FORM

Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 1 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Contractor / Rig #: ____SINO 45 Location / Well #: _UTMN 654

Assessor / Company: ___________________ HES_______ Date: ____4th July, 2016

Answer Yes or No to each question. Provide short comments, as needed, in boxes next to the assessed item.
Provide long comments in Table 15 at the end of the form.

Yes
1.0 - General Rig Site / No
Comments / Actions

1. Access to location (office side), main road & direction signs. Yes
2. Entrance barrier in use, warning and safety signs displayed, visitors Yes
directed to DSV & TP Offices.
3. Parking area marked, cars parked in reverse position. No Particular item in -progress
4. Different areas well segregated, Tubular storage, cementing unit, Yes
engines, workshops, chemicals, accommodations etc.
5. Safety perimeter around the well head with warning signs. Yes
6. Two Muster Points (opposite positions). Wind socks visible & in Yes
good condition.
7. Emergency alarm (two action point), can be heard at all Rig Site Yes
locations. Hand bill/ Portable siren if power breakdown.
8. Notice Board available, essential HSE info. Posted / updated. Yes Available but not clear. Replacement
recommended
9. Different Emergency alarms code posted & known. Yes
10. Lighting adequate around the rig site. Yes
11. At least four First Aid Attendants at the site Yes
12. Rig Manager – certificate in First Aid. Yes
13. Adherence to no smoking policy. Adequate signs posted. Yes
14. General housekeeping and hygiene at the rig site. Yes Generally good but must be monitored
15. Burn pit well cited, clear of internal/ external combustibles. Yes

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 FORM
Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 2 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Yes
2.0 – General HS&E Issues / No
Comments / Action

1. Adequate stocks of hard hats, safety glasses, gloves & Yes

hearing/respiratory protection available & in good condition.
2. Adequate supplies of wet weather gear held at the site Yes
3. Fire Protection:
4. Adequate fire extinguishers available, strategically located around
the site (Plan), checked & logged monthly? Yes
5. Fire-pump available, adequate flow/ accessories, working. Yes
6. Fire Emergency Response Team designated & trained
Yes
7. Medical First Aid:
8. Ambulance available with stretcher & first aid kit & trauma pack. Yes
Crew trained First Aid, Medic on site.
9. Fall Protection
10. Five full body harnesses in good condition at the site? Yes
11. Adequate stocks of karabiners, lanyards, slings at the site? Yes
12. Man Riding basket adequate & certified. Yes
13. H2S & hydrocarbon detection system in place & tested. Yes
14. Portable gas detector (multi-gas) available and in test. Yes
15. Date when due for re-test for calibrating. 3/Aug/ 16 Yes
16. Explosion proof torches for the key personnel (DSV, TP , etc.) Yes
17. Four SCBAs sets available at the site, spare bottles available. Yes
18. Dates when due for re-test. Last H2S Drill. 20/June/16
19. First aid Kits (3), clean and adequately stocked. One in DSV/TP Yes
offices, one in the dog house and one at camp.
20. Emergency eyewash stations, sufficient (hoppers, dog house, Yes
workshops) and correctly maintained.
21. Emergency shower installed and operating – Mud mixing area. Yes

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 FORM
Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 3 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Yes
3.0 - Environmental Issues / No
Comments / Action

1. No evidence of any off-track driving or short cutting. No

2. No additional area or vegetation has been cleared away. No
3. Camp away from natural watercourses, surface water, etc. Yes
4. Dry rubbish pit is covered. NA
5. All waste contained in bins or appropriate receptacles. Yes
6. Sewage pit is adequate, no excessive odour. Yes
7. No evidence of HC spills or contamination of water/ground. No
8. Fuel hoses, nozzles tanks etc serviceable & in good condition. Yes
9. Adequate servicing & no excessive exhaust from generators Yes
10. Fuel & chemicals stored within contained area – drip trays. Yes
11. Adequate spill control equipment located at the site Yes
12. Earth drains are clear and allow for adequate filtration NA
13. Vehicle refueling & maintenance is confined to the fuel area Yes
14. Controls in place for issues identified in the Environmental Risk Yes
Assessment

Yes
4.0 – Accumulator, BOP, Choke Manifold & Flare / No
Comments / Action

1. General housekeeping in & around well control equipment area Yes

2. Accumulator fluid levels & Operating pressures as required Yes
3. Auto start of pumps as required, Blind/Shear ram safety cover. Yes
4. Adequate lighting (Exproof), lighting guarded. Backup lights Yes
5. BOP manual closing device, operational, checked No
6. Guy lines installed (with turn buckles), Kill/choke lines secured & Yes
Hydraulic hoses in good condition.
7. BOP Work platform & safety line for working at height Yes
8. Cellar covered with a grating Yes
9. Rig Floor Koomey Remote Panel pressures gauges working & same Yes
on main Koomey Unit, Blind/Shear ram safety cover.
10. All the lights on the Rig Floor remote panel working Yes
11. Safety & Gray valves on rig floor. Kelly cocks inspected. Yes
12. BOP Choke Panel DP & annulus pressure gauges working, Pump Yes
stroke counters in good condition & controls labeled.
13. BOP tools available and in good condition Yes
14. Choke manifold valves & pressure gauges in good condition Yes
15. Flare bleed-off lines laid and staked (anchored). Yes

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 FORM
Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 4 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Yes
5.0 – Substructure, Cellar & Pipe Racks / No
Comments / Action

1. Area clean & drainage system clear of obstructions.

2. Assembly pins in place and secured with keepers.
3. BOP lifting device available, in good condition, correct SWL Yes
4. Dead line anchor, sensator gap, wire clamp
5. Adequate lighting (Exproof), lighting guarded. Backup lights Yes
6. Cellar protected with a grating cover & accessed with ladder Yes
7. “V” Door Ramp and stairs in good condition. Yes
8. Catwalk in good condition, end stop fitted Yes
9. Pipe rack level with stop pins in place. Pins in good condition. Yes
10. Pipe bins for tubular storage (lifting ears, bins not overloaded).

Yes
6.0 – Rig Floor / No
Comments / Action

1. Rig Floor Handrails and toe boards complete, Steps secure & “V” Yes
door guarded.
2. Rotary floor and racking area correctly maintained Yes
3. Working area around rotary table has suitable non-slip surface. Yes
4. Driller’s console protected with cage(posts) & Shaded Yes
5. Floor free from grease, tripping hazards and open holes. Housekeeping required and when
completed monitored.
6. Moving machinery guards in place. (cathead) Yes
7. Lighting adequate, guarded, explosion proof, backup lights Yes
8. BOP choke panel controls labeled. Yes
9. Doghouse tidy, hand tools, subs/bits, well stored. Housekeeping required.
10. Emergency procedures, Bulletin, safety signs, notices, BOP Yes
procedures posted at doghouse.
11. Two means of egress from doghouse and rig floor. Yes
12. Rig tong backup lines adequate (5/8 “ min.) & posts condition. Yes
13. Dies condition & pins in place. Tong parts NDT inspected. Yes
14. Counter balance condition (grease, cable condition, fittings) Yes
15. Slips condition (dies, retainers, handles, hinges) and bushings. Yes
16. Air Winch condition, SWL adequate & displayed. Yes
17. Air winch cable spooler & drum guard installed. Yes
18. Condition of the air hose (leak, noise, etc.) Yes
19. Air winch cable condition, fitted with swivel, hook condition. Yes
20. Cable way free from obstruction on derrick. Yes

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 FORM
Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 5 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Yes
7.1 – Mast – General / No
Comments / Action

1. General condition of mast, no visible cracks, no corrosion no missing Yes

bolts. All structural beams straight.
2. Manufacturer ID Plate, Derrick Characteristics (Mnf Yr, Pwr) Yes
3. Mast ladder in safe condition, adequate attachment to derrick, Yes
crinoline & climbing assist device installed, adjusted and used.
4. Masthead light (aircraft warning light) installed & operative. Yes
5. Lighting adequate, secured with safety chain & Exproof type. Yes
6. Dead line stabilizer in place and effective. Yes
7. Fast line anchor well secured. Correct type of shackles. Yes
8. No loose items or tools in the mast and adequate safety chains used Yes
on all equipment suspended above the floor.
9. Safety lines on all mast pulleys, shackles safety type with pins. Yes
10. Chinstrap used with hard hat worn by mast worker. Yes
11. Wrist straps, tool belts used for tools when working at heights No Only slings to secure specific tools/ some
wrist straps
12. Life lines along the beams for attaching Harnesses lanyards. Yes
13. Raising lines, sockets, pulleys, “A” frame roller, equalizer yoke Yes
condition, last inspected.

Yes
7.2 – Mast – Monkey Board / Stabbing Board / No
Comments / Action

1. Monkey board condition, attachment to mast, handrails fitted. Yes

2. Full body safety harness, horizontal lanyards, inertia reel. Yes
3. Escape line set, secured to the mast (not to handrails), tested, brakes, Yes
access, anchor on ground, cable length & condition.
4. Condition of racks & safety chains, pulling rope, etc. Yes
5. Racking Kelly air winch fitted, cable condition, no leaks. NA
6. No non used tools left on monkey board, pulleys, shackles secured Yes
and pins in place. Water bottles well secured.
7. Monkey board weather / wind protection available. Yes
8. Stabbing board condition, attachment (pins complete/ secure). NA
9. Stabbing board inspected & operative. Adequate access. NA
10. Stabbing board operating winch & cable, brake working. NA
11. Fall arrestor & horizontal rope condition. Safety chain. Yes

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 FORM
Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 6 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Yes
7.3 – Mast – Hoisting Equipment / No
Comments / Action

1. Crown block condition. Inspected / Certified. Yes

2. Bloc line jump bar fitted. Handrails & toe boards on Platform. Yes
3. Crown dumper beam fitted and secured. Yes
4. Swivel condition, threads inspected/ certified. Yes
5. Kelly spinner, attachment, operating hoses condition, etc. NA
6. Condition of rotary hose. Yes
7. Block & Hook condition, inspected / certified. Yes
8. Travelling bloc guards securely bolted Yes
9. Hook & lock in good condition Yes
10. Elevators inspected (inspection type) & certified Yes
11. Elevator latches and hinge pins condition Yes

Yes
8.0 – Draw Works / No
Comments / Action

1. Moving parts guarded. Yes

2. Crown-O-Matic adjusted, properly fixed. Twin-stop adjusted. Yes
3. Condition of catheads (drum, cable and chain). Yes
4. Drilling line kickback rollers, condition. Attachment. Yes
5. Drill line Slipping & cutting program. Yes
6. Main brake condition & adjustment. Yes
7. Auxiliary brake condition Yes
8. Drillers panel instrument working. Gauges visible & labelled. Yes
9. Emergency Stop clearly marked & tested (date last test).

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 FORM
Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 7 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Yes
9.0 – HP System, Shakers & Mud Tanks / No
Comments / Action

1. Stand pipe pressure rating, flanged / integrated. (Not screwed).

2. Safety chains at swivel & gooseneck ends, attached to mast.
3. All 2” hammer union lines are Fig. 1502.
4. Pump drives guarded. Yes
5. All pressure (shock) hoses have effective safety chains. Yes
6. Pumps & tanks area well lighted. Lights secure & exproof. Yes
7. Steps and walkways clear and guard rails in place. Yes
8. Access stairs away from HP manifold / lines. Yes
9. Free access to shakers, gratings, handrails stairs condition. Yes
10. Mixing hopper clean and at convenient height.
11. Mixing pump drives guarded
12. Eye wash station & emergency shower at mixing area. Accessible, Yes
kept clean & fresh water.
13. Fire extinguishers available & adequate. Date last inspection. Yes
14. Chemicals accessible and packages in good condition. Yes
15. Chemical warning signs & MSDS positioned & legible Yes
16. PPE, gloves, apron, goggles, masks available and used. Yes

10.0 – Generators, SCR Room, Motors, Drives & Yes

Comments / Action
Compressors / No
1. Generators area Clean & no oil spills, combustibles removed. Yes
2. SCR Room clean, dry and cool. Yes
3. Lockout / Tagout procedures in place and used. Yes
4. All guards, inspection plates, covers in place. Yes
5. All moving machinery properly guarded. Yes
6. Generator earthed and shacks earth bonded. Yes
7. Resistance of rig electrical grounding measured & recorded. Yes Current record to be presented prior to
spudding
8. High voltage signs positioned as appropriate. Yes
9. Hearing protection available and used, signs visible. Yes
10. Eletcric chock Emergency Kit available Yes

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 FORM
Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 8 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Yes
11.0 – Electric, Mechanic & Welding Workshops / No
Comments / Action

1. Clean and no oil spills, combustibles removed. Yes

2. Welding equipment serviceable and correctly stored. Yes
3. Hearing protection available and used, signs visible. Yes
4. Friction lighters used – no matches or gas lighters. Yes
5. Compressed gas cylinders properly stored, capped. Yes
6. Gas welding hoses, gauges, regulators in good condition. Yes
7. Grinding wheels guarded & tool rests adjusted. NA
8. Eye protection used and eye wash available. Yes
9. Hand tools in good condition, electric units & extension cords have Yes
current leakage protection and tagged with date of test.
10. All oxy/acetylene welding sets fitted Flashback arrestors. Yes
11. Specific Welder PPE available and worn. Yes

Yes
12.0 – Fuel/Oil Storage & Water Supply / No
Comments / Action

1. Area clean and tidy Yes

2. Power lines buried or elevated. Yes
3. Flammable material labelled & stored in designated area Yes
4. Adequate fire extinguishers. Yes
5. Combustibles safely stored in designated area Yes
6. Rubbish bins – covered bins for oil soaked rags No Garbage skips to be covered
7. Walkways clear Yes
8. No Smoking signs and contents labelled for fuel storage areas Yes
9. Tanks vented and earthed Yes

Yes
13.0 – Crane, Forklift & Vehicles / No
Comments / Action

1. Crane hoisting/lowering load rating charts on display Yes

2. All wire rope and slings serviceable Yes
3. Rollover protection to be provided on relevant mobile plant. Yes
4. Lights, horns, brakes, reverse beeper etc, to be operative on all Yes
cranes, forklifts, vehicles and trailers.
5. Vehicles fitted with fire extinguishers Yes
6. Dedicated parking area in a safe area, reverse parking & signs Yes

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 FORM
Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 9 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Yes
14.0 – Rig Site Accommodation / No
Comments / Action

1. Offices tidy, well ventilated Yes

2. Electrical wiring to standard. Cabins earthed/tied with rig. Yes
3. Emergency procedures posted in the Offices / Rooms. Yes
4. Offices stairs with platform, handrails, Floor not slippery, doors open Yes
outside freely, wind-check chains.
5. Rooms with smoke detectors & Fire extinguishers. Yes
6. Toilets & showers, tidy & sufficient. Yes
7. Sewage line adequate, connected to sewage pit, covered. Yes
8. Offices area well lighted. No tripping hazards. Yes
9. Emergency lights in the main offices (DSV, TP). Yes
10. Offices muster skid with adequate lifting ears. Yes
11. Wooden ladder to safe access offices roof. No Removable metal ladders exist.
12. Shelves adequate, secure not overloaded. Mean to reach. Yes

Provide additional comments, as needed. Priorities: H=high / M=medium / L=low

Ref. Priority
No.
15.0 – Comments / Actions H/ M /L

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 FORM
Title:
Halliburton Management System
RIG ACCEPTANCE FORM
Document Number:
Region: Function/PSL:
FO-GL-HAL-HPM-WC-310
Global Halliburton Project Management
Owner: Approved By: Job Revision By: Rev Date: Rev No:
Page 10 of 10
Director – HPM Global Ops D. Nicholson D. Nicholson 14.AUG.13 2

Date Rev Summary of Key Revisions By

14.AUG.13 2  Renumbered from GND-GL-HAL-HPM-3100 to FO-GL-HAL-HPM-WC-310 D. Nicholson
 Added item numbers
19.JUN.09 1  Original Issue J. Nino

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