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8/10/2019 Final Inspection Report With Codes Example
1/23
OPERATOR: DATE / TIME OF INSPECTION: LEASE NAME AND NUMBER:
Company Name Sunday, January 01, 2012 Lease Name
8:00 AM
DRILLING CONTRACTOR / RIG #: STATE / COUNTY INSPECTED BY:
OIL AND GAS DRILLING RIG
INSPECTION FORM
,
DRILLING FOREMAN: TOOL PUSHER: DRILLER
Drilling Foreman Tool Pusher Name Driller Name
Compliant - Condition meets compliance Total Deficiencies: 27 out of 363
Non-Complaint - Condition does not meet compliance
Yes - Condition meets compliance
No - Condition does not meet compliance
N/A- Not Applicable
StandardApplicable-OSHA, API, ANSI, RAPPS, IADC or other government or industry recognized standard.
(RAGAGEP) Recognized And Generally Accepted Good Engineering Practice per "OSHA"
8/10/2019 Final Inspection Report With Codes Example
2/23
No. Condition Rating Standard Comments
I. DRILL SITE/LOCATION1 Authorized Personnel Sign posted at
entrance to site identifying requirements
for hard hat, safety glasses, safety toe
footwear.
Non
Compliant
1910.145(c)(2)(i), RP54 7.1.2-3 No signs at entrance.
2 No Smoking Areas Designated & Posted. Non
Compliant
RP54 7.1.2-3 1910.145(c)(2)(i) Need signs for designated areas.
3 No Parking within 100 ft of the rig.Compliant
RP54 6.1.15 No one parked within 100 feet with the exception of the BOP
testing equipment.
4 Are H2S controls in place where applicable
including; warning signs, H2S monitors,
SCBA(s)/escape air, wind socks and H2S
certification training?
N/A
1910.145(c)(2)(i), 1910.1000(e), 1910.1000(e),
1910.1200(f)(5-6), RP54 7.1.2-3
5 Escape & Guy wires flagged with visible
material.
Non
Compliant
RP4G 14.5.f No flagging and no tie wire on shackle. Min 3 clamps with 3 inch
spacing
5.1 Capacity of guywire anchors verified RP4G 14.1-4 No verification or certification tag found.
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
Base Beam Anchor Screw-type Anchor
Permanent (Cement) Anchor Other____________ Verification
Method:____________________________
No
6 Outhouse/restroom facility provided. Compliant 1910.141(c)(1)(i)
7 Hard hats & Safety glasses available for
visitors at Tool Pusher/Drilling Foreman's
office?
Yes
1910.132(a)
8 All temporary housing/offices must be
securely positioned and properly grounded. Compliant
RP54 6.1.16
9 Housekeeping, Is the area clean and free of
debris and tripping hazards?Yes
1910.22(a)(1), RP54 6.5.1
10 Distance from overhead power lines GT 10
ft.N/A
RP54 10.1.1
11 Muster area designated and posted? Non
Compliant
1910.38(c)(4) Required signs are not available for area.
12 Sign posted directing visitors to report to
the Drilling Foreman / Toolpusher upon
entry, visitors signed in and out?
NonCompliant
1910.145(c)(3) No signs posted for sign in & out.
Confidential
Page 2
11/9/2012
Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
3/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
II. TRAINING, PPE & GENERAL SAFETY1 First Aid Training provided, minimum of 2
certified per location.Compliant
1910.151(b), RP54 4.3.1
2 H2S Training provided, if applicable Compliant RP55 5.1-8
3 Face shield provided for removing tong dies
with proper toolYes
1910.133
4 Any prior incidents, near miss,
observations, etc. if any, are discussed
during safety meeting
Yes
RP54 6.1.7
5 No smoking rules observed Compliant RP54 7.1.3
6 Emergency Phone numbers posted Non
Compliant
RP54 4.2.1, RP55 4.6 Not in Dog House. Need to place in dog house area. Place inside
board area on picture.
7 Do Employees know were designated
smoking areas are located?Yes
RP54 8.3.2, 1910.145(c)(2)(i)
8 Do employees know were SPCC plan is
located?Yes
Best Practice Tool pusher house
9 Are full body harness and lanyard
inspections being conducted monthly anddocumented?
Non
Compliant
1910.66 Monthly inspection must be done on lanyard and harness. Systems
are in good visual shape, no paperwork for monthly inspectionskept.
10 SRL's being inspected monthly and copies
being obtained at location?Yes
ANSI Z 3591
11 Rig inspections being performedYes
1910.212; 212(a)(2). 212(a) (3)(ii) HSE inspection being done by HSE department and kept at office.
12 Pre-spud, periodic, HSE, etc.? Yes Best Practice
13 All employees familiar with LOTO
procedures and policies?Yes
29CFR 1910.147
14 Safe work permits being used and properemployees understand how to complete this
form?
NoBest Practice Needs to be performed. No forms being done.
15 Atmospheric tester available? Yes 1910.146 (B)
16 Near Miss program being utilized on this
location?Yes
29 C.F.R. 1904.35(B)(1)
17 Does rig crew know where to dispose of
hazardous waste and are all containers
labeled? (used oil, diapers, etc)
Yes
1910.12 DOT drums are not marked and one drum needs to be emptied and
properly disposed of by rig company. Personnel are disposing of
product properly in drums.
