CVM Thiess Supervisor Inspections

• Site conducted

  Select

• Conducted on

  Date

• Shift

  Day Shift

  Night Shift

• Prepared by

• Location
  Address

• Weather Conditions (select as appropriate)

  Select Sunny Cloudy Dusty Windy Raining Storms Lightning

  • Sunny
  • Cloudy
  • Dusty
  • Windy
  • Raining
  • Storms
  • Lightning

• Communication of the OCE report and hazards at pre-start?

  Yes

  No

• Topics covered at pre start/return to work?

• Are there any JSA’s in place?

  Yes

  No

• What are the JSA's in place?

• Any safety concerns or injuries during shift? * Yes/No. If yes add details

  Yes

  No

• Provide details

Excavators

• EXD

• Location

• Is the work area set up with LV park-up areas outside the AMA and correct signage present?

  Yes

  No

• Is lighting in place and sufficient for night shift operations?

  Yes

  No

• Is there any above/below interactions?

  Yes

  No

• Is there any hazards (geotechnical, water, misfires etc.) present on the bench?

  Yes

  No

• Is all pit edge and high wall standoff bunding in place and to standard?

  Yes

  No

• Is the bench height and standoff distances appropriate for material category?

  Yes

  No

• If double benching is there any over height material?

  Yes

  No

• Is the angle/grade of the dig bench suitable?

  Yes

  No

• Is the dig compliant to design?

  Yes

  No

• *Add photo of dig face

  Media

• Number of trucks on the circuit?

• BMA truck interaction?

  Yes

  No

• How many?

• What is the primary dump? *

• Any other notes?

Dozer Activities

• Was a dozer activity required near a highwall or primary standoff? If yes add detail of controls in place

  Yes

  No

• Was there a requirement to push over the highwall? If yes add detail of controls in place

  Yes

  No
Dumps

• Location

• Dump Dozer

• Is Dozer Guidance System operational? *If no add note or action required

  Yes

  No

• Which dig unit is running material here?

• Category of material?

• Is the work area set up with LV park-up areas outside the AMA and correct signage present? * Yes/No. Submit photo of LV park-up area

  Yes

  No

• Is lighting in place and sufficient for night shift operations?

  Yes

  No

• Is access restricted to the toe of the dump?

  Yes

  No

• Is there any sign of geotechnical hazards, slumping, cracking or pooling water at the dump? If yes add detail of controls in place

  Yes

  No

• Can co-disposal be achieved at this dump? * Yes/No If no add note or action required

  Yes

  No

• Is there a requirement to dump short and push? (cell dump or water at toe of dump etc.)

  Yes

  No

• If V drains are required are they in place?

  Yes

  No

• Is the dump on design?

  Yes

  No

• Is the dump face straight and 90 degree corners?

  Yes

  No

• Is the dump height less than 20m?

  Yes

  No

• Is all bunding in place and compliant (1.8m or half the height of the largest vehicle)?

  Yes

  No

• Add photo of dump area

  Media

Haul Roads and Ramps

• Are roads, ramps and intersections compliant with suitable surface conditions?

  Yes

  No

• Has a new intersection been added or changes made? (including speed restrictions?)

  Yes

  No

• Has the BMA Contracts Supervisor been notified to update Magnet?

  Yes

  No

• Is all required traffic signage in place on the circuit? *

  Yes

  No

• Circuit delineation in place? (100m spacing on straights, 50m spacing at corners)

  Yes

  No

• Are all Haul Roads compliant (High Risk Bunds, Min Width 35m, 10% grade and surface conditions maintained)

  Yes

  No

• Does cross grade exceed 4% on any road/ramp?

  Yes

  No

• Does the circuit have proper drainage and correct cambers?

  Yes

  No

• Any controls or restrictions in place on the circuit? * Yes/No If no add note or action required

  Yes

  No

• Additional Notes

Water Trucks

• Water Trucks Communicating with haul truck operators when entering the circuit

  Yes

  No

• Has the Water Truck operator communicated the “dry line” and “watered line”?

  Yes

  No

• Has the water truck operator reduced watering rate 30m before intersections, stop signs and access points?

  Yes

  No

• Water Truck observations

• Water Truck

• Time

  Date

• Water Truck

• Time

  Date

• Water Truck

• Time

  Date

In-Pit Refuel Bays

• Has an in-pit refuel bay been established? * Yes/No and location

  Yes

  No

• Has the location been communicated to the service person?

  Yes

  No

• Has the in-pit refuel bay been constructed to site standard?

  Yes

  No

Crib Huts and Park Up

• Is there a high risk bund between truck park up and crib hut?

  Yes

  No

  N/A

• Are the park up areas at go lines/crib huts compliant with signage in place?

  Yes

  No

• Are the go lines/crib huts free of rubbish and other trip hazards?

  Yes

  No

• Is lighting at the go line/crib hut adequate for night shift operations?

  Yes

  No

• Crib hut compliance checks (first aid kit/fire extinguisher/electrical tag n test) * Yes/No If no add note or action required

  Yes

  No

  N/A

• Has the crib hut been restocked for the following shift? *

  Yes

  No

  Not Required

• *Add photo of crib hut and park up area

  Media

• Have vehicle prestarts being completed? Add photo of at least 2 LV prestarts

  Media

• Add photo of LV prestart

  Media

Acknowledgment and Sign Off

• Supervisor Name

• Signature:

  Sign

• Date:

  Date