Title Page

  • Conducted on

  • Prepared by

  • Location

Quality and Assurance Inspections

  • Have you completed Q+A on stemming heights on pattern during shift?

  • Why was stemming height checks not completed during shift?

  • What was the pattern ID that you completed stemming height checks on?

  • Record the hole ID, Design stem height and actual stem height recorded during the inspection. (A minimum of 10 holes on each pattern must be completed sporadically across the daily loaded area)

Lightning Exclusion Zone Compliance

  • Have you completed an inspection of the lightning exclusion cones?

  • Were all cones in the correct position as placed the previous shift?

  • Have all cones been returned to their correct positions

Security Key Safe

  • Are all keys in security safe accounted for

  • What keys are missing and why?

  • Attach photo of key safe at end of day shift

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.