Confidential
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11/9/2012
Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
4/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
18 Does the rig crew know how to perform aBOP Drill? No
1926.21 Need to have record on location. Need to have (at the minimum) anonline copy that can be pulled during inspections.
19 Are the rig crew training records on site
and current?Yes
RP54 4.3.1
20 Are fuel transfer sheets being performed?Yes
Best Practice
21 Is the escape buggy getting inspected
monthly?No
RP54 6.10.1 When rigged up. Documented needs to be done monthly. Currently
rigged up with improper clamping.
22 Is the Confined Space Entry equipment in
good working order?N/A
29 CFR 1910.146(d)(1)
23 Is the Gas Detector in working order
(charged) and calibrated?Yes
Best Practices
24 How is the general safety culture on this
location?Yes
Opinionated. Think if you would want to
work on this rig?
25 Safety meetings conducted and properly RP54 6.1.7
ocumen e : pre- our, pre- o s,
weekly?
es
26 Accidents, if any, are discussed during
safety meetings.Yes
RP54 6.1.7
27 Proper clothing worn by crew; no loose
clothing or jewelry, hard hat, glasses, safety
shoes, gloves, fall protection other PPE as
necessar ?
Yes
RP54 5.1, RP54 5.2 1-8, 1910.132(a)
28 Are designated "Smoking Areas"
established? Are smoking rules observed? No
RP54 7.1.3 Needs to be established "Smoking Area" with signs
and insure all are following designated area.
29 Injuries reported and documented
immediately.Yes
RP54 4.1.1-2
30 First Aid Kit/Bloodborne Pathogen Kit
available on site.Yes
RP54 4.3.2, 1910.151(b), At pusher house. Tool pusher knows the incidents when first aid
kept in his office. One on rig floor also.
31 Are all containers properly labeled per
HAZCOM?Compliant
1910.1200(e)(1-5)
32 Are MSDS available and accessible at all
times?Compliant
1910.1200 (g) (1) MSDS sheet need to be in shaker area if doors are available. No
doors on shaker system. Compliant results good.
33 Does contractor have a Hazard RecognitionProgram in use?
YesIADC
Confidential
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11/9/2012
Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
5/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
34 BOP training provided for Pushers andDrillers? Is BOP training documented at
the rig?
YesRP54 6.4.4
35 Written Contractor Safety Program in
place?Yes
RP54 6.1.7
36 Hearing protection required and provided. Compliant RP54 5.3.1-2, 1910.95(a)
37 Does the Operator / Drilling Contractor
have a New Hire Training Program in
place? Explain-Type?
Yes
IADC and RP54 6.1.7b. Yellow for new employee. Green, grey, black, and white for other
employee. See Justiss SOP.
38 Are all injuries and illnesses reported
immediately to a supervisor? Are written
reports prepared as soon as practical and is
every incident involving an injury being
investigated and are steps being taken to
revent recurrence?
Yes
RP54 4.1.1-3
39 Is there an Emergency Response Plan 1910.38 (b)
ava a e as personne een ra ne on
the plan?
es
IIIA. MUD PUMP AREA1 Is all rotating equipment properly guarded;
drive belts, shafts, pony rods, etc.?Non
Compliant
RP54 6.8.2-3, 1910.219(e)(1-6),
1910.219(c)(2)(i)
Need to use guards on hole open area. Reposition meters if
possible.
2 Head and valve covers fully bolted. Compliant
3 Shear pin pop-off valve present and
covered.Compliant
1910.169(b)(3)(i-iv)
4 Ends of relief lines secured with adequate
safety cable.Compliant
IADC
5 Ends of mud vibrator hose snubbed with
adequate safety cable.Compliant
IADC
6 Housekeeping - Is area clean and free of
debris and tripping hazards?Yes
RP54 6.5.1, 1910.22(a)(1)
7 Adequate lighting provided. Compliant RP54 9.14.7
IIIB. MUD MIXING AREA1 Bagged material properly stacked and
protected from the weather?
Compliant1910.176(b)
Confidential
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11/9/2012
Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
6/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
2 Gloves, Aprons, Boots, or other PPE, asappropriate, available and in good
condition?
Compliant RP54 5.2.4, RP54 6.13.2, 1910.132(a),
1910.133(a), 1910.134(a)(2), 1910.138(a)(1)
3 Employees using all required PPE? N/A 1910.132(a), 1910.133(a), 1910.138(a)(1)
4 All chemicals are properly labeled
including PPE Required warning signs
(Grouped or individual signs).
Compliant
1910.145(c)(2)(i), 1910.145(c)(3)
5 Personal protective equipment properly
maintained and in a clean & sanitary
condition.
Compliant
RP54 6.13.2, 1910.132(a), 1910.134(h)(2)(i)
6 Eye wash station and emergency shower;
unobstructed and in close proximity,
properly designed in good working order
and lumed with a clean water su l ?
Compliant
1910.151(c) , Z358.1 5.4.2, RP54 4.4.1
7 Adequate ventilation in mud mixing area? Compliant IADC
8 Elevated loading door opening protected? Compliant 1910.23(c)(1)
equa e g ng prov e omp an . .
10 Housekeeping - Is area clean and free of
debris and tripping hazards? Compliant1910.22(a)(1)
11 Is the personnel required to mix or handle
mud chemicals being properly trained
regarding safe handling and use. Are they
aware of the potential hazards and PPE
measures required. Are MSDS's available
to personnel prior to and during chemical
mixin .
Yes
1910.1200 (g) (1)
IIIC. MUD TANKS & PITS1 Adequate stairs with handrails properly
secured?Compliant
1910.24(h), 1910.23(d)(1)
2 Adequate walkways and guardrails. Compliant 1910.23(c)(1)
3 Guardrails installed on all raised platforms,
walkways, etc above 48?Compliant
1910.23(c)(1), 1910.23(d)(1)
4 Walkways free from obstruction and/or
damage?Compliant
1910.23(c)(1)
5 Guardrails provided on crossovers? Compliant 1910.23(c)(1)
6 PPE Required warning signs erected
(grouped or individual signs).
Non
Compliant
1910.145(c)(2)(i), 1910.145(c)(3) Need to be signs on PPE
Confidential
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Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
7/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
7 Chemical hazard warning signs erected? NonCompliant
1910.145(c)(2)(i) Needs signs on chemical hazards
8 Shale shakers, agitator shafts, and all other
rotating equipment properly guarded? Compliant
1910.23(c)(3)
9 Explosion proof equipment, fixtures and
wiring used. Class 1 Div 1/2. Data plates on
equipment legible?
Compliant
1910.307(b)(1-3) & subsections, 1910.307(c),
RP500 5.3, RP500 10.1-16
10 Adequate lighting provided? Compliant RP54 9.14.7
11 Employees using all required PPE? N/A 1910.132(a), 1910.133(a), 1910.138(a)(1)12 Jetting hoses properly secured if applicable
CompliantRP54 9.11.2
13 Personal protective equipment properly
stored?Compliant
RP54 6.13.2, 1910.132(a), 1910.134(h)(2)(i)
14 Housekeeping - Is the area clean and free of
debris and tripping hazards?Compliant
1910.22(a)(1), RP54 6.5.1
. , .
16 Electric wiring in good condition? Compliant 1910.303(b)(1-2), 1910.303(c)
17 Drive belts and shafts guarded? Compliant 1910.219(e)(1-6, 1910.219(c)(2)(i)
18 Permitted and non permitted signage is in
appropriate area'sYes
IADC
IV. MATERIAL HANDLING EQUIPMENT1 Material Handling Equipment (fork lift)
operators trained and certified?Compliant
1910.178(l)(1-8), B56.6 5.16, B56.6 5.17.1-4
2 Personnel basket securely attached to
forks? (If applicable).N/A
1910.178(m)(12)(i), B56.6 5.15.1(b)
3 Personnel wearing proper fall protection
while in basket?Compliant
B56.6 5.15.1(k)
4 Backup alarm operational? Non
Compliant
B56.1 4.15.1, B56.6 5.13.1-2 No backup alarm on forklift not working. Need fixed.
5 Fork Lift equipped with seat belts? Compliant B56.1 5.3.19
6 Seat belts in use by operators? Compliant B56.1 5.3.19
7 Fork Lift inspected prior to use? (daily). Compliant 1910.178(p)(7), B56.6 6.5.1-2 Every tower, insure all paperwork available for inspections.
V. Electrical Specific Inspection
1 Are the breakers in the electrical panelproperty labeled?
Yes 1910.303(f)
Confidential
Page 7
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Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
8/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
2 Are the electrical panels accessible? (Noboxes, etc. stacked in front of them?)
Yes RP54 6.5.1
3 Are the electrical lines in good condition?
(No splices, cuts, black tape: look for things
OSHA would look for)
Yes
1910.303(b)(1-2),1910.305(a)(2)(iii),
RP54 10.2.3,RP54 9.13.3
4 Are the electrical lines in good condition?
(wire no pulled away from the connector,
strain relief in place, etc.)
Yes
1910.303(b)(1-2),1910.305(a)(2)(iii), RP54
10.2.3, RP54 9.13.3
5 All power strips in the work area
(Doghouse, SCR house, etc.) GFIC
protected?
No
RP54 10.2.1, 1910.307(b)(1-2), RP500 5.3,
RP500 6.1-2
Vendor power strips need to be reviewed. Two separate power
strips pointed out to Customer. Surge protector strips only, not
GFIC strips.
6 Do all lights have covers and are secure? Yes 1910.307(b)(1-2)
7 Is the equipment on location properly
grounded /bonded? (Have RM show you
how grounding and bonding is tied into all
mobile equipment.
Yes
RP54 9.14.11
.
1 Moving parts guarded? Compliant 1910.212(a)(1)2 Generators properly grounded? Non
Compliant
RP54 9.14.11 Ground clamp incorrect, hose clamp shown below
3 Cover panels on electrical control boxes
installed and closed?Compliant
1910.305(b)(2), 1910.335(a)(2)(ii)
4 All electrical controls marked as to their
function and legible?Compliant
1910.303(f)
5 HIGH VOLTAGE warning signs
erected?Compliant
1910.145(c)(2)(i), 1910.305(b)(2)(ii)
6 Insulating mats available at electricalpanels?
NonCompliant
1910.335(a)(2)(ii) Not installed
7 Condition of electrical wiring, no splices or
visible damage?Compliant
1910.303(b)(1-2)
8 Rig wiring properly installed to prevent
abrasion, vehicular and foot traffic, burns,
cuts and damage from other sources?
