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NGM TRUG Workplace Exams
NGM TRUG Workplace Exams
Sergio Castaneda

NGM TRUG Workplace Exams

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Free NGM TRUG Workplace Exams Checklist

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Title Page

  • Conducted on

  • Prepared by

  • Employee ID

  • Ramp

  • Elevation

  • Shift

Entrance and Travelways

  • Is ground support in place?

  • why is there no support in place?

  • Has the heading been scaled?

  • Is the ventilation system working?

  • Do you have a MX4/MX6 to continue?

  • Can you ask for a supervisor for one?

  • Are signs/barriers/barricades/guards in place?

  • Why not?

  • Is there any housekeeping issues?

  • Is there dust issues?

  • Do you have a respirator?

  • Do you have proper road conditions to work safely?

  • Where is your nearest escapeway/refuge chamber?

Work area

  • Do you have proper PPE for the Work area?

  • Why not?

  • What is the condition of your ventilation system?

  • Is your heading ventilation fan on?

  • Do you have an MX4/MX6 to continue in heading?

  • Can you ask your supervisor for one?

  • Is there big holes in your vent duct or poor installation of the vent duct?

  • Can you describe the location and add pictures?

  • Is the air directed to the active face if there is multiple faces?

  • Can you choke off the other heading to direct the air to the active heading?

  • What do you recommend to improve?

  • What is the condition of the heading utilities?

  • What exactly is wrong?

  • Is scaling bar present?

  • Can you ask your supervisor for one?

  • Is it the right height for this heading?

  • How are the ground conditions in this heading?

  • Can you correct the ground hazard?

  • What do you recommend to correct the hazard?

  • What did you do to correct the hazard?

  • What can be done to make the ground conditions better?

  • How is the housekeeping in this area?

  • Can you correct it?

  • Why not?

  • What did you do to correct it?

  • What can be done to better the area?

  • Is there proper signage in this heading?

  • Is there an immediate hazard?

  • Can you put up a barrier/barricade?

  • What kind of barrier/barricade did you put up?

  • Have you informed your supervisor?

  • Can you contact someone that can?

  • Can you put up a barrier/barricade?

  • Can you notify your supervisor to add one?

  • What kind of barrier/barricade did you put up?

  • Are ropes/slings/whip checks being used in heading?

  • Have they been inspected for rips/tears?

  • Do they have rips or tears?

  • Can you destroy the rope/sling or replace the whip check and dispose the item?

  • Do they have the proper weight rating?

  • Can you get the proper rope/sling for the job?

  • Is there a fire extinguisher in the area?

  • Do you have one in/on your equipment?

  • Can you explain why you do not have one?

  • Have you inspected your fire extinguisher?

  • Was the pressure in the green? Pin in place? Nozzle clear? Clear of damage?

  • The fire extinguisher needs to be replaced, can you get a new one?

  • Can you contact your supervisor for a new one?

  • Do you have fire suppression on your equipment?

  • Have you inspected it? Do you know the location of it?

  • Is there any misfires in the heading?

  • Are you trained to deal with misfires?

  • Can you contact a supervisor?

  • Describe location of misfire.

  • Is there any leads or undetonated explosive material coming out of the holes?

  • Can you contact a supervisor and add proper barrier?

  • Are you comfortable to continue?

  • Can you contact a supervisor?

  • Can you contact your supervisor?

  • Is there anything which needs to LOTOTO? (locked out, tagged out, tried out)

  • What are you locking out?

  • Have you locked it out?

  • Have you tagged it out? include picture of tag

  • Have you tired it out?

  • Is there anything that needs a permit?

  • What kind of permit?

  • Is yours up to date?

  • Any other comments?

Unusual work

  • Are you working in an unusual work condition?

  • Has a FLRA been completed?

  • Can you fill out a FLRA before the task is started?

  • Are you working with unusual hazards?

  • Has a FLRA been completed?

  • Can you fill out a FLRA before the task is started?

Safety Interactions

  • Are you working to standards?

  • Why not?

  • Are you competent to preform this work?

  • Why not?

  • Have you had a safety interaction?

  • What was discussed?

  • Can you have a safety interaction?

  • What was discussed?

  • Why will you continue to work safe?

Employee Comments/Notes

  • Any comments/notes?

Supervisor Signature

  • Signature to confirmed the document has been checked

NGM TRUG Workplace Exams
Sergio Castaneda

NGM TRUG Workplace Exams

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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