Action Development Plan

Candidate Name: Position: Rig Number: Assessor's Name:

Knowledge Performance
No. Proposed action Unit Number Target date Responsible party Department
Or Skills Criteria #
 Name :

PHOTO Position :

Emp # :
Department :

Unit :
Unit # Total Rating Skills Knowledge Achieved
Unit 1 safeworking opeartion 0.00 0.00 0.00
Unit 2 effective team work 0.00 0.00 0.00
Unit 3 sling and lifiting 0.00 0.00 0.00
Perform Work in a toxic or non-life supporting
0.00 0.00 0.00
Unit 4 atmosphere
Unit 5 Perform mast operations 0.00 0.00 0.00
Unit 6 Monitor and maintain Mud Pumps 0.00 0.00 0.00
Unit 7 Inspect and maintain Mast equipment 0.00 0.00 0.00
Total Total 0.00 0.00 0.00
Total Rating % Total Rating % 0.00 0.00 0.00
Grand Total % 0.00
1.00
0.80
0.60
0.40
0.20
0.00

Result -
Total Rating %

Total

Inspect and maintain Mast equipment

Monitor and maintain Mud Pumps

Perform mast operations

Perform Work in a toxic or non-life supporting atmosphere

sling and lifiting

effective team work

safeworking opeartion
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00

Knowledge Skills
Introduction:

The Competence Assessment is designed to help the Employee to do his job more safely and effectively, and to progress in his career with NDSC. It is rig-based, and focuses on the
tasks specific to each job.

The program allows Employee to progress at a specified time frame, with the help of his Supervisor and the assessor.

This Portfolio contains details of the things a competent employee should know and with ability to perform the job of his position. It contains a number of assessment sheets for the
relevant elements selected and determined as part of competence Map. Each Element contains some Knowledge with things candidate need to know, and some Skills with things
candidate need to be able to perform the job..

If Candidate found incompetent to some of the elements or some of the performance criteria then both the assessor and candidate shall agree on the action plan such as awareness,
training, more practice or coaching required in the job along with target date to close the gap for improvement then the assessor can re-assess the candidate.

Once all the relevant assessment sheets have been completed and signed off then assessor shall send it to HR Manager for further record keeping and other formalities.

Upon successfully completing the assessments of all assigned elements Candidate should be able to demonstrate a clear understanding of his role and responsibilities of his position
and perform his main tasks safely and competently.

Candidate Details

Candidate Name:

Employee number :
Position: PHOTO
Rig Number:
Department Name:
Assessment Start date:
Direct Supervisor (Name, Job Title & Signature)
Department Manager Name:
Competence Portfolio Acceptance Form and Induction Confirmation

I have received the induction & understood the program details and its requirement as well as my role & responsibilities.
I accept the terms & conditions set in NDSC Competence Assurance Program.
I assure NDSC Management that I will comply with program plan and Assessor's instruction.

Candidate Name:
Employee number :
Position:
Rig Number:
Date:
Signature:

Copy of this page shall be forwarded to the HR Manager for entering into the Database

Completion Notification Form

To: HR Manager

We certify that this Candidate has completed to our satisfaction all the Competence Elements as per the set competence assurance program.

Candidate Name:
Employee number :
Position:
Rig Number:

Assessor's Name & Signature:

Date:
Verifier's Name & Signature:
Date:
Competence Assurance System - Guidelines :
a. Competence Assurance Program Presentation
Shall be presented to the candidate which includes Assessment Process (Induction & Planning, Execution, Decision Making, Disputes & Appeals, Action Plan/development, and
Record Keeping)
b. Each Element is made of two different parts:
1. Skills Assessment : This details the required standard for each element & is used to assess and record a persons skills against an Element
2. Knowledge Assessment : This is used to assess and record a persons knowledge, Knowledge can be assessed by asking questions or examination and may also be inferred having
observed the candidate complete a task against an Element.
c. Assessment Plan shall be formulated and followed by the candidate and the assessor.
Definitions :
Competence : An individual’s knowledge, skills, abilities, and behavioural attributes that enable him or her to perform his or her work consistently, precisely, and reliably.
Note: Although the definition of Knowledge, Skills, and Abilities—often referred to as KSAs—is not exactly the same as competencies, they serve the same purpose and are often
used interchangeably.
Knowledge : An employee’s clear and practical understanding of the material needed to perform his or her job successfully and efficiently. Knowledge can be tested.
Skill : An employee’s ability to perform the job tasks consistently, precisely, and reliably. Skills can be assessed.
Ability : An employee’s physical capabilities (e.g., climbing, lifting, seeing, hearing). Ability can be determined but typically cannot be enhanced.
Competence Assurance Program A structured and documented process of identifying, defining, assessing, developing, and managing the continuous competence of company
personnel. It includes the formal systems, tools, and processes that ensure personnel are competent to complete tasks to a determined standard.
Not Yet Competent (NYC) : The term NYC is used to describe an Individual who has been assessed in their current job and gaps have been identified
Competent : The term competent is used to describe an Individual who has been assessed in their current job and has satisfactorily demonstrated knowledge understanding and
implementation of all the performance criteria outlined in the task or skill being assessed and no further action is required.

Assessment Plan :
HR Manager shall initiate a plan with timeline for initial assessment as well as reassessment of the candidate and communicate to all involved. The plan must be
recorded/documented to ensure consistency in applying the program and continued competence of individual employees

Candidate :

Candidate must be able to demonstrate that he meet the performance criteria which have been set in the assessment sheets. He shall be responsible for the followings:

a.Must take an active part in the assessment process & be able to demonstrate to his assessor that he can meet the standard.
b.Must produce evidence of assessment within a reasonable timescale making sure it is authentic & legible and meets the requirements of the relevant Assessment sheet.
c. Shall Identify opportunities for observations and other assessments to their assessor
d. Identify opportunities for observations and other assessments to their assessor
e. Take responsibility for own progress to help their crew and Rig achieve their competency targets.
Assessor :

The assessor is responsible for supporting, assisting & ultimately assessing the individual and complete the assessment sheet as well as coordinating with the verifier. He is
responsible to do the followings:

a. Agree a plan with the candidate on how the assessment will be completed within agreed timeframe
b. keep the competence portfolio book secured and always available until its finalized then to be sent to verifier.
c. Help candidate to understand the competencies they need to demonstrate and what evidence they will require to substantiate assessment.
d. Assess the candidate through using a combination of observation, questions & examining work product & records which the individual has been involved in.
e. Record the feedback assessment to show how each performance criteria have been met & been satisfied
f. Provide feedback to the candidate to see his progress & any issues, difficulties or problems are highlighted and resolved
g. Communicate with the assigned Verifier to ensure consistency in the assessments

Verifier :

Part of Competence Assurance Program (CAP) that quality of assessments shall take place as a first step by the assigned verifier. He shall review the completed assessments to
ensure fair assessment being done and as per NDSC CAP.

The following main Role & responsibilities of the verifier :

a. Ensures processes are being followed and records are being managed in accordance with program processes and company policy.
b. Verifies the accuracy and validity of records.
c. Provide support & assistance to Assessors whenever is requested & provide feedback
d. Manage individual progress by tracking & monitoring the progress of each individual Competence Portfolio Book assigned to him and deal with any issues as they arise
e. Reports findings of non-conformance.
f. Upon completion of the verification process, verifier shall sign off and send the Competence Portfolio book to HR Manager who shall update the employees’ records accordingly.

Documentation :

Every individual will be issued with the Competence portfolio Book covering their role. It is the assessor responsibility to look after the book until its sent to verifier for further
verification.
Assessment sheet has been developed for each identified competence element and shall be signed off after completion by the Candidate, Assessor and Verifier.
once the

On the completion of the assessments, the verifier shall send the completed Competence Portfolio book to HR Manager (Focal Point) for retention in the candidates personal file
and issue of a Certificate of Competence. copy of the certificate only to be given to the candidate.
Assessment Methods & Tools :
Methods that produce the highest quality evidence of competence should be selected. Assessment methods include the followings, but are not exclusive to:

Disputes and Appeals Process :

Candidate is entitled to appeal an assessment decision if they have reasonable concerns that the assessment was not conducted in a fair and just manner. Disputes in assessment
decision will be handled through the following appeals Process:
 Drilling Operations Cmap - Derrickman
Item# Unit Elements
Comply with Safety and emergency procedure for drilling
1.1
operations
Work safely in drilling
1.0 1.2 Identify and Control hazards and risks
operations
1.3 Work safely at heights