Compliant
1910.305(a)(2)(iii), RP54 10.2.3
9 Unused electrical outlets covered? Compliant 1910.305(b)(1-3) One in electrical room not covered
10 Air compressors properly guarded? Compliant 1910.212(a)(1)
11 Air storage tanks equipped with pop-off
valve?Compliant
1910.169(b)(3)(i-iv)
Confidential
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Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
9/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
12 Lockout/Tagout program utilized?Adequate Lockout/Tagout devices
available?
CompliantRP54 6.9.1, RP54 9.14.9
13 Hearing Protection Required warning
signs erected?Compliant
1910.145(c)(2)(i)
14 Hearing protection available? Non
Compliant
1910.95(a) Needs to have box of plugs available. No plugs available in high
noise area.
15 Adequate lighting installed?Compliant
RP54 9.14.7, RP54 9.14.4, 1910.303(h)(3)(ii)
16 Housekeeping - Is area clean and free ofdebris and tripping hazards?
CompliantRP54 6.5.1
17 Wires are note running along the ground Compliant RP54 10.2.3, 1910.305(a)(1)(iii) (G)
18 All light fixtures properly guarded from
damage?Compliant
1910.307(b)(1-2)
19 Receptacles and plugs in good condition? Compliant 1910.303(b)(1)
20 Water hose used for washing area kept IADC
away rom genera or s
House?
omp an
21 Generator skid door props properly
pinned?Compliant
IADC
VII. FIRE PROTECTION1 A minimum of 4 No.20 fire extinguishers
with a Class BC rating available at the drill
site. This a minimum requirement and
operations may dictate use of more or
lar er sized e ui ment.
Compliant
RP54 7.2.4, RP54 7.2.5
2 Fire extinguishers fully charged, currentinspection, proper gauges, properly located
at their assigned locations?
Non
Compliant
1910.157(c)(4) Tags missing inspection tags. Accumulator system for BOPsystem. One located in incorrect area as opposed to sign
pointing to fire Extinguisher.
3 Are crew members familiarized with the
location of fire control equipment and
trained in the use of such equipment?
Yes
1910.157(g)(1), 1910.157(g)(2)
4 Portable containers for storing flammable
liquids should be UL or FM approved or
equivalent.
Compliant
1910.106(d)(2), RP54 8.1.1
Confidential
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11/9/2012
Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
10/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
5 Any area that has flammable containersstored should be posted with a sign, "NO
SMOKING OR OPEN FLAME", or
equivalent.
Compliant
RP54 7.1.2
6 Spark arrestors or equivalent equipment
shall be provided on all internal combustion
engine exhausts located within 100' of the
wellbore.
N/A
RP54 9.15.3 Not within 100 ft of well area
VIII. FUEL & OTHER FLAMMABLE LIQUID STORAGE TANKS1 Fuel storage tanks properly located Compliant RP54 8.3.5, 1910.106(b)
2 All storage valve connections identified as
to their functionCompliant
1910.106(b)
3 Discharge nozzles, hoses, valves in good
conditionCompliant
1910.106(b)
4 Piping and fuel lines in good condition Compliant 1910.106(b)
5 Stationary ladders on storage tanks in good 1910.27(f)
condition
6 Adequate lighting provided Compliant RP54 9.14.77 "Flammable" warning signs erected on all
sidesCompliant
1910.145(2)(i), 1910.1200(f)(5-6), RP54
7.1.2-6, RP54 8.4.1d
8 "No Smoking" signs erected on all sidesCompliant
RP54 7.1.2-6, 1910.145(c)(2)(i), RP54 8.4.1d
9 B/C Class fire extinguisher available and
identifiedCompliant
RP54 7.1.2-6, 1910.145(c)(2)(i),
1910.157(d)(1)
10 Fuel tanks properly labeled, "NFPA Haz-
Com", "Off Road Usage", "Flammable",
"No Smoking"
Compliant
RP54 8.4.1d, 1910.1200(f)(4-5)
11 Flammable warning signs erected on all
sidesCompliant
1910.145(2)(2)(i), 1910.1200(f)(5-6), RP54
7.1.2-6, RP54 8.4.1d
12 "No Smoking" signs erected on all sidesCompliant
RP54 7.1.2-6, 1910.145(2)(i), RP54 8.4.1d
13 Vapor release vents elevated & away from
ignition sourcesCompliant
1910.106(b)(2)(iv)(c), 1910.106(b)(2)(v)(g)
14 B/C Class fire extinguisher available and
identifiedCompliant
RP54 8.4.1e, 1910.157(c)(1), 1910.157(d)(1)
15 Housekeeping - Is area clean and free of
debris and tripping hazardsCompliant
RP54 6.5.1, 1910.22(a)(1)
