Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Tunnel Manager (A Grade) Sign Off

Surface Inspection

  • Are the entrance control signs and the AME access recording system in place?

  • Is surface site security and gates in order?

  • Are the site buildings, toilets and infrastructure being maintained and in good order?

  • Is the housekeeping around the shaft top / surface area / access ways in order?

  • Are the working areas free of Slips, Trips and Fall Hazards, are there Safe Work Conditions?

  • Are the emergency access clear from obstacles?

  • Are walkways around the site defined and providing adequate separation of plant, vehicles and pedestrians?

  • Are pedestrians excluded from working areas of plant such as cranes, excavators and forklifts by sufficient barricades or entry controls?

  • Are warning systems such as prestart alarms, horns, travel alarms & working lights on plant such as cranes, excavators and forklifts operational and being used?

  • Are the barriers around the shaft collar in order?

  • Is the Mine Area entrance gate in good order and fit for the authorised movement of plant & materials?

  • If boom gates are installed, are they closed and functional?

  • Has the Scaffold and Ladderway been Inspected/Tested and Tagged? Date of Inspection should be recorded.

  • Is the Tag board in order?

  • Is the emergency contact list up to date ?

  • Are Self-Contained Self Rescuers in good condition and instructions displayed?

  • Has the gas measuring equipment been tested, and is everything in good working order?

  • Before the start of each shift, has the daily bump testing of the gas monitors been done?

  • Is the communication systems in order and effective (Radios & Phones)?

  • Is the radio channel/telephone list up to date ?

  • Does the ventilation fan and infrastructure appear in order?

  • Is water discharging from the shaft and the water condition and volume appear normal?

  • Are any dust emissions/conditions being adequately managed?

  • Is potential spillage adequately managed (bunding and spill kits in place etc.)?

  • Is Hazardous Substance Storage correct and compliant?

  • Are Safety Data Sheets available?

  • Is the rigging and lifting gear “Fit for Purpose”, Inspected/Tested and Tagged, and safe to use?

  • Are Oxy Acetylene sets correctly secured and flash back arresters fitted?

  • Have pre-start checks on machinery been completed, documented and maintenance/repair issues reported?

  • Has the U/G Diesel-powered Plant/Machinery Register been kept up to date, and undiluted gas tests been completed?

  • Is the Muck Bay being managed appropriately?

  • Are Noise areas been monitored and signposted?

  • Are Work Permits authorised and held on site?

  • Are the Lockout and Isolation systems correctly in place?

  • Person “Authorisation to Operate” for the ventilation fan documented and operating instructions displayed.

  • Person “Authorisation to Operate” Plant and Machinery documents completed (VOCs and Appointment Letters)?

  • Are effective Barricades in use where required?

  • Is the Mine Area Layout as per the issued Plan

  • Are there adequate Construction Site Safety Signs placed where necessary?

  • Are the Principal Hazard Management Plans (PHMP) available?

  • Are the Principal Control Plans (PCP) available?

  • Is the current Safe Work Method Statement (SWMS) available?

  • Are Task Cards and Observation Cards available?

  • If a Standard Operating Procedure (SOP) is required for a work method, is it available and has it been communicated to the workers effectively?

  • Are the welfare facilities appropriate?

  • Spot check a workers VOC details for equipment being operated – is this in order?

  • Is there a record (the sign in register) being kept at the Tag-in Station of the time that people enter and exit the underground workings? (AME electronic system in place)

  • Has the Tunnel Supervisor been thoroughly implementing Regulation 222 (Examination of mining operations)?

Underground Inspection

  • Is the ventilation ducting in order and leak free, has the Ventilation System been checked/inspected, and is there “Fresh Air” ventilating the shaft and tunnel?

  • Are Safety Harness checked before use and have current Inspected/Tested and Tagged?

  • Lifting systems working to Standard Operating Procedures (SOPs) and safe to use?

  • Is the Shaft wall in good condition and free of fall objects?

  • Have Electrical Hazards & Controls been checked/inspected and have the Electrical Superintendent Inspections been conducted?

  • Have Mechanical Hazards & Controls been Checked/Inspected and have the Mechanical Superintendent Inspections been conducted?

  • Are the workers “Fit for Work” and competent for the tasks to be undertaken?

  • If Hot work is undertaken, is it safe and is there a permit issued and signed off by the Tunnel Manager?

  • Are power cables been checked for any visual damage or defects?

  • Are Electrical leads elevated, protected & been Inspected/Tested and Tagged?

  • Are Power Tools safe to use, been Inspected/Tested and Tagged?

  • Are safe work practices (SWP) being applied and U/G workers wearing SCSRs?

  • Is a valid Required Excavation Support Sheet (RESS) and Excavation Permit (EP) posted at the Shaft Entrance?

  • Is the site free of any indication of potentially unstable ground or strata?

  • Is the site free of any indication of a potential inundation of water or slurry?

  • Are the ground or strata conditions manageable regarding extraction, potential instability and potential inundation?

  • Is the groundwater inflow rate at a manageable rate?

  • Is the water level OK in the shaft/tunnel?

  • Are the pumps working and appear in good condition?

  • Are service pipe installations, manifolds, valves, lock-outs etc. in order?

  • Is lighting adequate and compliant?

  • Are stairway and ladderway in good condition including edge protection structures?

  • Are there two means of access readily available to the Shaft?

  • Is the davit arm (if installed) ready to be used, have current tags, and have an unobstructed swing path and landing area?

  • Has all equipment been Inspected/Tested and Tagged and “Fit for Purpose”?

  • Does the underground excavator appear in order? Check a prestart has been completed on QuipCheck

  • Is the underground communication system in order (Radios & Phones)?

  • Are the working areas tidy and free of Slips, Trips and Fall hazards (Safe Work Conditions)?

  • Does all machinery and plant appear to be in order (Fit for Purpose Equipment) and Roll Over Protection Structure (ROPS), Fall Object Protection Structure (FOPS) where required?

  • Overall, is there a Safe Work Environment for Workers?

  • Is the shift prestart available?

  • Are Exposure Monitoring Systems and Controls in place for Oxygen Deficiency, Toxic Gases, Noise, Airborne Dust, Diesel Particulates, Fumes, Vibration, Atmospheric Pressure, Fatigue and Working Hours, Psychological Hazards, Ultra-Violet Radiation, Biological Hazards, Hazardous Substances, Damaging Energies (Stored, Kinetic etc), Temperature and Humidity, Manual Handling and Lifting, any other Hazards and Risks being Identified?

Personal Protective Equipment

  • Are there sufficient stocks of PPE available, and is there adequate PPE signage displayed?

  • Do people walking along the tunnel have reflective Helmets?

  • Are any breaches of PPE compliance observed?

  • Are appropriate dust masks available and worn if required?

  • Safety harness & lanyards been Inspected/Tested and Tagged?

Emergency Planning

  • Is the Emergency Management Principle Control Plan (PCP) available?

  • Have Emergency Management Controls been checked, inspected, and are they prepared and ready?

  • Are the Emergency TARPs, Standard Immediate Actions and Event Flowcharts displayed?

  • Emergency Contact names/phone numbers and the Hot-Line number displayed and up to date. Are there adequate emergency information signs in place?

  • Emergency Evacuation procedure displayed? Is the Emergency evacuation exit identified and having a clear pathway without obstructions?

  • Are the Emergency instructions & procedures understood by the workforce with regular reminders?

  • Is the Site Plan (map) with emergency response and evacuation areas displayed?

  • Is there adequate First Responders available for the shift?

  • Is first aid equipment adequate and located close to the work area?

  • Is the Rescue Stretcher, Trauma Bag, Resuscitation Bag Mask Kit and Defibrillator ready at the shaft?

  • Is there information displayed regarding the First Responders and their equipment?

  • Are there adequate persons trained in Advanced First Aid, Rope Rescue, Firefighting & the use of Airbags?

  • Is there adequate firefighting equipment, and has it been Inspected/Tested and Tagged? Both surface and Underground

  • Has the Emergency Management Control Plan (PCP) been tested recently?

  • On this inspection, have portable fire extinguishers been checked for leakage, corrosion, blocked discharge hose and for any other signs of damage?

  • And have the pressure gauges been visually checked for an indication of adequate discharge pressure and flow?

  • Have the underground excavators with automatic wet foam extinguishers also had their monthly inspection?

  • Is the fire extinguishing equipment the correct type for the fire risks identified at their locations: CO2, Dry powder, Wet foam, Water, Blanket? Are their locations accessible with no obstructions?

  • Is Equipment in good condition? With appropriate signage indicating the type of extinguishing equipment? Has the Principal Hazard of “Fire or Explosion” being managed effectively?

  • Overall, does Emergency Management have good planning and preparedness for a prompt response?

List Actions

  • Are all actions from previous inspection closed out?

  • List Actions

  • No new actions?

  • List Actions

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