Dave Brown Competent Person Inspection

• Prepared by

• Personnel

• Location
  Address

• Conducted on

  Date

Please Select Add To Input Findings

Finding

• Type of Finding

  Select Citation Recommendation Best Practice Example of Excellence

  • Citation
  • Recommendation
  • Best Practice
  • Example of Excellence

• Condition or Practice

• Yes

  No

  N/A

• Type of Violation

  30 CFR Violation

  ASARCO Policy Violation

  No Violation

• 30 CFR Standard

• Specific Policy Violation

• Gravity

  No Likelihood

  Unlikely

  Reasonably Likely

  Highly Likely

• Severity

  No Lost Workdays

  Lost Workdays/Restricted Duty

  Permanently Disabling

  Fatal

• Negligence

  None

  Low

  Moderate

  High

  Reckless Disregard

• Photo

  Media

• Was the issue corrected?

  Yes

  No

  N/A

• What is the recommended corrective action?

• Who is responsible for the corrective action?

• When is the corrective action due?

  Date

• What was done to correct the issue? (who, what, when, where)

• Are there any recommendations/solutions to prevent this issue or a re-occurrence of this issue in the future?

  Yes

  No

  N/A

• What is/are the recommendations to prevent this issue or a re-occurrence of this issue in the future?