Confidential
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11/9/2012
Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
11/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
16 All open valves/piping capped, bullplugged, etc.
Compliant RP54 8.3.3
IX. PIPE RACK AREA1 Ends of pipe racks and separate layers of
pipe properly chocked?N/A
1910.176(b), RP54 9.12.3 Pipe in use at this time
2 Spacers used to separate layers of pipe N/A RP54 9.12.5
3 Pipe racks are level and stable N/A IADC
4 Pipe rack catwalk in good condition and at
the same height?N/A
IADC
5 V-door slide in good condition including
stops on V-door or catwalk?N/A
IADC
6 Derrick stand and ladder in good conditionN/A
1910.27
7 Adequate lighting provided N/A RP54 9.14.7
8 Housekeeping - Is area clean and free of
debris and tripping hazardsN/A
1910.176(c), RP54 6.5.1
Confidential
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Form: DCI LR Audit (Comprehensive).xlsx
Updated on 11/06/2012
8/10/2019 Final Inspection Report With Codes Example
12/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
9 Drilling line from spool elevated off ground Compliant IADC Need to put guard on skid system. Was previously installed butremoved.
10 Safety Warnings in place for Hydraulic
Pipe Rack and verification of HPR
inspection?
N/A
RAGAGEP Standard system with warnings available
X. BLOW-OUT PREVENTERS1 BOP properly installed, 3rd party tested,
and properly documented?Compliant
RP54 6.4.1, RP54 6.4.41, RP 54 6.4.13
2 All lines, valves, check valves and flow
fittings should have a working pressure at
least equal to the rated pressure of the ram
BOP's in use. This equipment will be tested
during the initial test of the BOP rams.
Compliant
RP53 10.2.1
3 Wheels and stems in place, if automatic
device is not available?Compliant
IADC
4 BOP stack properly stabilized? Compliant RP54 6.4.10
5 All hydraulic lines connected ?Compliant
RP54 6.4.186 All unused hydraulic lines capped and
secured?N/A
RP54 6.4.18, RP53 10.2.1i
7 Accumulator bottles labeled with contents,
and other appropriate warning signs?Compliant
1910.1200(f)(5-6)
8 Accumulator valves in appropriate
position, open or closed (never neutral),
properly identified both purpose and
position?
Compliant
RP54 7.2.2
9 Gauges suitable for operating pressure anddrilling fluid service should be installed so
that drill pipe and annulus pressures may
be accurately monitored and readily
observed at the station where well control
operations are to be conducted.
Compliant
RP53 8.2i
10 Choke manifold and line secured and
accessible?Compliant
RP54 6.4.18
11 Blooey line with pilot installed if
applicable?Compliant
IADC
Confidential
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8/10/2019 Final Inspection Report With Codes Example
13/23
No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
12 Adequate lighting provided? Compliant RP54 9.14.713 Warning signs erected (Flammable,
Hard Hat, H2S, Eye Protection,
Confined Space, Authorized Personnel)
Non
Compliant
1910.145(c)(2)(i), RP54 7.1.2-3 Signs needs to be displayed . Fire extinguisher not with proper tag.
Black tape on electrical cord and plug need to be replaced.
14 Proper drainage provided and general
housekeeping of koomey and cellar area?Compliant
RP54 6.5.2
15 Hydraulic lines protected? Compliant RP53 12.5.2 Armor core on lines.
16 BOP spare parts (for the service intended)
are carefully stored, maintained andreadily available. Including a complete set
of ram rubbers, complete set of bonnet or
door seals, plastic packing for BOP
secondary seals. Ring gaskets to fit end
connections. A spare annular BOP packing
element and a complete set of seals. A
Compliant
RP53 6.4
flexible choke or kill line if in use. "Ask
Tool usher"17 Metal clad lines secured with adequate
safety cables?Compliant
"General Duty Clause" OSHA
All additional questions (1-51) in
Section 9 will be used at the discretion
of the DCI customer and their
individual needs.
1 Floor mounted and remote accumulator
controls available?Yes
RAGAGEP
2 Remote unit used to actuate pipe rams oncea week?
Yes RAGAGEP
3 Off floor controls are effective if floor unit
is destroyed.Yes
RAGAGEP
4 Alternate power source exists for
accumulator : Type_________________Yes
RAGAGEP Electric, air, and nitrogen bottle accumulator exists
5 Light on rig floor in plain view of driller? Yes RAGAGEP
6 Operating ranges of accumulator pumps
regulated from 2700 PSI to 3000 PSI?Yes
RAGAGEP
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No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
7 Accumulator pump charging time less than15 minutes: Ensure 1000 PSI to 3000 PSI
rise?
YesRAGAGEP
8 Accumulator fluid and strainers in good
condition: Inspected_________________Yes
RAGAGEP Tank in front of system that is in good condition. Attached to
skid.
9 Accumulator bottle isolation valve open? Yes RAGAGEP
10 Accumulator pre-charge pressure _______
Last inspected_________Yes
RAGAGEP 1500 psi per charge
11 Accumulator _________ Annular ________
Manifold ________ (Pressures) Yes
RAGAGEP
12 Accumulator air pressure at least 75 PSI Yes RAGAGEP
13 Drawings available showing BOP stack,
lines, valves and manifold used?Yes
RAGAGEP
14 Assembly rating greater than or equal to
casing burst pressure or formation Yes
RAGAGEP
rea own pressure w c ever s ess .
