Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Drill Bench Acceptance
Drill Bench Agreement
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Do I have Drill Prep Map? If Yes, attach
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Is Survey file / KML available?
72 Hour Handover
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Date & Time
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What Earthworks are remaining? i.e. Loose material, bunding etc.
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Are the extents demarcated? i.e. is Survey required?
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Are face bunds correct height?
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Are bunds pushed to the limits?
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Is standoff bunding required under walls / terraces?
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Is access suitable for Service Carts / Blasting Equipment? (Correct camber around corners)
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Is there any steep sections?
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Can steep section be terraced?
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Is there drainage required on the bench?
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Is there any pumping / pipe work on the bench? Can it be removed or needs to be remained and worked around?
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Is there any cables on bench? Do we need a cross over / towers required?
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Have you checked drill access for float move?
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Is there any Geotech Hazards - are recommendations followed?
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Is separation bunding required?
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Department completing prep agreeing to above actions
Final Sign Off
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Partial / Full / Presplit only Sign Off?
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Highlight area for partial sign off
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Fully complies with Drill Bench Agreements (72 Hour Handover)?
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Drill bench prepped to hard (less than 0.5mtr of fill)?
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Access to slopes meet light vehicle / service cart requirements?
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Face rills correct height and width (1.5mtr high)?
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Cross fall / slope suitable for drills and blasting equipment?
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Drainage on bench free draining?
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Has area been graded?
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Drill Supervisor Sign Off:
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Operations Supervisor Sign Off:
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Blasting Supervisor Sign Off:
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Date & Time Signed Off