guy lines 3 clamp minimum, 4 clamp minimum with sheave Clamps properly attached Ground anchors Type of anchor:___________________ Anchor pull test performed Anchors positioned IAW rig manufacturers specifications TUBING BOARD GUYS Strung and crossed for racking 3 clamp minimum Clamps properly attached INTERNAL LOAD GUYS Properly adjusted for tension 4 clamps minimum Clamps properly attached diameter line or larger Fall lane of derrick clear Vehicles out of guy pattern Manufacturers specification/operation plate attached to derrick Derrick/mast substructure inspected Damage and/or corrosion to derrick (waste metal) Damage and/or corrosion to substructure (waste metal) Condition of derrick ladder Climb assist device available Climb assist device used by derrickman. Climb assist device in good condition Full body harness with lanyard available Full body harness w/ lanyard in good condition

Section N/A:______ S U N D C Standard A N / S D T S A B I

B B B B B B B B B B B B B B B S S S S S S S B B B B B B B B B B B B RP54 9.2.8 RP54 9.2.8 RP54 9.2.8 RP54 9.2.8 RP4G 13.1 RP54 9.2.10 RP4G 13.1 RP54 9.2.10 RP4G 13.1.1 RP9B 3.7.4 RP9B 3.7.4 RP9B 3.7.4 RP4G 14.1-5 RP4G 14.1-5 RP4G 14.4 RP4G 14.1

RP9B 3.7.4 RP9B 3.7.4

RP9B 3.7.4 RP9B 3.7.4 RP9B 3.7.4 RP54 6.1.15 RP54 9.2.2 RP4G RP54 9.16.1 RP4G 6.1 RP54 9.16.1 RP4G 6.1 RP54 9.3.1-5 RP4G App A 1910.27(d)(5) 1910.27(d)(5) 1910.27(d)(5) 1910.132(c) RP54 5.5.1 1910.132(c)

18

15 15a 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 39a 40 41 42 43 44 45 46

Fall protection devices in use Fall Protection Required warning signs erected Derrick/Tubing boards in good condition Guardrails installed on outside of derrick board Pipe fingers in good condition Derrick board walk around platform in good condition, if available Finger board in good condition Finger board safety cable attached Crown guardrails installed Rod basket Manual latch dog extension/retraction device in operating condition Latch dog visually inspected prior to loading derrick Scoping ram stabilizers in good condition Crown sheave guards in place Cracks, metal fatigue or wear evident at hinge points Safety retainers in use on hinge pins Derrick locking pins in place with safety pins Derrick hydraulic system free of leaks Dead line properly anchored Booms and boom lines in good condition Adequate lighting provided Approved lighting for the location installed Derrick emergency escape line installed Derrick escape device on-line and ready for immediate access and use. Emergency escape line adequately anchored, per manufacturers specifications, in a clear area away from the rig. Tools secured at elevated levels Rods, Tubulars, Drill Pipe, etc racked or hung in derrick are secured to prevent them from falling Mud standpipe secured Mudhose snubbed at both ends All air purged from hydraulic raising cylinder Lower and upper substructures properly bolted together Rotary beams and all braces are in good condition Drilling line installed properly on anchor and keyed Data plates installed on derrick that provide information on guying, derrick, etc inst

B B B B B B S B B S B B S S S B B B B D B B B B B B B B B B D D D B ``

RP54 5.5.1 1910.132(c) RP54 5.5.1 1910.145(c)(2)(i) RP54 9.2.12 RP4G App A-B RP54 9.3.17 RP54 5.5.1 RP54 9.3.16 RP4G App A-B RP4G App C RP54 9.2.12 RP54 9.3.16 RP4G AppA-B RP54 9.3.17 1910.23(c)(1) RP4G App B RP4G App A-B RP4G App A-B RP54 9.2.4 RP4G App A-B RP54 9.7.5 RP54 9.2.4 RP54 9.2.8 RP54 9.2.8 RP4G App A-B RP54 9.6.5 RP9B 3.3.9 RP4G App A RP54 9.14.7 1910.307(b)(1) RP500 5.3 RP500 10.1-16 RP54 6.10.1 RP54 6.10.1 RP54 6.10.1 RP54 9.2.13 RP54 6.12.1 RP4G App A RP54 9.13.3

RP54 9.2.2 RP4G 9.2

Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________

19

_______________________________________________________________________ ______

11. #
1 2 2a 3 4

DRILL FLOOR AREA Condition

Rotary floor in good condition Kelly bushing of a smooth design, or a guard is used, to prevent catching or snagging of personnel, clothing or material Controls adequate if guard not used Rotary chain drive guarded All unused floor holes covered

Section N/A:______ S U N D C Standard A N / S D T S A B I

B D D B B RP54 9.8.3 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 RP54 9.10.1 RP54 9.10.3 RP54 9.9.2 1910.23(c)(1) RP9B 3.2.7

5 5a 5b 6 7 8 9 10 11 12 13 14 15 16 17 18 18a 19 20 21 22 23 24

Drawworks Operator at or near controls while in operation Weight indicator installed Weight indicator visible to brake operator Operators drawworks controls properly labeled/identified Pipe slips & Dies in good condition Racking floor area in good condition V-door gate or chain provided and in place Air/Hydraulic hoist line in good condition near driller opposite driller Air/Hydraulic hoist line guide in operating condition near driller opposite driller Air/Hydraulic hoist line properly layed/wound on drum near driller opposite driller Air/Hydraulic hoist line properly guarded near driller opposite driller Cathead friction surface in good condition Cathead line divider/grip in good condition Catline not worn or kinked, if available Kelly cock wrench and safety valve accessible Spinning chain in good condition Automatic spinner in use Headache post in good condition Crown Saver device installed and operational Drawworks hoisting line in good condition Drawworks shut down switches installed Drawworks properly guarded Sufficient wraps left on drum with blocks in down position

B B B B B B B B B B B B B B B B B B D B B B S

RP9B 3.3.3 1910.212(a)(1) RP54 9.5.1 RP54 9.5.2 RP54 9.5.10

Refer to Sect. 11 (Use tong requirements) RP54 9.5.8 RP54 RP54 RP9B RP9B RP54 RP54 RP54 9.2.16 9.4.8 3.3.3 3.3.10 9.4.5 9.4.2 9.6.4

20

25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42

Proper lay of drill line on reel Drawworks Hydraulic or Hydromatic brakes Drawworks brake linkage Tubing and sand line brakes Road gear lockout Handling winch & tail chain grade 8 & tagged Overrunning clutch in good condition Adequate lighting provided Appropriate lighting installed General housekeeping Suspension cables or chains are grade 8 and tagged Rig floor and other work platforms, including derrick board & stabbing board are supported and secured against dislodging Sliding section equipped with stops or pins Minimum 2 exits from drill floor doghouse Drill floor doghouse doors installed properly First aid kit available in drill floor doghouse Non skid material used around rotary Guardrails installed along open edges of drill floor

B B B S S S B B B B S S S D D D B B

RP9B 3.3.10(b) RP9B 3.3.10(b) RP54 9.4.7 RP54 9.4.6

RP54 9.14.7 1910.307(b)(1) RP500 5.3 RP500 10.1-16 RP54 6.5.1 1910.22(a)(1) RP54 9.3.15 RP54 9.3.13 1910.36(b)(1) 1910.36(e)(2) 1910.151(b) RP54 9.3.17 1910.23(c)(1)

Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________

21

12. #
1 2 3 3a 4 5 6 7 8 9 10 11 11a 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

POWER AND HAND TOOLS Condition

Makeup and breakout tongs in good condition Tong snubbing lines in good condition Tong snubbing line clamps in good condition and installed properly Tong vertical support line clamps in good condition and installed properly Tong counterweights installed Tong counterweights operational Tong body & jaws in good condition Tong safety handle pins secured Tong dies sharp Tong die keeper used Tongs securely fastened to a suitable fixed structure using a wire rope or a stiff arm Tong positioner in good condition Tong motion controlled Condition of tong jerk line(s) Condition of hand tools Cleanliness of hand tools Hand tools stored properly Bench grinder in good condition Bench grinder wheels properly guarded Bench grinder rest spacing 1/8 from wheel Face shield available when using bench grinder Iron Roughneck used IR dies sharp IR die keeper used IR body & jaws in good condition IR hydraulic system leaks Foster Power Tongs used Power Tong/Pipe Spinner doors/safety gate PT body & jaws in good condition PT hydraulic system leaks Electric hand tools double insulated or grounded Electrical extension cords properly insulated Plugs of electrical extension cords in good condition

