Weekly Drill Safety Inspection
Scout Drilling LLC.
Date
*
/
Month
/
Day
Year
Date
Shift
*
Select
Day
Night
Project
*
Please Select
Stibnite
Freeze
Rockland
Wolfden
Pioneer
Hercules
Cuddy Mountain
Speed Goat
Erickson Ridge
Jackknife
South Orogrande
Lehman Butte
Moose Ridge
Robber Gulch
Valve House
Muldoon
Timber Butte
Century
Silverback
Cartwright
Independence
Scout
Hot Springs
Other
Project (other)
*
Rig ID
*
Please Select
HC2000-01
DE712-01
HC5000-01
LF70-01
LF70-02
Other
Rig ID Other
*
Personnel Log
*
Personnel Data 1
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Safety Checklist
Scout Drilling LLC.
1. Safe access to drill – no tripping hazards
*
Acceptable
Unacceptable
2. Steps into drill safe – steady, ice-free, adequate
*
Acceptable
Unacceptable
3. Emergency door accessible
*
Acceptable
Unacceptable
4. Mast in good condition – stiff legs straight, undamaged
*
Acceptable
Unacceptable
5. Mast guywires secure
*
Acceptable
Unacceptable
6. Drill well anchored – on adequate timbers & chained
*
Acceptable
Unacceptable
7. Ladder ways well maintained & secured
*
Acceptable
Unacceptable
8. Ladders extending 1 meter above drill shack & helper’s platform
*
Acceptable
Unacceptable
9. Helper’s platform in good order, including guard rail (look up!)
*
Acceptable
Unacceptable
10. Fall arrest system available on helper’s platform (safety line)
*
Acceptable
Unacceptable
11. Fall arrest system installed as required to reach platform (do not climb tower unless you are trained!!!!)
*
Acceptable
Unacceptable
12. Guard rails installed around drill shack roof
*
Acceptable
Unacceptable
13. Rods & drill equipment all stored properly
*
Acceptable
Unacceptable
14. Fuel stored minimum 4 meters from drill shack
*
Acceptable
Unacceptable
15. Check for fuel leaks & oil leaks
*
Acceptable
Unacceptable
16. Check for condition of stove – sheet metal around and unders
*
Acceptable
Unacceptable
17. Drill shack walls & roof fireproofed where exhaust & stovepipes exit
*
Acceptable
Unacceptable
18. Propane regulators on tiger torch & coil heater
*
Acceptable
Unacceptable
19. Propane properly stored (outside) upright & secure
*
Acceptable
Unacceptable
20. No smoking signs near propane and fuel tanks
*
Acceptable
Unacceptable
21. Protective sheaths on high-pressure hydraulic hoses
*
Yes
No
22. (hidden) Guards on moving/rotating parts
Yes
No
22. Guards on moving/rotating parts
*
Yes
No
23. Wire line & hoist cables in good condition (visual inspection!)
*
Yes
No
24. Electrical cables properly installed
*
Yes
No
25. Light bulb protectors installed (if needed)
*
Yes
No
26. All protruding nails removed from timber, shack walls
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Yes
No
27. Working area free from obstacles
*
Yes
No
28. Working area free from obstacles
*
Yes
No
29. Drill floor free from ice, grease, oil, drill mud
*
Yes
No
30. Small tools cleaned and stored properly
*
Yes
No
31. Hand tools in good working order (broken handles, bent, dull?)
*
Yes
No
32. Chainsaws in good order - ie chain, guard, brake
*
Yes
No
33. Safety signs posted (hearing protection areas etc.)
*
Yes
No
34. Supply pump & coil properly installed – safe, clean, away from water
*
Yes
No
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Hoisting and Lowering Equipment Condition
1. Hoisting and lowering equipment condition
*
Satisfactory
Unsatisfactory
2. Foot Clamp
*
Satisfactory
Unsatisfactory
3. Breakout Tool (e.g. Rod Spinner)
*
Satisfactory
Usatisfactory
4. Hoisting Plug
*
Satisfactory
Unsatisfactory
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Fire Fighting Equipment Condition
1. Fire Fighting Equipment Overall Condition
*
Satisfactory
Unsatisfactory
2. Fire extinguisher in laydown yard
*
Satisfactory
Unsatisfactory
3. Fire extinguisher in fuel area
*
Satisfactory
Unsatisfactory
4. Fire extinguisher in drill
*
Satisfactory
Unsatisfactory
5. Fire extinguishers tagged with monthly inspections
*
Satisfactory
Unsatisfactory
6. Axe
*
Satisfactory
Unsatisfactory
7. Pails
*
Satisfactory
Unsatisfactory
8. Shovel
*
Satisfactory
Unsatisfactory
9. Pack Pump
*
Satisfactory
Unsatisfactory
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Emergency Procedure and Equipment
1. Spill Kit Condition
*
Satisfactory
Unsatisfactory
2. Communications System Condition (radio, cell phone)
*
Satisfactory
Unsatisfactory
3. First-Aid Kit Condition
*
Satisfactory
Unsatisfactory
4. Accident procedure posted
*
Yes
No
5. Phone number posted (MOL, MOE, police, ambulance)
*
Yes
No
6. Spill cleanup procedure posted
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Yes
No
7. WHMIS book readily available
*
Yes
No
8. WHMIS labels affixed where required
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Yes
No
9. Crew has first aid certificates
*
Yes
No
10. Copy of act & regulations posted
*
Yes
No
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Crew Use of Personal Protection Equipment
1. Approved Hard Hats in Use
*
Yes
No
2. Hearing Protection in Use
*
Yes
No
3. Safety Boots (metatarsal equipped) in Use
*
Yes
No
4. Gloves in Use
*
Yes
No
5. Safety Glasses in Use
*
Yes
No
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Mobile Equipment Condition
1. Vehicle Condition (lights, brakes, back up alarm, horn, etc.)
*
Satisfactory
Unsatisfactory
2. Roll-Over Protection
*
Satisfactory
Unsatisfactory
3. Seat Belts
*
Satisfactory
Unsatisfactory
4. Fire Extinguisher
*
Satisfactory
Unsatisfactory
5. Are there any leaks or spills?
*
Yes
No
Oil, Fuel, and Mud Storage Area
1. Good Housekeeping
*
Yes
No
2. No smoking signs where needed
*
Yes
No
3. Spill precautions taken – drip pans, dykes, double wall tanks
*
Yes
No
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Container and Dry
1. Stove safe – clear of flammable materials, metal along back
*
Yes
No
2. Stove pipe – clear of flammable materials
*
Yes
No
3. Materials Stored Properly
*
Yes
No
4. Unsafe materials not stored with crew’s clothes
*
Yes
No
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Road Condition in to Drill
1. Properly maintained – snow plowed, trees cut up properly
*
Yes
No
2. Safe route for crew to walk in at night
*
Yes
No
3. No snags to catch sloops or 4x4 trucks
*
Yes
No
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Sump
1. Clear of grease, oil
*
Yes
No
2. No danger of overflowing
*
Yes
No
3. Ready to recycle water if required
*
Yes
No
4. Is it fenced or otherwise safe
*
Yes
No
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Summary
Overall impression of site – is it good?
*
Yes
No
What could be improved?
Safety Discussion Summary
Required Follow-Up Actions
Additional Comments
Inspected By:
*
First Name
Last Name
Signature
*
Geo Stamp
Geo Stamp Data 1
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Should be Empty: