Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Safety Obligations

  • We’re there any safety incidents on shift?

  • Known hazards and conditions communicated?

  • Geotechnical issues reviewed and discussed?

  • Pos comms were observed being used correctly when entering active areas?

  • Was there a JSA in any areas? Was it signed by the appropriate personnel?

  • Is the load notification for the current bench available?

  • Is the TMP for the current bench signed off and sent out?

  • Is the bench prep adequate?

Critical control verification Tasks- Operational

  • Is there adequate lighting on the bench?

  • Are bunds and bench prep adequate?

  • Are V’s, delineation and signage in place?

  • Is all SSAN equipment fit for purpose?

  • Verify at least one vehicles pre start is completed?

  • Is dust being controlled correctly?

SSAN compounds and Mixing

  • 6N compound inspected?

  • 5S compound inspected?

  • 4S compound inspected?

  • Are there any signs of a security breach in these areas?

  • Are all AN and EP spills cleaned up?

  • EP and AN waste bins provided?

  • Signage in place and appropriate?

  • Unnecessary combustible material removed?

  • Vegetation cleared around compounds?

  • House keeping standard acceptable?

  • Security seals and locks on SSAN compounds and equipment being utilised?

  • Are any vehicles not in service?

  • Is there any downtime to report?

  • Is any equipment needed for servicing?

Next available shot

  • Is the shot dipped?

  • Is the prep adequate?

  • Are any geotechnical hazards present?

  • Is access to the shot available and adequate?

  • Is any other work needed to make this bench available to load?

  • Is there drills still on the pattern?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.