Section N/A:______ S U N D C Standard A N / S D T S A B I

B B B B B B B B B B B S D D B B B B B B B D D D D D B B B B B B B RP54 9.9.7

RP9B 3.7.4

RP54 RP54 RP54 RP54 RP54

9.9.7 9.9.7 9.9.7 9.9.7 9.9.4

RP54 6.8.6

1910.215(a) 1910.215(b) 1910.215(b)(4) 1910.212(a)(1) RP54 RP54 RP54 RP54 9.9.7 9.9.7 9.9.7 9.9.9

RP54 9.9.7 RP54 9.9.8 RP54 9.9.9 RP54 6.8.7 1910.304(f)(4) 1910.304(f)(5)(v)(C)(3) RP54 9.14.5 1910.305(g)(2)(ii) RP54 9.14.5

22

32

Dead man switch installed on all Electric and Pneumatic tools

1910.304(f)(4) 1910.305(g)(2)(iii) RP54 6.8.8

Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ___

13. HOISTING TOOLS, HOOKS, BAILS, ELEVATORS AND OTHER RELATED EQUIPMENT Section N/A:______ #
1 2 3 4 5 6 7 8 9 10 11 12 13

Condition
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 Rod hook in good condition Hoisting hook equipped with safety latch or equiv. Crown block assembly secured Transfer elevators in good condition Crew members not permitted to ride traveling block Circulating hose secured to gooseneck and swivel Power swivel secured Hoisting line inspected daily

S U N D C Standard A N / S D T S A B I
B B B B B S B B S B B B B RP54 9.7.1 RP54 9.7.4 RP54 RP54 RP54 RP54 RP54 RP54 RP54 RP54 RP54 9.7.1 9.7.1 9.7.8 9.7.1 9.7.3 9.7.5 9.7.1 6.11.1 9.7.7

RP54 9.6.1

14.

STAIRS, LADDERS, HANDRAILS & GUARDRAILS Section N/A:______ Condition S U N D C Standard A N / S D T S A B I

B B B B B B B RP54 9.3.10 1910.24(b) RP54 9.3.9 RP54 9.3.10 1910.36(b)(1) RP54 9.3.8 RP54 9.3.11 RP54 9.3.8 1910.24(h) RP54 9.3.9

#
1 2 3 4 5 6 7

Adequate stairs provided off rig Stairs level Minimum of 2 stairways to drill floor Stairs secure No obstructions Adequate handrails provided on stairs with 4 or more risers. Stair treads of uniform size

23

8 9 10 11

Non-skid type stair treads Stair treads not damaged Guardrails, Midrails, & Toeboards installed along all open side edges of floors, platforms, etc, 4ft above ground level Ladders extend 3.5 ft above platform

B B B B

1910.24(d) 1910.24(f) RP54 9.3.11 1910.23(c)(1) RP54 9.3.17 1910.27(d)(3)

15. #
1 1a 2 2a 2b 2c 2d 2e 2f 2g 2h 2i 2j 2k 2l 3 3a 3b 3c

WORKOVER RIG VEHICLE Condition

RIG CAB No loose or flammable material stored in cab CARRIER Adequate supplemental footing for jacks provided (matting) Handrails/guardrails installed on elevated walkways and steps Walkways free from slip and/or trip hazards Wheels chocked Condition or tires/wheels Fuel, Hydraulic and other tanks properly labeled Hydraulic leveling jacks in good condition Hydraulic leveling jacks secured by mechanical lock nuts Brakes set and secure Fuel or other fluid leaks evident Outriggers used Data plate(s) for guying, drawworks and vehicle installed. OTHER TRANSPORTED VEHICLES/COMPONENTS Brakes Tires chocked Hitches & Safety Chains

Section N/A:______ S U N D C Standard A N / S D T S A B I

S S S S S S S S S S S S S S S

1910.24(h) 1910.23(c)(1) 1910.22(a)(1) RP54 11.1.2 1910.1200(f)(5)

RP54 11.1.2

RP54 11.1.2 RP54 11.1.2

Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ____

24

16. HOTWORK, WELDING & FLAME CUTTING OPERATIONS Section N/A:______ #

1 2 3 4 5 6 7

Condition
Written safety work permit system covering welding and flame cutting operations observed Certified welders Welding and flame cutting not permitted near explosives, flammables, accumulation of oil, escaping gas or near sources of ignition Helmets with face shields used during welding or arc cutting operations Goggles with proper shade selection used during gas cutting operations Helpers/attendants supplied with and using proper eye protection. Appropriate protective attire worn for welding and cutting ops.

S U N D C Standard A N / S D T S A B I
B B B B B B B RP54 20.1.1 1910.252(a)(2)(iv) RP54 20.1.4 RP54 20.1.3 RP67 2.6.2.2 1910.252(a)(2)(vi) RP54 20.2.1 1910.252(b)(2)(i)(A-D) RP54 20.2.3 1910.252(b)(2)(i)(A-D) RP54 20.2.4 1910.252(b)(2)(i)(A-D) RP54 20.2.6 1910.132(a) 1910.132(d) 1910.132(f) RP54 20.3.1 1910.252(a)(2)(vii) RP54 20.3.3 1910.252(a)(1)(ii) RP54 20.3.4 1910.252(a)(2)(ii) RP54 20.3.5 RP54 20.3.6 1910.252(a)(2)(iii)(A) RP54 20.3.7 1910.252(a)(2)(iv) RP54 20.4.1 RP54 20.4.1 RP54 20.4.2 RP54 20.4.4 1910.253(b)(2)(ii) 1910.1200(f)(5-6)

8 9 10 11 12 13 14 15 16 17 18

Moveable fire hazards in vicinity of welding operations should be moved Guards used to confine heat, sparks & slag to protect fire hazards that cannot be moved Fire extinguishing equipment available Fire watch required Area inspected by individual responsible for authorizing cutting or welding Welding equipment in good condition Approve Oxygen & Acetylene bottle used Oxygen & Acetylene torches equipped with flash back arrestors Cylinders stored in assigned places and secured in place Oxygen & Acetylene bottles labeled

B B B B B B B B B B

25

Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ___

17.

SPECIFIC OVER WATER OPERATIONS Section N/A:______ Condition

Abandonment Procedures available Water Entry Procedures available Abandonment (Muster) Stations identified Emergency Signals A minimum of 2 emergency escape means available to the water Personal Floatation Devices (PFDs) provided and available for use Personal Floatation Devices in serviceable condition. Ring Buoys available and ready for use Minimum of 2 approved life floats or alternative available Life float capable of accommodating all personnel present Basket stretcher or equivalent available Basket stretcher or equivalent easily located Crew trained in the use of a Basket Stretcher or equivalent PFDs worn by personnel during transfer by crane Personnel net or other device designed for the purpose used when transferring personnel by crane. Personnel baskets inspected Personnel baskets not used to transfer material Cranes rated load capacity not exceeded Crane inspections conducted (F) Daily-monthly (P) 1-12 month intervals Crane operations ceased and boom stowed properly during helicopter takeoff and landing. PFDs worn by personnel transferring by swing rope Tag lines used when transferring material H2S monitoring devices positioned to provide adequate warning to all personnel Fresh air breathing apparatus available Fresh air breathing apparatus easily accessible Personnel trained in evacuation routes Public address system audible in all locations

#
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

S U N D C Standard A N / S D T S A B I
RP54 RP54 RP54 RP55 RP54 RP54 6.2.2 6.2.2 6.2.2 8.3 6.2.2 6.2.3

RP54 6.2.4 RP54 RP54 RP54 RP54 RP54 RP54 RP54 RP54 RP54 6.2.4 6.2.5 6.2.6 6.2.6 6.2.8 6.2.8 6.2.8 6.2.9 6.2.9

RP54 6.2.9 RP54 6.2.9 RP54 6.2.10 ANSI B30 RP54 6.2.10 RP54 6.2.11 RP54 6.2.12 RP49 6.3 RP49 6.6 RP49 6.6.2 RP49 5.2

26

28 29

Surface and air transportation maintained Boats and helicopters equipped with SCBAs

Comments:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ __ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ___

18. CONFINED SPACES, EXCAVATIONS & HAZARDOUS ENVIRONMENTS Section N/A:______ #

1 1a 2 3 4 5

Condition
All site personnel notified of the presence H2S, SO2, or other hazardous gases Employees trained for H2S, SO2 in confined spaces Site evaluated to determine the presence of confined spaces/permit required confined spaces Confined Space location warning signs erected Atmospheric testing of confined space prior to entry Confined Space Permit Entry System & Procedures