2.1 Establish and maintain productive working relationships

Contribute to effective
2.0 2.2 Work with others
team working
2.3 Handle conflict

3.1 Prepare the load for moving

3.0 Sling lift and move loads 3.2 Use safe lifting and manual handling techniques

3.3 Move and guide the load

3.4 Select, use, and care for PPE

Perform work in a toxic
4.0 or non-life supporting 4.1 Minimize risks in toxic atmospheres
atmosphere
4.2 Perform work safely

4.3 Setting back the tubulars within the fingers

5.1 Cleaning tubulars

Perform mast
5.0
operations
5.2 Advise completion of cleaning process

5.3 Racking and securing stands in the planned position

6.1 Interpreting operational requirements
Monitor and maintain
6.0 6.2 Prepare and maintain the mud pumps for use
Mud Pumps
6.3 Monitor the mud pumps during drilling operations
Carry out planned inspection and maintenance of Mast
7.1
equipment
Inspect and maintain
7.0
Mast equipment 7.2 Remove and replace faulty mast equipment
7.3 Confirm that equipment is fit for service
erations Cmap - Derrickman
Assessor Name
 NDSC Competency Assurance Program (Derrickman)

Skills Assessment Feedback

Unit 1 : Work safely in drilling operations
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Item Final
Rating (1- Method Assessment Reference Date
# Skills Assessment 2) Tool/Evidence #
Assessor's Comments Date Assessed Proposed Action Target date Verifier Comments
Verified
Rating
(1-2)

1 Apply evacuation procedures in case of accident emergency.

Apply working processes as per Standard Operating Procedure (SOP) in the event of fires/fire
2 drills and the evacuation of premises and work areas.

3 Use Emergency tools and equipment such as BA set & escape packs, BOP control panels, etc.

4 Identify hazards and intervene to protect others from harm.

5 Apply first Aid in event of accidents involving injury.
Use the appropriate clothing and personal protective equipment (PPE) and safety equipment
6 for the work activity.
7 Inspect safety equipment and PPE prior to use.
8 Apply PTW process.
Apply safety procedures when working at heights and taking preventive measures against
9 dropped objects.
10 Handle hazardous materials
Seeking & applying the appropriate information identify hazards associated with any
11 substance used.
12 Perform risk assessment in line with hierarchy of control requirement
13 Perform MOC, TRIC, STOP cards, JSA.
14 Perform inspections for PTW, DROPs, working at heights etc.
15 Maintain Two-way communication at all times.
16 Carry out rescue from working at height.
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Knowledge Assessment Feedback
Unit 1 : Work safely in drilling operations
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Item Rating (1- Assessment Reference Date Final
# Knowledge Assessment 2) Method Tool/Evidence # Assessor's Comments Date Assessed Proposed Action Target date Verifier Comments Verified Rating
(1-2)
1.1 Element 1: Comply with Safety and emergency procedure for drilling operations
Comply with duties and obligations in accordance with organization’s directives, guidelines
1.1.1 and prevailing statutory regulations.
1.1.2 Follow organizational accident and emergency procedures
1.1.3 Use appropriate manual lifting and handling techniques
1.1.4 Maintain communication with team members at all times.
1.2 Element 2: Identify and Control hazards and risks
1.2.1 Identify any potential workplace hazards and risks.
1.2.2 Evaluate the risks associated with the tasks to be undertaken.
1.2.3 Take appropriate action to minimize the risk from workplace hazards
1.2.4 Report any hazards identified and any actions you have taken
1.3 Element 3: Work safely at heights
1.3.1 Obtain permits to work at height before commencing work
Check work area regularly for obstructions that may interfere and cause restrictions in work
1.3.2 at height

1.3.3 Follow an agreed plan to work at height in line with procedures.

1.3.4 Identify DROP objects and apply mitigations as per procedures
1.3.5 Work safely at heights in extreme environmental conditions
Carry out pre-use checks on PPE, PFPS and access equipment in line company procedures
1.3.6 and manufacturer's instructions

