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SHIVGANGA DRILLERS LIMITED
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| WELL SITE EXIT INSPECTION | ||||||||
| General Information | ||
| 1 | Area/ Field Name: | |
| 2 | Rig Site Name: | |
| 3 | Name of assessor: | |
| 4 | Date of the rig operations exited the site: | |
| Site Inspection | ||||
| Questions | Yes | No | Provide Details | |
|---|---|---|---|---|
| 5 | Well Is Secured. X-MAS Tree is installed and pressure tested as per standard. | |||
| 6 | Has the location been cleared of all equipment? | |||
| 7 | Has the location been cleared of all waste? | |||
| 8 | Has the cellar been emptied? | |||
| 9 | Is the weather (rain) affecting well site and waste pit conditions? | |||
| 10 | Was the Waste and Water pits left at condition to desired satisfaction? | |||
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Please detail any other additional information or hazards not covered above (attach copies of reports as applicable):
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| Report Approval | |
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DS/TP Name:
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Customer Representative Name:
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Signature:
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Signature:
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Date:
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Date:
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