S U N D C Standard A N / S D T S A B I
B B B B B B RP54 6.7.1 RP49 11.1 RP68 12.1 RP49 5.2 RP68 5.2 1910.146(c)(1) 1910.146(c)(2) 1910.145(c)(2)(i) RP54 6.7.4(a) 1910.146(c)(1) 1910.146(d)(1-14) 1910.146(e)-(l) RP54 6.7.4(b) RP54 6.7.5(b) RP54 6.7.5(a) 1926.651(g)(1) 1926.651(g)(2)(i-ii) RP68 6.7 1926.652(a)(1-2) 1926.652(h)(1-3) 1926.651(c)(2)

6 7 8 9 10 11

Excavations, including trenches, deeper than 4 ft or containing hazardous gases tested prior to entry Emergency Rescue equipment readily available Employees protected from cave-ins while in excavations Water in excavation A means of egress from excavation provided Stairway Ladder Ramp Other_____________

B B B B B

Comments:______________________________________________________________ ________________________________________________________________________

19. PERFORATING OPERATIONS AND USE OF EXPLOSIVES

27

Section N/A:______ #
1 1a 1b 2

Condition
Non-essential engines, motors, and other sources of ignition are shut down during perforating operations Smoking not permitted near explosives and/or no one near explosives shall possess matches, open light, or other fire or flame. No person allowed to handle explosives under the influence of intoxicating liquors, narcotics or other dangerous drugs. Explosive devices moved by service contractor personnel

S U N D C Standard A N / S D T S A B I
S S S S RP54 13.8.2 RP67 2.6.2.4, 2.9.1 1910.109(e)(1)(vii) 1910.109(e)(1)(i) RP67 2.3.2 1910.109(e)(1)(i) 1910.109(d)(2)(vi) 1910.109(d)(3)(i) RP54 13.8.5 RP54 13.8.6 RP67 2.9.1, 3.7 1910.109(e)(1)(iv) RP54 13.8.7 RP67 2.3.5 RP54 13.8.7 1910.109(e)(1)(iv) RP67 2.4.3, 2.9.2, 2.11.2, 2.14.2.2, 2.17.2, 2.18.4.3, 2.18.6.3 RP54 13.8.9 RP67 2.4.2, 2.6.1, 2.12.2, 3.10 1910.109(e)(1)(vii)(b) 1910.145(c)(2)(i) 1910.145(e)(1)(vii)(b) 1910.109(e)(1)(vii) 1910.145(e)(1)(vii) RP67 2.6.2.3 1910.109(e)(5) RP54 13.8.10 1910.109(e)(1)(vii)(a) RP67 2.9, 2.11, 2.18.4, 2.18.6 1910.109(e)(1)(v) 1910.109(e)(4)(vii) RP54 13.8.11 RP67 2.7.2, 3.9 1910.109(e)(4)(viii) RP54 13.8.15 RP54 13.8.16 RP54 13.8.17 1910.109(d)(1)(iv) RP54 13.8.18 RP67 2.7.3 1910.109(e)(2)(iii) 1910.109(d)(2)(iv)(a) 1910.109(d)(2)(iv)(b) 1910.109(d)(2)(iv)(c) 1910.109(d)(2)(iv)(d)

3 4 5

Electrical grounding of wellhead, service unit and rig made prior to operating tools using explosives Perforating guns, etc assembled in a designated restricted area Unnecessary personnel kept clear of perforating operations

S S S

Warning signs erected near perforating operations stating that all radios, cell phones, etc must be turned off.

7 8 9

Radio transmitters, cell phones, etc turned off during blasting operations Warning signal sounded prior to blast Perforating operations weather policy

S S S

10 11 12 13 14 15 16 17 17a 17b 17c 17d

Perforating operations conducted during daylight hours Instruments for testing blasting devices specifically designed for the purpose Conductor wire and armor of perforating gun temporarily shorted prior to use Detonating cord and blasting caps kept apart until assembly on location. Blasting caps and boosters transported in approved cap boxes During checking and/or arming, electrical blasting caps, detonators or other initiation devices contained in safety tube Deteriorated or damaged explosives and/or blasting equipment not used. TRANSPORT VEHICLE Fire extinguishers charged and in working order Electrical wiring completely protected and securely fastened Underside of vehicle free of excess oil & grease Fuel tank and feedline secure and have no leaks

S S S S S S S S S S S

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17e 17f 17g 18

Brakes, lights, horn, windshield wipers and steering operate properly Tires checked for inflation and defects Vehicle in proper condition for all other aspects of handling explosives Equipped with 2 (min.) 10-BC rated fire extinguisher

S S S S

1910.109(d)(2)(iv)(e) 1910.109(d)(2)(iv)(f) 1910.109(d)(2)(iv)(g) 1910.109(d)(2)(iii)

Comments: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______

20.

