CVM Bulk Push Supervisor Plan Compliance v1.0

• Document No.

Caval Ridge Mine - Bulk Push Supervisor Inspection

• Conducted by

• Conducted on

  Date

• Shift

  Day

  Night

• Crew

  A

  B

  C

  D

Bulk Push - Location 1

• Location 1
  Address

• Date and Time of Inspection

  Date

• Operators

Plan Compliance

• Is the current push complaint to planned design?

  Yes

  No

  N/A

• All signage in place and area demarcated?

  Yes

  No

  N/A

• Are there dozers that are not currently assigned to bulk push?

  Yes

  No

  N/A

• Locations of dozers not in bulk push:

• Attach photo(s) of signage/demarcation and bulk push progress

  Media

• Was a second location inspected?

  Yes

  No

Bulk Push - Location 2

• Location 2
  Address

• Date and Time of Inspection

  Date

• Operators

Plan Compliance

• Is the current push complaint to planned design?

  Yes

  No

  N/A

• All signage in place and area demarcated?

  Yes

  No

  N/A

• Are there dozers that are not currently assigned to bulk push?

  Yes

  No

  N/A

• Locations of dozers not in bulk push:

• Attach photo(s) of signage/demarcation and bulk push progress

  Media

• Other comments

• Add signature

  Sign