Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 General (Documentation)
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1.01 Legal Identification [MSHA Form 2000-7] - [Part 41]
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1.02 Organizational Chart [Line of Authority 48.25(b)(1)]
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1.03 Mine Map
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1.04 Training Plan [48.3]
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1.05 Mine Rescue Plan
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1.06 Training Records [48.9] [MSHA Form 5000-23]
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1.07 Record of Examination of Working Places [ 57.18002]
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1.08 Inventory of Hazardous Chemicals [Part 47] - HazCom
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1.09 Hazcom Training Plan
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1.10 Accident, Injury and Illness Reports [MSHA Form 7000-1] [50.20]
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1.11 Quarterly Employment Reports; [MSHA 7000-2][50.30]
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1.12 Mine Firefighting, Emergency, Evacuation Plan [57.11050 - .11059]
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1.13 Emergency Safety Telephone Numbers are Posted [57.18012]
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1.14 Continuity Tests (Electrical Grounding) [57.12025-.12028]
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1.15 Check In / Check Out System
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1.16 Contractor Information Forms
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1.17 Fire Extinguisher Inventory
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1.18 Plan of Operation
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Water spray system in place and all drop points
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1.19 Environmental air-quality plan posted
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1.20 Safety Meetings
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1.21 Vehicle & Equipment Inspection Forms
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1.23 Ground Support Manufacturers Certification (ASTM 432-83) [57.3203]
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1.24 Ground Support Pull Tests
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1.24 Noise levels. [30 CFR Part 62]
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1.25 Dust Control
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1.28 Recent Citations Posted
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1.29 Review recent inspection