15 WECO 1502 hammer unions used on
surface casing valves? YesRAGAGEP
16 Necessary manipulations of BOP stack can
be made without going under rig floor? Yes
RAGAGEP
17 Well can be closed in quickly while
observing and controlling casing pressure? Yes
RAGAGEP
18 Hydraulic or Manual locks on preventers:
If manual, are hand wheels and shaftsattached?
N/A
RAGAGEP
19 Clearance for tool joints between pipe rams
(pipe can be stripped through rams).Yes
RAGAGEP
20 Is it possible to pump into well with blind
rams closed?Yes
RAGAGEP
21 Blind rams equipped with cover but no
lock?Yes
RAGAGEP
22 Choke flow line equipped with master
valves on each choke manifold wing?Yes
RAGAGEP
23 Is the fill up line separate from the kill line?Yes
RAGAGEP
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No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
24 Choke line straight, free of bends? Yes RAGAGEP25 Hydraulic choke equipped with emergency
back- up. Type: ____________________Yes
RAGAGEP
26 Choke manifold pressure rating
__________ Is it correct for this
application?
Yes
RAGAGEP 10000 psi front end, 5000 psi on back side
27 Upper Kelly valve or Top Drive Unit with
manual & hydraulic valves?Yes
RAGAGEP
28 Is drill pipe float used? Yes RAGAGEP
29 Are crossover subs available for IBOP &TIW?
Yes RAGAGEP Canrig Top Drive, subs ready to go.
30 Pit volume totalizer & recorder mounted in
plain view of driller?Yes
RAGAGEP
31 Flow indicator available, if flow line can't
be seen from rig floor?Yes
RAGAGEP
32 Pump stroke counter and/or trip tank forYes
RAGAGEP
use n cr ca o e ng c ec s
33 Sufficient way to monitor casing wear? Yes RAGAGEP
34 Maximum allowable surface pressures
upon closing in well specified and posted?Yes
RAGAGEP
35 Surface casing held in tension until cement
set to avoid misalignment?Yes
RAGAGEP
36 "on bottom" drills held at intervals, timed,
& recorded on IADC?Yes
RAGAGEP
37 "while tripping" drills held at intervals,
timed & recorded on IADC?Yes
RAGAGEP
38 "drill collar" drills held at intervals, timed& recorded on IADC?Yes RAGAGEP
39 "out of hole" drills held at intervals, timed
& recorded on IADC?Yes
RAGAGEP
40 Slow pump rates recorded hourly & after
mud density changes?Yes
RAGAGEP
41 Pipe slugged with sufficient time allowed
for fluid level to balance before TOOH?Yes
RAGAGEP
42 Flow checks made prior to TOOH, at the
casing shoe & at collars?Yes
RAGAGEP
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No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
43 During trips are ram-type BOP's operatedand choke and kill valves flushed? Yes
RAGAGEP
44 Is hole filled continuously from trip tank
(preferred) is there a specified number of
stands:
Yes
RAGAGEP
45 Rig equipped with trip tank? Yes RAGAGEP
46 Written trip records kept by crew? Yes RAGAGEP
47 Crew instructed in procedures during trip
if swabbing or lost circulation occurs?Yes
RAGAGEP
48 Are approved kill sheets used & updated
daily?Yes
RAGAGEP
49 Leakoff pressure recalculated & posted
after every mud density change?Yes
RAGAGEP
50 Maximum allowable mud density posted? Yes RAGAGEP
51 DC, DP, hole & mud pump capacity figuresYes
RAGAGEP
ava a e
XI. DERRICK & SUBSTRUCTURE1 Derrick/A-Frame assembly and
substructure pins with keepers in place?Compliant
RP54 9.2.8
2 Derrick guyed, if applicable. N/A RP4G 13.1
3 Condition of guy lines. N/A RP4G 13.1.1
4 Clamps properly installed. N/A RP9B 3.7.4
5 Does the derrick or mast have a name plate
permanently attached to the derrick, that
includes the manufacturer, model number
and serial number, hookload capacity andwhether guying is applicable and if so the
recommended u in attern.
Compliant
RP54 9.2.2
6 Damage and/or corrosion visible in derrick
and/or substructure? (waste metal). N/A
RP54 9.16.1
7 Condition of derrick ladder? Yes RP54 9.3.1-2
8 Climb assist device available, in good
condition, adequate number of clamps?Yes
1910.27(d)(5)
9 Boatswains chair available for hoisting
personnel and utilized when necessary?Yes
IADC
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No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
10 Full body harness with lanyard availableand in good condition?
Yes 1910.132(c), RP54 5.5.1
11 Fall protection devices in use: Derrick
Board, Crown Section, Backside of derrick
(stabber), Substructure?
Compliant
1910.132(c), RP54 5.5.1
12 Fall Protection Required warning signs
erected?Compliant
1910.145(c)(2)(i)
13 Verify that contractor has a Cat. 1,2,3,4
process in place to identify structural
issues. The remaining questions aredesigned to identify any noticeable items
from the floor or round.
Compliant
RAGAGEP
14 Derrick/Tubing boards in good condition? Compliant RP54 9.2.17
15 Guardrails installed on derrick board? Compliant RP54 9.3.17, RP54 5.5.1
16 Pipe fingers in good condition, safety cables
attached?Compliant
RP54 9.2.17
rown guar ra s ns a e omp an . . , . c
18 Crown sheave guards in place? Compliant RP54 9.7.5
19 Safety retainers in use on hinge pins? Compliant RP54 9.2.8
20 Derrick hydraulic system free of leaks? (if
applicable).N/A
IADC
21 Dead line properly anchored? Compliant RP54 9.6.5, RP9B 3.3.9
22 Booms and boom lines in good condition? Compliant IADC
23 Adequate lighting provided? Compliant RP54 9.14.7
24 Derrick free of loose and unnecessary
objects.Compliant
RP54 8.2.5
25 Derrick emergency escape line properlyinstalled, Geronimo on line, anchored with
a clear path?
Compliant RP54 6.10.1
26 Tubulars, Drill Pipe, etc racked or hung in
derrick are secured to prevent them from
falling?
Compliant
RP54 6.12.1
27 Mud standpipe secured, mudhose snubbed
at both ends?Compliant
IADC
28 Rotary beams and all braces are in good
condition?
CompliantIADC
XII. DRILL FLOOR AREA
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No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
1 OSHA poster posted in Dog House? No 1903.2(a)(1) Need fire, ambulance, closes hospital2 Emergency phone numbers posted in Dog
House?N/A
RP54 4.2.1 RP55 4.6
3 Safety (stabbing) valve and handle with
cross over sub if necessary properly located
on floor?
Yes
RP54 6.4.2
4 Remote BOP hydraulic controls accessible?Compliant
IADC
5 Rotary floor in good condition? Compliant IADC
6 Rotary chain drive guarded? Compliant 1910.212(a)(1-3)7 All unused floor holes covered with a secure
cover?Compliant
1910.23(a)(8-9), RP54 9.1.1, RP54 9.3.20,
RP54 9.3.21
8 "Driller at or near controls unless the
drawworks brake has been tied down or
securing it with a catch lock, unless the
drawworks is equipped with an automatic
Yes
RP54 9.4.4
r er .
9 Drillers controls properly
labeled/identified? Compliant
IADC
10 Pipe slips & Dies in good condition? Compliant RP54 9.9.2
11 Racking floor area in good condition? Compliant IADC
12 V-door gate or net provided and in place? Non
Compliant
1910.23(c)(1) Gate or Net needed
13 Air hoist lines properly guarded in good
condition, line properly laid with functional
line guide and brake?
Compliant
RP9B 3.2.7 1910.212(a)(1) RP9B 3.3.3
14 Cathead friction surface in good condition?N/A
RP54 9.5.1
15 Cathead line divider/grip in good
condition?N/A
IADC
16 Catline not worn or kinked? N/A RP54 9.5.10
17 Kelly cock wrench and safety valve
accessible?N/A
IADC
18 Drilling Line in good condition? Compliant RP9B, 3.3.3, RP9B, 3.3.10
19 Tail rope being used, rigged up correctly
and in good shape?
CompliantIADC
20 Drawworks properly guarded? Compliant RP54 9.4.2, RP54 9.6.4
Confidential
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No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
21 Drill line slip/cut recorded on ton milebook?
Compliant RAGAGEP
22 Proper lay of drill line and sufficient wraps
left on drum with blocks in down position?
(minimum 10 wraps).
Compliant
RP9B 3.3.10(b)
23 When were the Hydraulic or Hydromatic
brakes last serviced and what is the
contractor's maintenance schedule?
Safe
RAGAGEP
24 Dog knot secure? Compliant IADC
25 Adequate lighting provided? Compliant RP54 9.14.726 General housekeeping. Compliant RP54 6.5.1, 1910.22(a)(1)
27 Minimum 2 exits from drill floor doghouse?Yes
1910.36(b)(1)
28 Drill floor doghouse doors installed
properly?Yes
1910.36(e)(2)
29 Drinking water available? Compliant 1926.51
a on rea y ava a e on
Compliant
. . ee n e og ouse
31 Life basket/Fire Blanket available Compliant I.S. Life Basket in Dog House, No fire blanket on rig32 Factory ends of snub line? Compliant I.S.
33 First aid kit available in doghouse? Yes 1910.151(b)
34 Non skid material used around rotary? Compliant RP54 9.3.11
35 Guardrails installed along open edges of
drill floor?Compliant
RP54 9.3.17, 1910.23(c)(1)
36 Tong body and jaws, keepers, counter
weights, snub lines and jerk lines all in good
condition?
Compliant
IADC
37 Tong safety handles installed? Compliant IADC
38 Crown-o-Matic device operational, logged
on IADC?
