BMA GRM Drill Area Inspection

• Document No.

• GRM

• Supervisor

• A

  B

  C

  D

• Start Time

  Date

Drill Area Inspection 1

• Location:

• Are the following items compliant:

• Access to Pattern

  Yes

  No

  N/A

• Highwall Stability

  Yes

  No

  N/A

• Call Up Signs In Place

  Yes

  No

  N/A

• LV Park Up Cones in Place

  Yes

  No

  N/A

• Bund Height (1.2m)

  Yes

  No

  N/A

• Adequate Drainage in Place

  Yes

  No

  N/A

• Crib Room Facilities

  Yes

  No

  N/A

• BMA Safe

  Yes

  No

  N/A

• Coal Mine Worker's Fitness for work

  Yes

  No

  N/A

• Coal Mine Worker's use of Fatigue Management

  Yes

  No

  N/A

• Coal Mine Worker's use of PPE

  Yes

  No

  N/A

• Additional Hazards Identified/Rectified:

• Is there a second active drill area to be inspected?

  Yes

  No

  N/A

Drill Area Inspection 2

• Location:

• Are the following items compliant:

• Access to Pattern

  Yes

  No

  N/A

• Highwall Stability

  Yes

  No

  N/A

• Call Up Signs In Place

  Yes

  No

  N/A

• LV Park Up Cones in Place

  Yes

  No

  N/A

• Bund Height (1.2m)

  Yes

  No

  N/A

• Adequate Drainage in Place

  Yes

  No

  N/A

• Crib Room Facilities

  Yes

  No

  N/A

• BMA Safe

  Yes

  No

  N/A

• Additional Hazards Identified/Rectified:

• Is there a third active drill area to be inspected?

  Yes

  No

  N/A

Drill Area Inspection 3

• Location:

• Are the following items compliant:

• Access to Pattern

  Yes

  No

  N/A

• Highwall Stability

  Yes

  No

  N/A

• Call Up Signs In Place

  Yes

  No

  N/A

• LV Park Up Cones in Place

  Yes

  No

  N/A

• Bund Height (1.2m)

  Yes

  No

  N/A

• Adequate Drainage in Place

  Yes

  No

  N/A

• Crib Room Facilities

  Yes

  No

  N/A

• BMA Safe

  Yes

  No

  N/A

• Additional Hazards Identified/Rectified:

• Is there a fourth active drill area to be inspected?

  Yes

  No

  N/A

Drill Area Inspection 4

• Location:

• Are the following items compliant:

• Access to Pattern

  Yes

  No

  N/A

• Highwall Stability

  Yes

  No

  N/A

• Call Up Signs In Place

  Yes

  No

  N/A

• LV Park Up Cones in Place

  Yes

  No

  N/A

• Bund Height (1.2m)

  Yes

  No

  N/A

• Adequate Drainage in Place

  Yes

  No

  N/A

• Crib Room Facilities

  Yes

  No

  N/A

• BMA Safe

  Yes

  No

  N/A

• Additional Hazards Identified/Rectified:

• Signed Off:

  Sign

• Finish Time:

  Date