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
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Equipment number
Critical Control One - Proper maintenance and equipment requirements
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Has a pre-shift inspection been completed?
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Stop work and complete the pre-shift inspection - take photo of pre shift inspection once completed
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Add photo of pre-shift inspection
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Were there any issues?
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Explain the issues:
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Corrective Action:
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Did you inspect the wheels?
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Stop work and complete inspection on the wheels
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Explain what you are looking for when inspecting the wheels
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Did you inspect all the seatbelts?
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stop work and inspect all seatbelts
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What are you looking for when inspecting seatbelts
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Does your water trucks have baffles?
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Down the water truck, tag out and inform a supervisor
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Does the truck have side to side and or front to back baffles
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Review SOP with supervisor
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Stop work and review SOP with supervisor
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Is having baffles in the water truck part of the SOP?
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Stop work and review SOP with supervisor
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Are the baffles part of the regular pre-shift inspection
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Are the baffles inspected during routine maintenance
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Do you know if/when the baffles are inspected
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How is the inspection recorded
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Contact supervisor for review
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How do you inspect the baffles?
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Is it important to have baffles?
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Why
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Review SOP with supervisor
Critical Control Two - Proper training, knowledge of SOPs, and competency
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Do you have a 5000-23 for task training on specific equipment being operated?
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Stop work and notify supervisor
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Have you operated the equipment within 6 months of being tasked trained
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Do you feel competent to operate the equipment
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Stop work and contact supervisor
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While being trained were you provided a copy of the SOP for this equipment?
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Were is the SOP
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When was the last time you reviewed the SOP
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Contact supervisor and trainer and obtain a copy for review
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How much experience do you have operating this equipment
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Do you feel properly trained and competent to operate this equipment
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Stop work and talk to supervisor
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How many hours of task training did you receive on this equipment?
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Notify the Supervisor or trainer
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Did you test the air brakes?
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stop work until air brakes are tested and pass
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How do you test the air brakes (explain in detail)?
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Is there a brake test SOP
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Where do you keep the brake test SOP
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Contact supervisor to obtain a copy of the brake test SOP
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When do you perform a brake test?
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Stop work and review SOP with supervisor or trainer
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Do you know what to do if the brakes fail during operation?
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Explain procedure:
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Stop work and review SOP
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Does your SOP and training cover driving in remote areas, steep roads, adverse conditions
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Select all that apply
- remote areas
- steep roads
- adverse conditions
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Review SOP with trainer and/or supervisor
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Are there different hazards when driving with a full water load vs empty equipment
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Which has the greater potential for hazards when driving
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Explain the hazards when driving full
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Explain the hazards when driving empty
Critical Control Three – Berms and road design
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Are the berms in your work area adequate:
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What makes them adaquate
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Corrective Action:
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Have you performed a work area inspection of the water haul route in the past 24 hours?
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Review documentation and add photo
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Were any deficiencies found on the inspection
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What deficiency was found?
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Corrective Action(s) taken:
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Stop work until inspection of the water haul route is completed
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Is there sufficient space for equipment to turn around?
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Contact Kinross representative to improve area
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Is the approach to the drill pad safe?
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What makes the approach unsafe
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Are there road markers and reflectors in place
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are they adequate?
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Contact supervisor for corrective action
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Do any of the grades on the roads exceed the specifications for the equipment
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Stop work and do not proceed on road - contact supervisor
Nighttime Hazards
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Are there different hazards driving equipment at night
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What are the hazards of driving at night?
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Do you have more fatigue when operating equipment at night
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Corrective action(s)
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Is this audit complete