TRIPOD INSPECTION FORM (Monthly)
Abraj Energy
Company Name:
Rig: 206 Location: Mud tank
Inspector person: Mohammed Al kalbani Date: YY/MM/DD 31/10/2022
Make: SALA 3M protect Model: 8000000
Serial/Lot 25 Tag E004035011AB96AC
☐ PASS ☐ FAIL
number: number/color:
Inspection Criteria
F) Labels present ☐ Yes ☐ No
F) Labels legible ☐ Yes ☐ No
All bolts and nuts securely attached ☐ Yes ☐ No
A) Missing bolts/nuts/pins or other parts ☐ Yes ☐ No
A) Altered bolts/nuts/pins or other parts ☐ Yes ☐ No
A) Substituted bolts/nuts/pins or other parts ☐ Yes ☐ No
Corrosion on body ☐ Yes ☐ No
E) Corrosion on nuts/bolts ☐ Yes ☐ No
H) Legs telescope in and out freely/ Adjustable Leg ☐ Yes ☐ No
I) Legs straight with no signs of deformation or distortion ☐ Yes ☐ No
D) Legs lock into place when erect ☐ Yes ☐ No
J) Feet pivot smoothly ☐ Yes ☐ No
J) Feet rubber pads in place ☐ Yes ☐ No
I) Leg chain undamaged ☐ Yes ☐ No
E) Eye-bolt anchorage in place ☐ Yes ☐ No
E) Eye-bolt anchorage dree from damage ☐ Yes ☐ No
B) Cable pulleys clean ☐ Yes ☐ No
B) Cable pulleys rotate freely ☐ Yes ☐ No
G) Quick Mount Bracket ☐ Yes ☐ No
K) Safety Chain ☐ Yes ☐ No
Comments: Please include details on findings above when applicable.
Inspection outcome: ☐PASS ☐FAIL
Mohammed Al kalbani /SLCP
Inspected by: Omer / Mud Tester Signature:
Rev. 01 October 2022 Abraj Lifting Supervisor
Rev. 01 October 2022 Abraj Lifting Supervisor