Total achieved Rating 0.00 Total Final Rating Achieved 0.00

Candidate Name : Assessor's Name: Verifier's Name:
Position : Position : Position :
Employee # : Employee # : Employee # :
Department Name : Department Name : Department Name :
Unit # : Unit # : Unit # :
Signature : Signature : Signature :
 NDSC Competency Assurance Program (Derrickman)

Skills Assessment Feedback

Unit 2 : Contribute to effective team working
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Final
Rating Method Assessment Reference # Date Target Verifier Date Rating
Item # Skills Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified (1-2)

1 Use of team working techniques to achieve common goals.

2 Develop a conflict resolution plan.
3 Use different communication techniques in a team environment to achieve common goals!
4 Using conflict handling and problem-solving methodologies to achieve team effectiveness.
5 Understanding team dynamics in dealing with people.
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Knowledge Assessment Feedback
Unit 2 : Contribute to effective team working
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Rating Method Assessment Reference # Date Target Verifier Date Final
Item # Knowledge Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified Rating
(1-2)
2.1 Element 1: Establish and maintain productive working relationships

2.1.1 Make sure that any actions that you take are within the limits of one’s own responsibility and
authority
2.1.2 Communicate in a manner which promotes understanding, good will and trust
2.2 Element 2: Work with others

2.2.1 Present one ‘self in the workplace on time and in a way that does not cause concern to other
team members.

2.2.2 Work in accordance with the roles and responsibilities identified for individual and team
activities

2.2.3 Ask for information, advice and / or help politely, without causing disruption to one’s own or
other team members’ work.
2.2.4 Offer help to others willingly to ensure team objectives are met.

2.2.5 Contribute to team discussion / briefing sessions in a positive manner that shows respect for the
views and rights of others

2.2.6 Refer requests for information and / or assistance that are outside one’s authority/responsibility
to the involved personnel.
2.3 Element 3: Handle conflict

2.3.1 Deal with problems in team relationships in ways which minimise offence and maintain mutual
respect.
2.3.2 Work together to resolve disagreements and difficulties in team relationships.
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:

Position : Position : Position :

Employee # : Employee # : Employee # :

Department Name : Department Name : Department Name :

Unit # : Unit # : Unit # :

Signature : Signature : Signature :

 NDSC Competency Assurance Program (Derrickman)

Skills Assessment Feedback

Unit 3 : Sling lift and move loads
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Item Rating Assessment Date Target Date Final

# Skills Assessment (1-2) Method Tool/Evidence Reference # Assessor's Comments Assessed Proposed Action date Verifier Comments Verified Rating
(1-2)

1 perform daily inspection of lifting and sling accessories and maintain required records.

2 Participate in all toolbox talks, HSE meetings and safety drills held on the rig and at the camp.

3 Assist with rig moves as directed by the driller.

4 Perform duties as part of the emergency crews.
Calculate weight of loads to be moved against the load bearing capability of cranes and
5
terrain route.
6 Establish the suitability of lifting equipment against the components to be lifted.

7 Read and understand organization lifting procedures, access control procedures etc.

Total achieved Rating 0.00 Total Final Rating Achieved 0.00

Knowledge Assessment Feedback
Unit 3 : Sling lift and move loads
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Item Rating Assessment Date Target Date Final

# Knowledge Assessment (1-2) Method Tool/Evidence Reference # Assessor's Comments Assessed Proposed Action date Verifier Comments Verified Rating
(1-2)
3.1 Element 1: Prepare the load for moving
3.1.1 Select the handling equipment for the work to be done
3.1.2 Carry out visual pre-use checks before using any lifting equipment
3.1.3 Removal of equipment from service where equipment is not in good condition
3.1.4 Carry out pre-job inspection for lifting accessories.
3.2 Element 2: Use safe lifting and manual handling techniques
3.2.1 Work safely at all times, complying with health and safety and other relevant lifting plans,
regulations, and guidelines
3.2.2 Use safe lifting and manual handling techniques
3.2.3 Establish and maintain communications with all persons working in and a round the area of the
lifting operation
3.2.4 Confirm that the load is secure before moving/lifting
3.3 Element 3: Move and guide the load
3.3.1 Eliminate load slippage during movement
3.3.2 Ensure the weight of the load is evenly distributed
3.3.3 Communicate using standard signaling methods
3.3.4 Guide the load over the selected, suitable route
3.3.5 Use tag lines and safely and appropriately
3.3.6 Shift the load safely to its intended final location
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:
Position : Position : Position :
Employee # : Employee # : Employee # :
Department Name : Department Name : Department Name :
Unit # : Unit # : Unit # :
Signature : Signature : Signature :
 NDSC Competency Assurance Program (Derrickman)

Unit 4 : Perform Work in a toxic or non-life supporting Skills Assessment Feedback

atmosphere Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Rating Method Assessment Reference # Date Target Verifier Date Final
Item # Skills Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified Rating
(1-2)
1 Plan working in toxic or non-life supporting atmosphere.
2 Manage activities in toxic or non-life supporting atmosphere.
3 Respond to emergency and drills.
4 Implement procedure to enable safe access and egress.
5 Perform risk assessment for work in a toxic environment.
6 Identify potential hazards and associated mitigating measures.
7 Operate respiratory protective equipment and alarms systems.
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Unit 4 : Perform work in a toxic or non-life supporting Knowledge Assessment Feedback
atmosphere Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Final
Rating Method Assessment Reference # Date Target Verifier Date
Item # Knowledge Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments
Rating
Verified (1-2)

4.1 Element 1: Select, use, and care for PPE

4.1.1 Obtain and interpret job instructions and documentation related to

PPE for working in a toxic or non-life supporting environment
4.2 Element 2: Minimize risks in toxic atmospheres

4.2.1 Identify any potential hazards and take action to minimize the risk
from them
4.2.2 Identify faults and defects in the safety related work and/or escape
equipment and take remedial action
4.3 Element 3: Perform work safely

Use safety measures within the confines of the work site such as
4.3.1 personnel entry/egress log to enter/exit the work site as per
procedures
4.3.2 Confirm the validity of work permit
4.3.3 Perform the work site operation as per company procedures
4.3.3 Assist in recording all relevant information to the operation
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:
Position : Position : Position :
Employee # : Employee # : Employee # :
Department Name : Department Name : Department Name :
Unit # : Unit # : Unit # :
Signature : Signature : Signature :
 NDSC Competency Assurance Program (Derrickman)

Skills Assessment Feedback

Unit 5 : Perform mast operations
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Item Skills Assessment Rating Method Assessment Reference Date Target Verifier Date Final
Assessor's Comments Proposed Action
# (1-2) Tool/Evidence # Assessed date Comments Verified Rating
(1-2)
1 Effectively and safely use restraining tools.
Operate the equipment at monkey board & maintain valid inspection report
2 for those equipment (winches, iron Derrickman, pipe handling system, etc.

3 Inspect the condition of wire rope sling of monkey board winch.

Deal with equipment movement (Top Drive traveling up and down, pipe
4 handler, pipe stands, Casing Running Tool, etc.)

5 Use PTW system while working at height.

6 Apply Pipe minimum acceptance criteria (drift, thread conditions) for visual
inspection as per OEM
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Knowledge Assessment Feedback
Unit 5 : Perform mast operations
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Item Rating Method Assessment Reference Date Target Verifier Date Final
# Knowledge Assessment (1-2) Tool/Evidence #
Assessor's Comments
Assessed
Proposed Action
date Comments Verified Rating
(1-2)
5.1 Element 1: Setting back the tubulars within the fingers

5.1.1
Obtain confirmation of the tubulars to be pulled out of and run into the holes
5.1.2 Establish how the tubulars will be set back within the fingers to meet
operational requirements
5.1.3 Ensure that the communication system between the derrick and the driller is
working correctly
5.2 Element 2: Cleaning tubulars
5.2.1 Ensure tubulars are free of defects before cleaning process
5.2.2 Ensure tubulars are clean and free of internal obstructions
5.3 Element 3: Advise completion of cleaning process
5.3.1
Report the completion of pre-inspection/preparation to the appropriate person
5.4 Element 4: Racking and securing stands in the planned position
5.4.1 Pull back and deliver stands/joints into and out of the mast
3.4.2 Rack and secure stands in the planned position
5.4.2 Select and make ready stands to meet operational requirements
5.4.3 Make sure the stands are cleanly latched into the elevators
5.4.4 Ensure use of mast winch and tail rope
5.4.5 Ensure donning and adjustment of restraining equipment
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:

