Sinai Field Drilling & W.O.

Department

Date: 24/9/2017

Rig name: ADM V

Well name: S.W. STANDBY LOCATION

CHECK LIST FOR RIG HSE SURVEY

Critical / Closure date as date date date

Item Description open close Major / REMARKS Action required per Rig Contractor 1 Status 2 Status 3 Status
minor advise

1 Safety slings complete with shackles, studs and safety X

pins.

2 Safety wires on Rig lights properly installed. X

3 Coverages installed on all rotating items (motor chain, X

belts, engines rotors).

4 Relief valve setting pressure & certification availability. X SETTING PRESSURE 3000 PSI

5 Rig pump pulsation dampener WP & certification X WORKING PRESSURE 750 PSI.

Fire extinguishers type, numbers, location, condition,

last inspection & position on Rig site to be as per
6 Emergency plan (wild test to be performed on one Fire X ACCORDING TO ADES SAFETY PLAN.
extinguisher for confirming properly work)(CO2-Dry
chemicals-Foam-H2O)
 Fire Fighting system condition (condition of Motor,
7 pump, water level inside F.F. tank, no. of Hydrants & X
hoses, location).

8 Slip Hazard (general conditions of Rig stairs, handrails, X

Rig Floor,…).

9 Work on height (Safety belt condition, documentation, X

PTW).

10 Emergency Shower (location & condition) X

11 Eye wash station (location/condition) X

12 Color code respected (Wild check on minimum 2 items, X SOME ITEMS ON CANTILIVER AND R/F PAINTING IT
with serial number & relevant certification). WITHOUT COULOR CODE.

13 Fork lift (general condition, audible and visual alarm for NOT A CONTRACT ITEM
back direction, tires condition).

Crane (last inspection & certification, audible & visual

14 alarm, automatic break test, crown saver limit switch) X

15 Personal Basket (type, last inspection & certification) X

16 PPE respect. X

Koomey (4-way valves positions, Rams position labelled,

17 Manifold pressure, Accumulator pressure, recharge X
pump function).

18 Well Control consol condition (Pressure gauges, stroke X

counter, Adjustable choke position indication).

19 BOP Handling system (Last inspection & certification) X

20 Rig Tong retention condition. X

21 Crown-O-matic installed on Drawwork (test) X

22 Air Hoist labelled and lifting wires correctly spooled X

(condition, last inspection & certification)

23 Dead Line Anchor (last inspection & certification) X

24 SCR Unit properly isolated and Air conditioning system X

working, sensors & F.F. system (certification & test)

25 H2S-Combustible Gas monitoring system (location, last

inspection & certification)

26 Portable Detectors (H2S, explosimeter, CO2, Fire smoke) X CERTIFICATION IS MISSING ADES OFFICE WILL SEND IT.
(availability, number, last inspection & certification)

27 Warning Safety signs installed in the Hazard areas. X NEED MORE SIGNS TO BE IMPLEMENTED

28 Engine room condition, fire extinguisher availability, oil X

leaks, fire sensors (certification & test)

29 General Leaks (Oil, water)/identification area. X

30 Warning alarms (activation/type/inspection & X

certification)

31 Life Boats (type-capacity-number-location-last inspection X

& certification)

32 Life Rafts (type-capacity-number-location-last inspection X

& certification)
33 Survival suits (number & location) N/A

34 Life rings buoys (number & type) X

35 Escape ladders/nets (location-type) X

36 Stoppers on pipe rack installed & in good condition. X

37 Escape line for Derrick man (Geronimo line) properly X

installed without obstruction.

38 Fuel storage (warning safety signals, sensors & F.F. X

system last inspection & certification)

39 Marine loading hoses for Fuel & OBM (last inspection & X
certification)

Helideck & F.F. system & type (Foam ?)(last inspection &
40 certification) X

Breathing apparatus (General/Escape)(condition, last

41 inspection & certification) - Air recharge compressor (last X
inspection & certification)

42 General housekeeping X NEED IMPROVEMENT TO BE IMPLEMENTED

43 Oxy-acetylene cylinders condition and storage (last X

inspection & certification)

44 First Aid Kit & Burn kit (number, location, check list) X

45 Galley General condition X

 Rig Documentation (wild check) of: HSE Management
46 procedure manual, PTW, R.A., Equipment certification, X
Emergency plan, Crew CV, Training Matrix, Equipment
maintenance plan.

47 Game operation plan (File). X

48 Written Hand over documentation (File). X

SURVEYORS NAMES: SURVEYORS POSITION:

Ayman Shawky S.F.W.O. CO. MAN

Mohamed Hamed S.F.W.O. SPTD

Mohamed Ibrahim S.F. W.O. SECTOR MGR