SPECIAL SERVICES*

Section N/A:______

Special Services encompasses Wireline, Stripping & Snubbing, Drill Stem Testing, Acidizing, Fracturing, Hot Oil, Cementing, Gas Air or Mist Drilling, Coring, Coiled Tubing, Hot Tapping and Freezing and Hotwork Operations. Requirements set forth in Sections 1-19 will also apply to this section.

#
A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Condition
GENERAL REQUIREMENTS Pre-Job safety meeting held Fire Extinguishers in accessible locations Service unit located upwind of wellhead Emergency escape air pack available Emergency escape air pack charged and ready for use. Personnel not permitted between wireline and wellhead when wireline operating. Open ended flow line secured to the wellhead, at the end of the line and at intermediate locations. Lubricators, Swages and Unions inspected for defects prior to use. Lubricator equipment, swages, unions and valves pressure tested to max. anticipated pressure. Lubricator equipped with 1 or more bleed valves. Valves and gauges checked to determine if pressure is present in lubricator before removal. Essential personnel only allowed near pressurized lubricators, flow lines and well head Lubricator bleed valves cycled after pressure removed Service unit engines equipped with an emergency shutdown device Welding operations not conducted near wellhead. Discharge lines not place under mobile equipment.

S U N D C Standard A N / S D T S A B I
S S S S S S S S S S S S S S S S RP54 12 thru 20 RP54 12.1.3 RP54 12.1.5 RP49 6.6.2 RP68 6.5.1, 6.7 RP49 6.6.2 RP68 6.5.1, 6.7 RP54 12.1.7 RP54 12.4.3 RP54 12.5.1 RP54 12.5.2 RP54 12.5.3 RP54 12.5.4 RP54 12.5.7 RP54 12.5.11 RP54 12.2.1 RP54 12.1.4 RP54 12.4.1

29

17 B 1 2 3 4 5 6 7 8 9 10 11 12 12a 13 14 15 16 16a 17 C 1 1a 1b 2 3 4 5 6 7 8 9 10 D 1 2 3 4 5

Pressure fittings, unions & coupling threads, both internal and external, inspected prior to use and in good condition. WIRELINE SERVICE, SWABBING Wireline unit located as far away as possible from fracturing and/or hot oil units Wireline units, vehicles, portable houses placed outside the guywires of well service units. Mobile, portable or skid-mounted wireline service units chocked or secured to prevent movement. Gin pole attached to wellhead or Christmas tree with chain & ratchet load binder or equiv Rope & Blocks of the correct size & strength Rope inspected at beginning of the job. Blocks inspected at the beginning of the job Lower wireline sheave secured Splices not used in the entire length of rope Periodic (NTE 12 mo) drill, visual and pressure test of all sections on the lubricator Wireline BOP tested in open and closed positioned High pressure lubricators have 2 or more bleed valves installed Minimum equipment available Wireline Valve (BOP) Lubricator (riser) Sections Pressure Bleed Valve Stuffing Box or Control Head High pressure lubricators, stuffing boxes, valves, connections and adapters inspected at intervals NTE 12 mo Lubricator sections marked with permanent serial number Non-essential engines, motors, and other sources of ignition are shut down during swabbing operations Swabbing operations conducted during daylight hours Swabbing unit placed upwind from the wellbore, tanks & pits Hydrostatic bailers secured prior to dumping. STRIPPING AND SNUBBING Emergency escape line rigged and available for each person on snubbing unit Only the minimum number of employees allowed in basket Employees provided and using proper protective equipment Gasoline engines and other sources of ignition kept 100+ ft away Snubbing work platform guyed, unless otherwise supported Pumps, power packs, tool boxes, doghouses, etc located away from flow and/or bleed-off lines Pump units located so snubbing operator can see pump operator Well pressure monitored at all times Backpressure valve or blanking plug installed in pipe string (Min 1) Snubbing operations not conducted at same time as welding operations in the vicinity Approved packer/drill string design used during snubbing. Snubbing operations conducted during daylight hours only DRILL STEM TESTING Engines located 100+ ft from wellhead Engines located within 100 ft not operated or equipped with heat & spark arresting system Unauthorized personnel kept clear of area Safety valve and wrench readily available Casing fluid volume monitored

