COASTAL DRILLING RIG SAFETY AUDIT

ACTION LOG

Date: 31-Jan-12 Audit Conducted By: Casey Weatherfordlocation Rig: 22 Toolpusher: Mike Andersonwell number

Date Complete:AUDIT TRACKING PRIORITY DATE

COMMENTSDATE CODE # RATING CORRECTED

1/31/2012 1 1 Trash rope on handrails1/31/2012 2 1 Extension cords need to be stored in proper area1/31/2012 3 1 Airl ine missing keeper and hose in walkway1/31/2012 4 1 Panel not properly secured1/31/2012 5 1 Trash rope on life jacket box1/31/2012 6 1 Extension cord left on deck of pipe rack1/31/2012 7 1 Faceshield left on pipe rack post1/31/2012 8 1 Bottle needs to be secured properly1/31/2012 9 1 Faceshield on deck under pipe1/31/2012 10 1 Lifting straps need to be stored properly out of elements1/31/2012 11 1 Rags behind koomey unit1/31/2012 12 1 Paint left out on table1/31/2012 13 1 Extension cords left in walkways when not in use1/31/2012 14 1 Paint left out in shaker shack1/31/2012 15 1 Chemicals need to be stored in paint locker1/31/2012 16 1 Needle gun and hose left out when not in use1/31/2012 17 1 Aerosol can and stencils left in angle irons1/31/2012 18 1 Panel has open bolt holes(cement unit)1/31/2012 19 1 Exstention cords left out on deck when not in use1/31/2012 20 1 Scaffolding needs to be taken down1/31/2012 21 1 Guage needs to be cleaned up1/31/2012 22 1 Trash rope hanging from steps1/31/2012 23 1 Bucket and lid need to be stenciled1/31/2012 24 1 Paint and gear need to be stored properly when finished using1/31/2012 25 1 Air line connection doesn not have keeper in place1/31/2012 26 1 Lanyards need to stored in proper place1/31/2012 27 1 Faceshield not stored in PPE box1/31/2012 28 1 Aerosol can left out on mud pits

COMMENTS

Trash rope on handrailsExtension cords need to be stored in proper areaAirl ine missing keeper and hose in walkwayPanel not properly securedTrash rope on life jacket boxExtension cord left on deck of pipe rackFaceshield left on pipe rack postBottle needs to be secured properlyFaceshield on deck under pipeLifting straps need to be stored properly out of elementsRags behind koomey unitPaint left out on tableExtension cords left in walkways when not in usePaint left out in shaker shackChemicals need to be stored in paint lockerNeedle gun and hose left out when not in useAerosol can and stencils left in angle ironsPanel has open bolt holes(cement unit)Exstention cords left out on deck when not in useScaffolding needs to be taken downGuage needs to be cleaned upTrash rope hanging from stepsBucket and lid need to be stenciledPaint and gear need to be stored properly when finished usingAir line connection doesn not have keeper in placeLanyards need to stored in proper placeFaceshield not stored in PPE boxAerosol can left out on mud pits

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code1

Date Completed:

Comments: Trash rope on handrails

Priority Rating

x 1 2 3 4

Check One

Tracking Code 2

Date Completed:

Comments: Extension cords need to be stored in proper area

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code3

Date Completed:

Comments: Airl ine missing keeper and hose in walkway

Priority Rating

x 1 2 3 4

Check One

Tracking Code 4

Date Completed:

Comments: Panel not properly secured

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code5

Date Completed:

Comments: Trash rope on life jacket box

Priority Rating

x 1 2 3 4

Check One

Tracking Code 6

Date Completed:

Comments: Extension cord left on deck of pipe rack

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code7

Date Completed:

Comments: Faceshield left on pipe rack post

Priority Rating

x 1 2 3 4

Check One

Tracking Code 8

Date Completed:

Comments: Bottle needs to be secured properly

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code9

Date Completed:

Comments: Faceshield on deck under pipe

Priority Rating

x 1 2 3 4

Check One

Tracking Code 10

Date Completed:

Comments: Lifting straps need to be stored properly out of elements

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code11

Date Completed:

Comments: Rags behind koomey unit

Priority Rating

x 1 2 3 4

Check One

Tracking Code 12

Date Completed:

Comments: Paint left out on table

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code13

Date Completed:

Comments: Extension cords left in walkways when not in use

Priority Rating

x 1 2 3 4

Check One

Tracking Code 14

Date Completed:

Comments: Paint left out in shaker shack

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code15

Date Completed:

Comments: Chemicals need to be stored in paint locker

Priority Rating

x 1 2 3 4

Check One

Tracking Code 16

Date Completed:

Comments: Needle gun and hose left out when not in use

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code17

Date Completed:

Comments: Aerosol can and stencils left in angle irons

Priority Rating

x 1 2 3 4

Check One

Tracking Code 18

Date Completed:

Comments: Panel has open bolt holes(cement unit)

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code19

Date Completed:

Comments: Exstention cords left out on deck when not in use

Priority Rating

x 1 2 3 4

Check One

Tracking Code 20

Date Completed:

Comments: Scaffolding needs to be taken down

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code21

Date Completed:

Comments: Guage needs to be cleaned up

Priority Rating

x 1 2 3 4

Check One

Tracking Code 22

Date Completed:

Comments: Trash rope hanging from steps

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code23

Date Completed:

Comments: Bucket and lid need to be stenciled

Priority Rating

x 1 2 3 4

Check One

Tracking Code 24

Date Completed:

Comments: Paint and gear need to be stored properly when finished using

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code25

Date Completed:

Comments: Air line connection doesn not have keeper in place

Priority Rating

x 1 2 3 4

Check One

Tracking Code 26

Date Completed:

Comments: Lanyards need to stored in proper place

Coastal DrillingRig Survey Pictorial

Rig Number: 22 Date Of Survey: 1/31/2012

Rig Managers Signature:

Priority Ratings: 1 = Immediate action needed 2 = Correct Within 10 Days3 = Correct Within 30 Days 4 = Correct by Next Rig Move

Priority Rating

x 1 2 3 4

Check One

Tracking Code27

Date Completed:

Comments: Faceshield not stored in PPE box

Priority Rating

x 1 2 3 4

Check One

Tracking Code 28

Date Completed:

Comments: Aerosol can left out on mud pits