Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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INSPECTION
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This audit must be signed, completed and returned to the Safety Department for filing.
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Item
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Item
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Compliance Achieved
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Comments
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Item
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No. of activities / facilities
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A
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NI
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UA
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N/A
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observed:
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1. Nip / crush points adequately guarded
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2. Belts and chain drives guarded
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3. Gears, sprockets, pulleys and flywheels guarded
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4. Guards are firmly secured and not easily removable
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5. All machine guards prevent body parts from making contact with moving parts
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6. Safety devices and emergency stop switches installed and functional
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7. Procedures established to ensure machine is shut down before guards are removed
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8. Material or fluid ejection points protected
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9. Electrical cords or connectors in good repair
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10. Conveyor net protection over walkways and thoroughfares
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11. Interlocking devices functional and are trip sequences effective
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12. Is guard construction substantial, compatible?
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13. Signage adequate and identifiable
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14. Previous inspection faults corrected
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15. Pre-start checks completed prior to shift start
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16. Service manuals and other information available to identify operation and preventative maintenance requirements
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17. Documented preventative maintenance schedules and repairs have been carried out (check maintenance records)
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COPPER RESOURCES AUSTRALIA
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ITEM REQUIRED ACTIONS / ADDITIONAL COMMENTS
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INSPECTION TEAM
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Name
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Signature
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Position Title
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SUPERVISOR REVIEW / SIGN OFF
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Name
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Signature
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Position Title
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CRA_H&S_F_089
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Date of Issue: 05/07/2024 - Version 1.1
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