Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Date
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Shift
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Crew
Safety
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Please enter brief description in Notes or attach photo if there is an event
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Safe Shift?
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Safety Focus
General Business
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Enter information here
Raw Coal South
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Status
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Time of Inspection
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Please add photos, notes or assign actions when required
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Housekeeping - transfer stations, underpans, under conveyors and CV103 spray box clear of build up, and signage in place and functional?
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If maintenance work occurring - isolation procedure followed? barricading/drop zone in place and functional? risk assessment at suitable quality and appropriate for the task?
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ROM Accesses - available, accessible and correct sign in place
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Inspection findings/observations
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Additional Information
Raw Coal North
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Status
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Time of Inspection
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Please add photos, notes or assign actions when required
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Housekeeping - stacker and reclaimer rails clear from buildup, under conveyors clears from buildup, and signage in place and functional?
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If maintenance work occurring - isolation procedure followed? barricading/drop zone in place and functional? risk assessment at suitable quality and appropriate for the task?
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ROM Accesses - closed and correct signs in place
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Inspection findings/observations
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Additional Information
Plant
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Status
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Time of Inspection
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Please add photos, notes or assign actions when required
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Housekeeping - floors are clear from buildup and left over materials, and signage in place and functional?
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If maintenance work occurring - isolation procedure followed? barricading/drop zone in place and functional? risk assessment at suitable quality and appropriate for the task?
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Screen guarding - in acceptable condition, check noise and vibration
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Lighting - appropriate
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Reagent quantities - all at safe levels
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All vehicles (LV & MV) accounted for?
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ProcessMORe results - within acceptable limits
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Inspection findings/observations
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Additional Information
TFB
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Status
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Time of Inspection
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Type number of filter presses available
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Filter presses available
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Please add photos, notes or assign actions when required
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Housekeeping - ground floor, CV703 floor and walkways clear of build up, and signage in place and functional?
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If maintenance work occurring - isolation procedure followed? barricading/drop zone in place and functional? risk assessment at suitable quality and appropriate for the task?
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MD4 level is acceptable and diesel pump is able to run if needed?
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Inspection findings/observations
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Additional Information
Product Yard
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Status
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Time of Inspection
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Please add photos, notes or assign actions when required
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Housekeeping - rails and conveyor clear from coal build up, and signage in place and functional?
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If maintenance work occurring - isolation procedure followed? barricading/drop zone in place and functional? risk assessment at suitable quality and appropriate for the task?
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Accesses - closed, and correct sign installed
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Inspection findings/observations
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Additional Information
Train Load Out
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Status
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Time of Inspection
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Please add photos, notes or assign actions when required
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Housekeeping - up to standard and signage in place and functional?
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If maintenance work occurring - isolation procedure followed? barricading/drop zone in place and functional? risk assessment at suitable quality and appropriate for the task?
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Trains loaded for the shift - fully loaded?
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Trains cancellation
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Inspection findings/observations
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Additional Information
Sign off
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Name & Signature