Daily Drill Equipment Pre-Inspection
Scout Drilling LLC.
Shift Date
*
/
Month
/
Day
Year
Date
Shift
*
Select
Day
Night
Project
*
Please Select
Stibnite
Freeze
Rockland
Wolfden
Pioneer
Hercules
Hot Springs
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
Other
Rig ID
*
Please Select
HC2000-01
DE712-01
HC5000-01
LF70-01
LF70-02
Other
Project (Other)
*
Rig ID (Other)
*
1. Safety – wire line / main line condition
*
Acceptable
Unacceptable
2. Condition of Protective Devices (safety lines, guard rails, etc.)
*
Acceptable
Unacceptable
3. Wire Line Guard Condition
*
Acceptable
Unacceptable
4. Main Line Guard Condition
*
Acceptable
Unacceptable
5. Head Guard Condition
*
Acceptable
Unacceptable
6. Cleanliness of Equipment (free from mud, vegetation, etc.)
*
Acceptable
Unacceptable
7. Condition Hydraulic Hoses (protective sheaths on high-pressure hydraulic hoses)
*
Acceptable
Unacceptable
8. Drill Mast Condition
*
Acceptable
Unacceptable
9. Fire Control Gear Condition (fire extinguishers monthly inspection card up to date, etc.)
*
Acceptable
Unacceptable
10. Water Truck Condition (free of leaks, working lights, brakes, etc.)
*
Acceptable
Unacceptable
11. Condition Storage Tanks (free of leaks and/or cracks)
*
Acceptable
Unacceptable
Have all conditions and requirements stated on the current permits and authorizations been fulfilled?
*
Yes
No
Additional Comments
Name
*
First Name
Last Name
Signature
*
Geo Stamp 1
Geo Stamp Data 1
Geo Stamp 2
Geo Stamp Data 2
Submit
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