Route Survey Checklist

SHIVGANGA DRILLERS LIMITED

ROUTE SURVEY CHECKLIST

Date:

Rig:

Old Location:

New Location:

Expected Move Date:

Distance: KM

Prepared by:

A) ROAD INSPECTION SURVEY:

1) Road Condition:

Paved Skid Up / Down Hill Deep Sand Tight Turns

Remarks:

2) Road Defects:

Deep Ruts Mud Under Construction No Defects

Narrow section Sharp Bends Steep Gradients

Remarks:

3) Road Obstruction:

Bridge (weight restrictions) Sign Board Highway Crossing Power – lines

Remarks:

4) Road Map Provided:

Yes No

Remarks:

Highest Equipment: mtrs

Lowest Clearance: mtrs

B) HOT SPOTS INSPECTION SURVEY:

1) Is there any Hot Spot? Yes No

Remarks:

2) Schools: KM

Public Places: KM

Is the road clear and safe for the move? Yes No

If NO, specify what and why:

Corrective action to be taken:

Electric Power Outage Required Yes No Estimated Duration:

Comments:

Inspected By:

(Tool pusher)

(Signature)

(Company Representative / Company Man)

(Signature)

(Transport Comp. Representative/ Supervisor)

(Signature)

Issue No.1

Revision No. 1 (11.07.2022)

Doc: SGD/QHSE/F/1.19