Position : Position : Position :

Employee # : Employee # : Employee # :

Department Name : Department Name : Department Name :

Unit # : Unit # : Unit # :

Signature : Signature : Signature :
 NDSC Competency Assurance Program (Derrickman)

Skills Assessment Feedback

Unit 6 : Monitor and maintain Mud Pumps
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Rating Method Assessment Reference Assessor's Comments Date Target Verifier Date Final
Item # Skills Assessment (1-2) Tool/Evidence # Assessed
Proposed Action
date Comments Verified Rating
(1-2)

Apply HSE management tools on the work site, prior to commencing work e.g.,
1 Permit to Work (PTW ) system, use of Lockout & tagout at all the time before
attending any work on mud pumps etc.

Maintain proper service/preventive maintenance including daily records of

2 running time for mud pump consumable parts and to replace as per
recommended schedule
Maintain proper draining system around the mud pump area to avoid any
3 environmental spill
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Knowledge Assessment Feedback
Unit 4 : Monitor and maintain mud pumps
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Rating Method Assessment Reference Assessor's Comments Date Target Verifier Date Final
Item # Knowledge Assessment (1-2) Tool/Evidence # Assessed
Proposed Action
date Comments Verified Rating
(1-2)
6.1 Element 1: Interpreting operational requirements

6.1.1 Access and interpret relevant documentation, policies, and procedures

6.1.2 Communicate with others to receive and clarify work instructions

Comply with written and verbal reporting requirements and agreed
6.1.3
procedures
6.2 Element 2: Prepare and maintain the mud pumps for use
6.2.1 Identify, address and report potential hazards and risks
6.2.2 Carry out maintenance activities on the mud pump

6.2.3 Identify, address and report environmental issues related mud pump
operations
6.3 Element 3 : Monitor the mud pumps during drilling operations
6.3.1 Ensure monitoring of mud pump operations
6.3.2 Identify and control hazards during mud pump operations

6.3.3 Implement the requirements, procedures, and techniques for the completion
of mud pump operations
6.3.4 Report faults and malfunctions of mud pump operations

6.3.5 Report completion of the monitoring and maintaining mud pumps and
equipment
6.3.6
Take prompt action to deal with any equipment defects and deficiencies
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:
Position : Position : Position :
Employee # : Employee # : Employee # :
Department Name : Department Name : Department Name :
Unit # : Unit # : Unit # :
Signature : Signature : Signature :
 NDSC Competency Assurance Program (Derrickman)

Skills Assessment Feedback

Element 7 : Inspect and maintain Mast equipment
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Rating Method Assessment Reference # Date Target Verifier Date Final

Item # Skills Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified Rating
(1-2)

1 Perform physical and visual inspection of the mast area and associated
equipment.
2 Effectively use fall arrestor equipment.
3 Apply proper securing method used on the equipment
4 Apply preventive controls for each DROPS condition.
5 Carry out DROPS inspection/checks for each zone as per rig layout.
6 Prepare a close out report against all HSE tools on the mast
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
 Knowledge Assessment Feedback
Unit 7 : Inspect and maintain Mast equipment
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Rating Method Assessment Reference # Date Target Verifier Date Final
Item # Knowledge Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified Rating
(1-2)
7.1 Element 1: Carry out planned inspection and maintenance of Mast equipment
Interpret information relating to the planned inspection and maintenance of
7.1.1
Mast equipment
Inspect and maintain equipment and fixtures within mast area including crown
7.1.2
block, mast, locking pins, hydraulics, drive, and winch systems
Comply with the organization procedure and instruction to carry out inspection
7.1.3
and maintenance
7.2 Element 2: Remove and replace faulty mast equipment
7.2.1 Secure and attach block in preparation for slip and cut operations
7.2.2 Assist others during specialized maintenance and repairs within mast area
7.3 Element 3: Confirm that equipment is fit for service
7.3.1 Confirm that equipment and relevant work areas are ready and fit for purpose

7.3.2 Comply with organizational procedures to minimize the risk of damage to the
work and surrounding area
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:
Position : Position : Position :
Employee # : Employee # : Employee # :
Department Name : Department Name : Department Name :
Unit # : Unit # : Unit # :
Signature : Signature : Signature :