S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S RP54 13.2.1 RP54 13.2.1 RP54 13.2.2 RP54 13.2.3 RP54 13.3.1 RP54 13.4.1 RP54 13.4.3 RP54 13.4.4 RP54 13.4.5 RP54 13.4.2 RP54 13.6.2 RP54 13.6.2 RP54 13.6.3 RP54 13.6.5a RP49 11.3.1 RP68 12.3.1 RP54 13.6.5b RP54 13.6.5c RP54 13.9.1 RP54 13.9.3 RP49 11.3.3 RP68 12.3.3 RP54 13.10.1 RP54 14.2.2 RP68 12.6 RP49 11.5 RP49 11.5 RP68 12.6 RP54 14.2.3 RP54 14.2.4 RP54 14.2.5 RP54 14.2.6 RP54 14.2.7 RP54 14.2.8 RP54 14.2.9 RP49 11.5 RP68 12.6 RP54 15.2.2 RP54 15.2.2 RP54 15.2.3 RP54 15.2.10 RP54 15.3.1

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6 E 1 2 3 4 5 6 7 8 9 F 1 2 3 G 1 2 3 4 5 6 6a 6b 6c 6d 7 8 9 10 10a 11 11a 12 13 14 15 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Rig floor attended at all times ACIDIZING, FRACTURING & HOT OIL OPS Trucks & Tanks located 100 ft min from wellhead Check valve installed on lines from pumping equipment to wellhead Blending equipment grounded Sand unloading equipment bonded to blending machine Unauthorized personnel kept clear of area Pre-treatment pressure test of pump ad discharge lines conducted. Pump operators at controls while pumps in operation Frac Tanks grounded Frac Tanks equipped with internal anti-static build-up devices CEMENTING OPERATIONS Unauthorized personnel kept clear of area Pump & discharge lines tested prior to starting job Pump operators at controls while pumps in operation GAS, AIR, or MIST DRILLING OPERATIONS Personnel trained in the use of emergency shutoff, blowout preventer and fire fighting equipment Personnel familiar with air/gas supply Personnel familiar with circulating system Compressors located 100 ft away from wellbore Compressors visible from drillers position Compressors equipped with: Pressure relief valves Discharge temperature and pressure gauges Engine governors Engine shut off valves Drilling engines equipped with kill switches Kill switches mounted near drillers console Compressor discharge lines equipped with check valve and block valve. Blooey line used Blooey and bleed-off lines 150 ft minimum Blooey and bleed-off lines securely anchored Pilot light used Full-opening, quick closing valve installed on Kelly Two valves installed on standpipe accessible from rig floor and ground level. Shutoff valve installed on main feeder, 150 ft from the well head (Gas only) (GAS Only) Spinning rope used instead of chain Float valves inspected each time bit pulled out Fuel and Oil storage tanks 50 ft min from compressor LPG supply lines equipped with shut off valves at storage tanks and engines Master safety valve located on main fuel line One 150# Class BC dry chemical fire extinguisher available on site Circulating head stripper rubber inspected each tour Pipe connections from wellbore leak free Well killing material and equipment on site and operational before drilling commences Unauthorized personnel kept clear of area Rig substructure adequately ventilated Generator houses, bunk houses, and change houses kept 100+ ft from well bore Automobiles parked GT 100 ft from the wellbore Rig engines equipped with heat and spark arresting systems Gas or gasoline fueled engine equipped with low tension ignition system

S S S S S S S S S S S S S S S S S S S S S S S S S D S S D S S S S S S S S S S S S S S S S S S

RP54 15.3.3 RP54 16.1.3 RP54 16.1.4 RP54 16.1.6 RP54 16.1.6 RP54 16.1.10 RP54 16.1.9 RP54 16.2.1

RP54 17.1.3 RP54 17.1.4 RP54 17.2.1 RP54 18.2.1 RP54 18.2.1 RP54 18.2.1 RP54 18.3.1 RP54 18.3.2 RP54 18.3.3 RP54 18.3.3 RP54 18.3.3 RP54 18.3.3 RP54 18.3.4 RP54 18.3.4 RP54 18.3.5 RP54 18.3.9 RP54 18.3.9 RP54 18.3.11 RP54 18.4.5 RP54 18.3.12 RP54 18.3.13 RP54 18.3.14 RP54 18.3.17 RP54 18.3.19 RP54 18.3.20 RP54 18.3.21 RP54 18.3.22 RP54 18.3.23 RP54 18.4.1 RP54 18.4.2 RP54 18.4.3 RP54 18.5.1 RP54 18.5.2 RP54 18.5.3 RP54 18.5.4 RP54 18.5.5 RP54 18.5.6

31

31 H 1 2 3 4 5 6 I 1 2 3 4 J 1 2 3 4 5 K 1 2 3 4 5 6

Other possible ignition sources permitted in designated areas only HOT TAPPING & FREEZING OPERATIONS Performed under the direct supervision of a qualified person Hot tapping equipment pressure tested after rig-up Frozen plugs allowed to thaw Frozen plugs tested by staged reduction in pressure Equipment suitable for an H2S environment Rated working pressure exceeds anticipated pressures CORING OPERATIONS H2S precautions implemented prior to pulling cores Positive pressure/pressure demand breathing apparatus with full face piece used while working in areas where atmospheric concentrations exceed 10 ppm (H2S) or 2 ppm (SO2) H2S monitoring equipment available to check core barrel Proper storage and transportation of H2S containing samples CONTINUOUS REELED (COILED) TUBING OPS Proper material of tubing used in H2S environment Coiled tubing unit placed upwind from the well Reel unit and its conveyance should be adequately secured from movement Flanged type connection used on bottom connection of the coiled tubing BOP Dedicated pump cross and a 2nd set of tubing ram preventers located below the pump cross WELL EVALUATION AND TESTING OPERATIONS Performed with the minimum number of employees Produced gases vented and/or flared to ensure personal safety Gases from stored test fluids safely vented Proper storage and transportation of H2S containing samples H2S monitoring devices available and in use Only H2S qualified personnel permitted

S S S S S S S S S S S S S S S S S S S S S

RP54 18.5.7 RP54 19.2.1 RP54 19.2.3 RP54 19.3.2 RP54 19.3.5 RP54 19.3.3 RP49 11.8 RP68 12.9 RP49 11.8 RP68 12.9 RP49 11.9 RP49 6.6.1 RP68 6.5 RP49 11.9 RP49 11.9 RP49 11.6 RP68 12.7 RP49 11.6.1 RP68 12.7.1 RP49 RP68 RP49 RP68 RP49 RP68 RP49 RP68 RP49 RP68 RP49 RP68 RP49 RP68 RP49 RP68 RP49 RP68 11.6.1 12.7.1 11.6.2 12.7.2 11.6.2 12.7.2 11.10.1a 10.2.2.7a 11.10.1c 10.2.2.7c 11.10.1c 10.2.2.7c 11.10.1e 10.2.2.7e 11.10.1a 10.2.2.7a 11.10.1b 10.2.2.7b

32

U.S. Department of Labor

Occupational Safety and Health Administration Region VI Dallas Area Office
8344 E. R.L. Thornton Frwy, Ste 420 Dallas, TX 75228 Phone: (214) 320-2400 Fax: (214) 320-2598

To: Subject: Date:

TOOLPUSHER/SAFETY MANAGER of _______________________ DOCUMENT REQUEST _________________

Today, an inspection is being conducted on your rig #____________. In order to complete our files, the following information is required. Please provide the information to the Compliance Officer while on site or forward the information requested (faxed copies are acceptable) to Compliance Officer _______________________________ by the completion of the on-site inspection or within 5 days at the address shown above:

Description of Document and/or Information Required

Employer Identification Number/Federal Tax ID Number (EIN) Copies of your OSHA 300 Logs (Injury and Illness Reporting Log) for the current year and the three (3) previous years. Also include the total manhours worked and the average number of employees for each year or up to the date of the inspection for the current year. A copy of your Safety Program or Safety Handbook (CD version is acceptable) A copy of your Hazard Communication Program (HAZCOM) Training records for : For the following employees: Copies of rig inspections conducted by rig personnel (recent)

33

Copies of pre-tour/daily/weekly safety meetings and trainings (recent random selection while on this location) Copies of BOP tests performed Copies of JSAs conducted, if any (recent random selection) A copy of the MSDS for: Names, addresses and positions of all employees on site at the time of the inspection. Site information: Field Name, Well Name and Number, Section, Coordinates, Parish/County, Locality A copy of the contract between the operating company and your company describing the work to be conducted. Other:

34