ASSISTANT DERRICKHAND -

Employment Application

(Experience Required)

Fox Drilling Inc. is a small drilling contractor located in Lethbridge, Alberta, established in 2009. We operate in Central and Northern Alberta, specializing in pad (batch) drilling focusing on long-reach horizontal wells. We put a strong emphasis on health and safety and ensuring our employees are valued and safe.

Job Description:

• Provide manual labour in all weather conditions

• Must assist Derrickhand with:

- Maintenance and operation of mud-handling equipment, pumps, shakers, tanks, etc.

• Assist in the maintenance of drilling fluids

• Handle pipe during connections relative to drilling and tripping operations

• Operate loader and telehandler daily

• Conduct derrick inspections and report any deficiencies

• Assist Driller in drilling and tripping operations

• Assist with training new employees

• Guide and mentor workers to be prepared for upcoming processes

• Assist crew members as required

Job Requirements:

• Past experience is required

• Must be 18 years of age or older

• Valid driver’s licence preferred

• Basic mechanical skills an asset

• Must have reliable transportation for long-distance travel

• Ability to work at heights greater than 3 meters

• Must be able to physically lift/carry 40kg of weight over a distance of 15 meters

• Ability to work in remote locations for extended periods of time

• Must be able to take directions and listen effectively

• Must be able to work unsupervised and take the initiative

• Must be able to work outside in cold, wet, hot, and dirty environments

• Will be required to share a room with someone else in camp if needed

• Must be a team player and assist co-workers as required

ALL EMPLOYEES MUST BE COMMITTED TO WORKING IN A SAFE AND CONSCIOUS MANNER AT ALL TIMES.

APPLICATION DATE:

YYYY

FIRST AND LAST NAME:

ADDRESS:

EMAIL ADDRESS:

PHONE NUMBER:

ARE YOU LEGALLY ENTITLED TO WORK IN CANADA?

(Proof of certification will be required upon employment offer).

Yes

REQUIRED TICKETS:

(Proof of ticket certifications will be required upon employment offer).

H2S ALIVE

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YES

FIRST AID

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YES

WHMIS

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YES

COMMON SAFETY ORIENTATION (CSO)

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YES

BEAR AWARENESS

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YES

FALL PROTECTION & RESCUE FOR RIG WORK:

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YES

CONFINED SPACE

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YES

ELEVATED PLATFORM

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YES

DETECTION AND CONTROL - ASSET

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YES

DO YOU HAVE ANY OTHER TICKETS THAT YOU WOULD LIKE TO PROVIDE?

PREVIOUS EMPLOYMENT HISTORY:

Additionally, if you have a resume, you may provide it below for Employment History.

(Please provide Company Name, City/Town, Job Title, Brief Job Duty Explanation, Reference Contact, and Reason for Leaving).

PREVIOUS EMPLOYMENT HISTORY 1:

COMPANY NAME:

CITY/TOWN:

BRIEF EXPLANATION:

(Job Title, Duties, Reason for Leaving)

HIRE DATE:

YYYY

END DATE:

YYYY

REFERENCE NAME & CONTACT DETAILS:

PREVIOUS EMPLOYMENT HISTORY 2:

COMPANY NAME:

CITY/TOWN:

BRIEF EXPLANATION:

(Job Title, Duties, Reason for Leaving)

HIRE DATE:

YYYY

END DATE:

YYYY

REFERENCE NAME & CONTACT DETAILS:

PREVIOUS EMPLOYMENT HISTORY 3:

COMPANY NAME:

CITY/TOWN:

BRIEF EXPLANATION:

(Job Title, Duties, Reason for Leaving)

HIRE DATE:

YYYY

END DATE:

YYYY

REFERENCE NAME & CONTACT DETAILS:

PROFESSIONAL REFERENCES:

(Reference Name, Phone Number, Relation)

UPLOAD RESUME:

(If you have a resume you would like to provide, upload it below. Not necessary if you completed the application).

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By signing this employment application, you agree that you are providing accurate and truthful information regarding your past employment and credentials.

I give Fox Drilling LP permission to contact the above organizations for reference purposes and allow Fox Drilling LP to keep my application for six (6) months. All information that is gathered will be kept confidential and will not be sold according to government laws and regulations.

Signature of Applicant

DATE OF SIGNATURE:

YYYY

Verification