1. Inspection Checklist ITEMS INDICATE COMPLIANCE AS FOLLOWS: YES (Y) NO (N) NOT APPLICABLE (N/A) REMARKS Inspection Checklist ITEMS “Company” Special Services INDICATE COMPLIANCE AS FOLLOWS: YES (Y) NO (N) NOT APPLICABLE (N/A) REMARKS *Special Services encompasses Wire-line, Stripping & Snubbing, Drill Stem Testing, Acidizing, Fracturing, Hot Oil, Cementing, Gas Air or Mist Drilling, Hot Tapping and Freezing and Hot Work Operations. *taken from the OSHA Rig, Work over & and Special Service checklist Disclaimer This published work contains confidential and proprietary information of Consolidated Digital Publishing. This course may not be reproduced or distributed in any form or part without the prior written permission of Consolidated Digital Publishing. This course should be reviewed to assure that the information conforms to recommended procedures, as well as to any federal, state or local laws regarding any facility’s operation. The producer makes no warranty, expressed or implied, that the information in these courses are accurate or appropriate for any particular facility’s environment, or any individual employee’s situation.

2. Inspection Checklist ITEMS INDICATE COMPLIANCE AS FOLLOWS: YES (Y) NO (N) NOT APPLICABLE (N/A) REMARKS General Requirements

3. Inspection Checklist ITEMS INDICATE COMPLIANCE AS FOLLOWS: YES (Y) NO (N) NOT APPLICABLE (N/A) REMARKS General Requirements

4. Inspection Checklist ITEMS INDICATE COMPLIANCE AS FOLLOWS: YES (Y) NO (N) NOT APPLICABLE (N/A) REMARKS General Requirements

5. Inspection Checklist ITEMS INDICATE COMPLIANCE AS FOLLOWS: YES (Y) NO (N) NOT APPLICABLE (N/A) REMARKS General Requirements