Mine Condition Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Contractor

• Shift

Work Area Inspections

• Roadways

  Safe

  At Risk

  N/A

• Access Roads

  Safe

  At Risk

  N/A

• Barriers/Barricades

  Safe

  At Risk

  N/A

• EEL and Muster Points

  Yes

  No

  N/A

• Restricted Areas

  Yes

  No

  N/A

• O/H Power Lines

  Yes

  No

  N/A

• Signage

  Safe

  At Risk

  N/A

• Area Call-up Signs

  Safe

  At Risk

  N/A

• Pit Dewatering Areas

  Yes

  No

  N/A

• Water Fill Points

  Safe

  At Risk

  N/A

• Soil Tip Heads

  Safe

  At Risk

  N/A

• House Keeping

  Safe

  At Risk

  N/A

Site Emergency Team

• From

  Date

• To

  Date

• Emergency Management Team Leader (EMTL)

• Janine Hoch - 0439 138 841

  On Duty

  OFF Duty

• Bevan Foster - 0407 033 593

  On Duty

  OFF Duty

• Greg O'Donnell - 0419 136 931

  On Duty

  OFF Duty

• Wylie Pearson - 0412 749 650

  On Duty

  OFF Duty

• Emergency Management Team (EMT)

• Larry Hill -

  On Duty

  OFF Duty

• Nigel Pohio -

  On Duty

  OFF Duty

• Matt Grillo -

  On Duty

  OFF Duty

• Emergency Rescue Team (ERT)

• Graeme Rodgers - 0487 020 662

  On Duty

  OFF Duty

• CJ Riley - 0438 445 013

  On Duty

  OFF Duty

• Zoe Shelly - 0417 935 807

  On Duty

  OFF Duty

• Lee Karipidis - 0412 653 219

  On Duty

  OFF Duty

• Angelo Casella - 0409 508 462

  On Duty

  OFF Duty

• John Garland - 0477 700 153

  On Duty

  OFF Duty

• Michaela Hodgson - 0417 215 504

  On Duty

  OFF Duty

• Richard Coe - 0427 417 330

  On Duty

  OFF Duty

• Ben McCosh -

  On Duty

  OFF Duty

• Brett Heycox - 0434 071 413

  On Duty

  OFF Duty

• Jodie Colls - 0457 601 101

  On Duty

  OFF Duty

• Allan Hughes - 0418 881 236

  On Duty

  OFF Duty

• Emergency Rescue Team Leader (ERTL)

• Doug Clarke - 0421 586 857 Emergency # 0477 484 848

  On Duty

  OFF Duty

• Simon Schnieder - 0427 553 950 Emergency # 0477 484 848

  On Duty

  OFF Duty

• Operations Site Controller (OSC)

• ATW Permit Holder

  On Duty

  OFF Duty

Key Points/Changes

• Action taken to rectify any Hazards or Unsafe Work Practices observed:

• Conditions of Roadways and Berms within Site:

• Traffic Management Plan (TMP)

  Safe

  At Risk

  N/A

• Emergency Management Plan (EMP)

  Safe

  At Risk

  N/A

• Authority to Work (ATW)

  Yes

  No

  N/A

• Park-up Areas

  Safe

  At Risk

  N/A

• Action taken to rectify any Hazards or unsafe work practices observed:

• General Information: