DAILY PSI MEETING FORM V1

• DAILY PSI MEETING FORM

• DOCUMENT

• PREPARED BY:

• DAILY PRE SHIFT INSTRUCTION (PSI) MEETING

• Conducted on

  Date

• Site

SAFETY ITEMS RELATED TO PREVIOUS SHIFTS

• ARE THERE ANY SAFETY ISSUES FROM PREVIOUS SHIFTS?

  NO

  YES

• LIST ISSUES HERE

• IF PERSONNEL ARE RETURNING FROM R&R, OR UNFAMILIAR WITH A WORK AREA - COMPLETE A SAFETY TOUR OF THE AREA WITH THAT PERSON / S

• IS A SAFETY TOUR REQUIRED

  NO

  YES

• ARE THERE ANY POTENTIAL SAFETY ISSUES FOR THIS SHIFT?

  NO

  YES

• LIST ISSUES HERE

• TYPE OF SHIFT?

  DAYS

  NIGHTS

• Designated Leading Hand.

• Are any Vehicle/Machines out of service from previous shifts?

  Yes

  No

  N/A

• Have they been tagged correctly with Out Of Service tag ?

  Yes

  No

  N/A

VEHICLE & PLANT CHECKS

• HAVE VEHICLE PRE STARTS BEEN COMPLETED?

  YES

  NO

• ARE THERE ANY VEHICLE ISSUES?

  NO

  YES

• ENTER FAULTY VEHICLES

VEHICLE

• SELECT TYPE

  Select DRILL FORKLIFT

  • DRILL
  • FORKLIFT

• VEHICLE # (eg MV 012)

• LIST FAULTS

• HAVE PLANT & EQUIPMENT PRE STARTS BEE COMPLETED?

  YES

  NO

• ARE THERE ANY PLANT OR EQUIPMENT ISSUES?

  NO

  YES

• ENTER FAULTY PLANT

PLANT

• SELECT TYPE

  Select DRILL FORKLIFT

  • DRILL
  • FORKLIFT

• PLANT # (GD 17)

• LIST FAULTS

WORK ENVIRONMENT CHECKS

• IS HOUSEKEEPING IN ORDER?

  YES

  NO

• LIST ISSUES HERE

• IS THE WORK AREA SAFE?

  YES

  NO

• LIST ISSUES HERE

• IS ACCESS TO THE WORK AREA SAFE?

  YES

  NO

• LIST ISSUES HERE

PERSONAL PROTECTIVE EQUIPMENT

• ARE ALL PERSONNEL TRAINED IN THE SAFE USE OF GENERAL PPE ?<br> (HEAD, EYE,/EAR PROTECTION, TAGS)

  Yes

  No

  N/A

• ENSURE GENERAL PPE TRAINING IS CARRIED OUT WITH UNTRAINED PERSONNEL BEFORE ASSIGNING TASKS

• IS GENERAL PPE BEING WORN BY ALL PERSONNEL WHERE REQUIRED?

  YES

  NO

• LIST PERSONNEL INVOLVED, ITEMS NOT WORN & ACTIONS TAKEN

• DO ANY TASKS FOR THIS SHIFT REQUIRE ADDITIONAL OR SPECIALISED PPE?

  NO

  YES

• ARE THE RELEVANT PERSONNEL ADEQUATELY TRAINED IN THE SAFE USE OF THIS PPE?

  YES

  NO

• CONTINUE WITH TASK

• DOES A TRAINING TOOL EXIST FOR THIS ITEM/S OF PPE?

  YES

  NO

• ENSURE THE RELEVANT PERSONNEL ARE ADEQUATELY TRAINED TO SAFELY USE THE ITEM/S OF PPE.
  THE RISKS INVOLVED WITH THE TASKS ARE TO BE MADE CLEAR TO THE PERSONNEL

• DO NOT ATTEMPT TO CARRY OUT THIS TASK
  CONTACT MASS DRILL & BLAST MANAGEMENT

SHIFT TASKS & PRIORITY DETAILS

• ADD TASKS HERE

TASK

• SELECT TASK TYPE

  Select PRODUCTION - DRILLING MAINTENANCE SERVICING SITE SET UP/ UPKEEP TRAVEL TO/FROM SITE

  • PRODUCTION - DRILLING
  • MAINTENANCE
  • SERVICING
  • SITE SET UP/ UPKEEP
  • TRAVEL TO/FROM SITE

• LIST DETAILS HERE: BY WHOM / PLANT #, WORK AREA / LOCATION

• BY WHEN? (Expected Completion Time - Estimate)

• ARE THE RELEVANT JHA's &/OR PROCEDURES AVAILABLE, HAVE THEY BEEN READ & UNDERSTOOD BY PERSONNEL DELEGATED TO TASKS?

  YES

  NO

• ENSURE PERSONNEL HAVE READ & UNDERSTAND THE RELEVANT DOCUMENTS, THEY MUST SIGN OFF ALSO BEFORE CARRYING OUT TASKS

• IS ANY ADDITIONAL TRAINING REQUIRED BEFORE THE TASKS ARE CARRIED OUT?

  NO

  YES

• ENSURE ALL RELEVANT TRAINING HAS BEEN COMPLETED TO MINIMISE THE RISKS OF INJURY &/OR DAMAGE TO PLANT

PERSONNEL SIGN OFF STATING UNDERSTANDING OF INFORMATION GIVEN

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign