NGM Open Stope Audit

• Date of Inspection

  Date

• Area of inspection

  CHUG

  GRUG

• Prepared by

• Which stopes are you inspecting today?

  Select Stope 1 Stope 2 Stope 3 Stope 4

  • Stope 1
  • Stope 2
  • Stope 3
  • Stope 4

• Which of the following are you inspecting for Stope 1?

  Select Top of Stope Bottom of Stope

  • Top of Stope
  • Bottom of Stope

Top of Stope 1

• Attach picture of stope area

  Media

• Location of stope area

• Signage

  Inspected

  Not Inspected

• Caution sign in place at 60 ft from edge.

  Yes

  No

  N/A

• Explanation

• Danger sign in place 10 ft from the edge.

  Yes

  No

  N/A

• Explanation

• Poles in place

  Yes

  No

  N/A

• Explanation

• Berms

  Inspected

  Not Inspected

• Berm in place?

  Yes

  No

  N/A

• Explanation

• Berm 4ft High minimum.

  Yes

  No

  N/A

• Explanation

• Berm 10ft from the edge minimum

  Yes

  No

  N/A

• Explanation

• Concrete barrier in place?

  Yes

  No

  N/A

• Explanation

Sprinkler

• Installed and functional?

  Yes

  No

  N/A

• Installed and nonfunctional

  Yes

  No

  N/A

• Not installed (explain)

Bottom of Stope 1

• Attach picture of stope area

  Media

• Location of stope

• Signage

  Inspected

  Not Inspected

• Caution sign in place at 60 ft from edge.

  Yes

  No

  N/A

• Explanation

• Danger sign in place 10 ft from the edge.

  Yes

  No

  N/A

• Explanation

• Poles in place

  Yes

  No

  N/A

• Explanation

• Berms

  Inspected

  Not Inspected

• Berm in place?

  Yes

  No

  N/A

• Explanation

• Berm 4ft High minimum.

  Yes

  No

  N/A

• Explanation

• Berm 10ft from the edge minimum

  Yes

  No

  N/A

• Explanation

• Concrete Barrier in place?

  Yes

  No

  N/A

• Explanation

• Which of the following are you inspecting for Stope 2?

  Select Top of Stope Bottom of Stope

  • Top of Stope
  • Bottom of Stope

Top of Stope 2

• Attach picture of stope area

  Media

• Location of stope area

• Signage

  Inspected

  Not Inspected

• Caution sign in place at 60 ft from edge.

  Yes

  No

  N/A

• Explanation

• Danger sign in place 10 ft from the edge.

  Yes

  No

  N/A

• Explanation

• Poles in place

  Yes

  No

  N/A

• Explanation

• Berms

  Inspected

  Not Inspected

• Berm in place?

  Yes

  No

  N/A

• Explanation

• Berm 4ft High minimum.

  Yes

  No

  N/A

• Explanation

• Berm 10ft from the edge minimum

  Yes

  No

  N/A

• Explanation

• Concrete barrier in place?

  Yes

  No

  N/A

• Explanation

Sprinkler

• Installed and functional?

  Yes

  No

  N/A

• Installed and nonfunctional

  Yes

  No

  N/A

• Not installed (explain)

Bottom of Stope 2

• Attach picture of stope area

  Media

• Location of stope

• Signage

  Inspected

  Not Inspected

• Caution sign in place at 60 ft from edge.

  Yes

  No

  N/A

• Explanation

• Danger sign in place 10 ft from the edge.

  Yes

  No

  N/A

• Explanation

• Poles in place

  Yes

  No

  N/A

• Explanation

• Berms

  Inspected

  Not Inspected

• Berm in place?

  Yes

  No

  N/A

• Explanation

• Berm 4ft High minimum.

  Yes

  No

  N/A

• Explanation

• Berm 10ft from the edge minimum

  Yes

  No

  N/A

• Explanation

• Concrete Barrier in place?

  Yes

  No

  N/A

• Explanation

• Which of the following are you inspecting for Stope 3?

  Select Top of Stope Bottom of Stope

  • Top of Stope
  • Bottom of Stope

Top of Stope 3

• Attach picture of stope area

  Media

• Location of stope area

• Signage

  Inspected

  Not Inspected

• Caution sign in place at 60 ft from edge.

  Yes

  No

  N/A

• Explanation

• Danger sign in place 10 ft from the edge.

  Yes

  No

  N/A

• Explanation

• Poles in place

  Yes

  No

  N/A

• Explanation

• Berms

  Inspected

  Not Inspected

• Berm in place?

  Yes

  No

  N/A

• Explanation

• Berm 4ft High minimum.

  Yes

  No

  N/A

• Explanation

• Berm 10ft from the edge minimum

  Yes

  No

  N/A

• Explanation

• Concrete barrier in place?

  Yes

  No

  N/A

• Explanation

Sprinkler

• Installed and functional?

  Yes

  No

  N/A

• Installed and nonfunctional

  Yes

  No

  N/A

• Not installed (explain)

Bottom of Stope 3

• Attach picture of stope area

  Media

• Location of stope

• Signage

  Inspected

  Not Inspected

• Caution sign in place at 60 ft from edge.

  Yes

  No

  N/A

• Explanation

• Danger sign in place 10 ft from the edge.

  Yes

  No

  N/A

• Explanation

• Poles in place

  Yes

  No

  N/A

• Explanation

• Berms

  Inspected

  Not Inspected

• Berm in place?

  Yes

  No

  N/A

• Explanation

• Berm 4ft High minimum.

  Yes

  No

  N/A

• Explanation

• Berm 10ft from the edge minimum

  Yes

  No

  N/A

• Explanation

• Concrete Barrier in place?

  Yes

  No

  N/A

• Explanation

• Which of the following are you inspecting for Stope 4?

  Select Top of Stope Bottom of Stope

  • Top of Stope
  • Bottom of Stope

Top of Stope 4

• Attach picture of stope area

  Media

• Location of stope area

• Signage

  Inspected

  Not Inspected

• Caution sign in place at 60 ft from edge.

  Yes

  No

  N/A

• Explanation

• Danger sign in place 10 ft from the edge.

  Yes

  No

  N/A

• Explanation

• Poles in place

  Yes

  No

  N/A

• Explanation

• Berms

  Inspected

  Not Inspected

• Berm in place?

  Yes

  No

  N/A

• Explanation

• Berm 4ft High minimum.

  Yes

  No

  N/A

• Explanation

• Berm 10ft from the edge minimum

  Yes

  No

  N/A

• Explanation

• Concrete barrier in place?

  Yes

  No

  N/A

• Explanation

Sprinkler

• Installed and functional?

  Yes

  No

  N/A

• Installed and nonfunctional

  Yes

  No

  N/A

• Not installed (explain)

Bottom of Stope 4

• Attach picture of stope area

  Media

• Location of stope

• Signage

  Inspected

  Not Inspected

• Caution sign in place at 60 ft from edge.

  Yes

  No

  N/A

• Explanation

• Danger sign in place 10 ft from the edge.

  Yes

  No

  N/A

• Explanation

• Poles in place

  Yes

  No

  N/A

• Explanation

• Berms

  Inspected

  Not Inspected

• Berm in place?

  Yes

  No

  N/A

• Explanation

• Berm 4ft High minimum.

  Yes

  No

  N/A

• Explanation

• Berm 10ft from the edge minimum

  Yes

  No

  N/A

• Explanation

• Concrete Barrier in place?

  Yes

  No

  N/A

• Explanation