Non
Compliant
IADC Needs to be on system
39 Safety signage posted? Yes IADC
40 All overhead lights have safety cables? Compliant IADC
Top Drive
1 TD: Guard Bolts. Compliant RAGAGEP
2 TD: Blower Motor Mounts. Compliant RAGAGEP
3 TD: Oil Cooler Bolts. Compliant RAGAGEP4 TD: Housing To Frame Bolts. Compliant RAGAGEP
5 TD: Lube Pump Assembly Mounts. Compliant RAGAGEP
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No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
6 TD: Guard Deflector.Compliant
RAGAGEP7 TD: Link Tilt Cylinder Retainer. Compliant RAGAGEP
8 TD: Link Tilt Mount. Compliant RAGAGEP
9 TD: Bail Clamp Cylinder Pins. Compliant RAGAGEP
10 TD: Lower Link Support Pins. Compliant RAGAGEP
11 TD: Spark Arrestor Screen. Compliant RAGAGEP
12 TD: Elevator Alarm Targets. Compliant RAGAGEP
13 TD: BUW Mounts. Compliant RAGAGEP
14 TD: BUW Positioning Cylinder. Compliant RAGAGEP
15 TD: BUW Stop Pins (L-shaped pins). Compliant RAGAGEP16 TD: BUW Gripper Cylinder. Compliant RAGAGEP
17 TD: BUW Slides. Compliant RAGAGEP
18 TD: BUW Stabbing Guide. Compliant RAGAGEP
19 TD: Tool Joint Clamp(s) & Bolts. Compliant RAGAGEP
20 TD: Actuator Valve / Covers. Compliant RAGAGEP
21 TD: LWCV Pinion Retainer Bolts. Compliant RAGAGEP
Iron Roughneck
1 Iron Roughneck (IR): HPU Showing 2200-2500 psi.N/A RAGAGEP
2 IR: Line Control Port 1900-1950 psi. N/A RAGAGEP
3 IR: Hydraulic Lines Not Leaking . N/A RAGAGEP
4 IR: Unit Properly Stored If Not In Use. N/A RAGAGEP
5 IR: Unit Turned Off When Not In Use. N/A RAGAGEP
6 IR: Employees Properly Trained . N/A RAGAGEP
7 IR: Employee Clear Of Unit If Moving. N/A RAGAGEP
8 IR: Unit Has Clear Path For Operating. N/A RAGAGEP
9 IR: Operator Controls Located Properly. N/A RAGAGEP10 IR: Preventive Maintenance (Daily) . N/A RAGAGEP
XIII. HOISTING TOOLS, HOOKS, BAILS, ELEVATORS1 Traveling blocks in good condition? Compliant RP54 9.7.1
2 Traveling blocks properly guarded? Compliant RP54 9.7.4
3 Sheave guards in good condition? Compliant IADC
4 Bales and/or links in good condition? Compliant RP54 9.7.1
5 Elevators in good condition? Compliant RP54 9.7.1, RP54 9.7.8
6 Hoisting hook equipped with safety latch or
equivalent? CompliantRP54 9.7.3
7 Crown block assembly secured? Compliant RP54 9.7.5
Confidential
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No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
5 BMPs need maintenance or removal? N/A RAPPS
6 Reserve pit free of oil and trash? N/A RAGAGEP
7 Reserve pit liner, good integrity, anchored
properly?N/A
RAGAGEP
8 Reserve pit has sufficient free board? N/A RAGAGEP
9 Reserve pit fall controls in place? N/A RAGAGEP
10 Secondary containment (berms/ditches)
adequate and maintained?Compliant
RAGAGEP
11 Pipe dope is lead free? Compliant 40CFR 261-262
XVI. STAIRS, LADDERS, HANDRAILS & GUARDRAILS1 Adequate stairs provided off rig, min. of 2
for drill floor?Compliant
RP54 9.3.10, 1910.24(b)
2 Stairs level, secure with no obstructions? Compliant RP54 9.3.9
3 Adequate handrails provided on stairs with
4 or more risers?Compliant
RP54 9.3.8, 1910.24(h)
4 Stair treads of uniform size made with non- RP54 9.3.9, 1910.24(d)
skid material?
5 Stair treads free of damaged?Compliant
RP54 9.3.11 Bottom stair rung on shaker side of catwalk stairs needs to be
repaired.
6 Stairs properly installed and pinned if
required?Compliant
RP54 9.3.8
7 Guardrails, Midrails, & Toeboards
installed along all open side edges of floors,
platforms, etc, 4ft above ground level.Compliant
1910.23(c)(1), RP54 9.3.17
XVII. ADDITIONAL FINDINGS
1 N/A RAGAGEP2 N/A RAGAGEP
3 N/A RAGAGEP
4 N/A RAGAGEP
5 N/A RAGAGEP
6 N/A RAGAGEP
7 N/A RAGAGEP
8 N/A RAGAGEP
9 N/A RAGAGEP
10 N/A RAGAGEP
Confidential
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No. Condition Rating Standard Comments
OIL AND GAS DRILLING LAND RIG
INSPECTION FORM
Definitions : SPCC (Spill Prevention, Control, and Contamination), SRL (Self Retracting Lanyard), HSE (Health, Safety, & Environmental), BOP (Blow Out Preventor), SCR (System Control Room), VFD
(Variable Frequency Drive), RM (Rig Manager), TOOH (Trip out of hole), GFIC (General Fault Interuption circuit), JSA (Job Safety Analysis), OSHA (Occupational Safety and Health Administration), LOTO
(Lock Out/Tag Out), SCBA (Self Contained breathing apparatus), RAGAGEP (Recognized And Generally Accepted Good Engineering Practice), RAPPS (Reasonable and prudent practices for stabilization
(Clean Water Act))
Confidential
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