Date of Year Month day Company: Inspection: Inspected By: Rig #: Model: Manufacturer: Serial #: MASTS Re OK N/A pair Re OK N/A Groove wear in sheaves pair Locking pin saddle Check sheaves for cracks Re OK N/A pair Anchor point for monkey Warped Condition board Water table condition Chain for hanging blocks Sheaves Stand pipe brackets Side play in sheave Anchor points Kelly hose safety chained Crown pillars Stoppers Main supports Crown hand railings Fall protection anchor Cross members point(s) Raising ram anchor points Guy line anchors (remove pins to inspect) Raising ram pins Winch line/rod transfer (remove pins to inspect) sheaves Re OK N/A Anchor points for scoping Tong line anchor pair ram Attachment lugs Floor brackets Mast shoes (radius base Tong anchor beam) Table spreader beams Winch anchor point Setback beams Block plate Re OK N/A Spreader legs Condition of ladder pair Anchor point for rod Pins Manufacturers rating plate transfer BOP carrier Anchor point for tong sheave Condition of welds Anchor point for rod basket Condition of decking Main supports Cross members Re OK N/A pair Locking pins Adjuster condition Condition of ladder End connection pin hole OVERHEAD EQUIPMENT End connection threads Re OK N/A pair Top bolt covers Main sheave bolt Re OK N/A pair Retaining pins Frame Re Sheave grooves OK N/A pair Fingers Hydraulic system Make: Pin condition Raising ram condition Model: Safety chains or cables Hose and hose ends Serial #: Connections Equip.#: Pins and bolts Inspection Date: Ram flow restrictor Insp. Comp.: Insp.#: Re OK N/A pair Tonnage: Frame condition Fingers condition Pin condition Re OK N/A pair Safety chains Arms Handrails Re Locks OK N/A pair Sheave anchors Slides Check hook/becket bolts Check eyewear on A-base hook/becket
Company: Date of Inspection: Year Month day Inspected By: Rig #: Model: Manufacturer: Serial #: MASTS OK Re pair N/A Groove wear in sheaves Check sheaves for cracks Warped Water table condition Side play in sheave Crown pillars Crown hand railings Fall protection anchor point(s) Guy line anchors Winch line/rod transfer sheaves Tong line anchor OK Re pair N/A Anchor point for rod transfer Anchor point for tong sheave Anchor point for rod basket Main supports Cross members Locking pins Condition of ladder OK Re pair N/A Frame Fingers Pin condition Safety chains or cables OK Re pair N/A Frame condition Fingers condition Pin condition Safety chains Handrails Sheave anchors OK Re pair N/A Locking pin saddle Anchor point for monkey board Chain for hanging blocks Stand pipe brackets Kelly hose safety chained Main supports Cross members Raising ram anchor points (remove pins to inspect) Raising ram pins (remove pins to inspect) Anchor points for scoping ram Floor brackets Tong anchor Winch anchor point Block plate Condition of ladder Manufacturers rating plate OK Re pair N/A Adjuster condition End connection pin hole End connection threads OK Re pair N/A Hydraulic system Raising ram condition Hose and hose ends Connections Pins and bolts Ram flow restrictor OK Re pair N/A Arms Locks Slides A-base OK Re pair N/A Condition Sheaves Anchor points Stoppers OK Re pair N/A Attachment lugs Mast shoes (radius base beam) Table spreader beams Setback beams Spreader legs Pins BOP carrier Condition of welds Condition of decking OVERHEAD EQUIPMENT OK Re pair N/A Top bolt covers Main sheave bolt Retaining pins Sheave grooves Make: Model: Serial #: Equip.#: Inspection Date: Insp. Comp.: Insp.#: Tonnage: OK Re pair N/A Check hook/becket bolts Check eyewear on hook/becket