Planned Workplace Inspection

• Document No.

• Planned General Inspection

• Area Inspected

• Area Supervisor

• Inspected by

• Role

  Supervisor

  General Foreman

  Superintendant

  Dept. Manager

  General Manager

• Client

  Select Mine Maintenance Mill Technical Services CSR Human Resources Cochenour Safety/Training/Security

  • Mine
  • Maintenance
  • Mill
  • Technical Services
  • CSR
  • Human Resources
  • Cochenour
  • Safety/Training/Security

• Conducted on

  Date

General

• Housekeeping

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Travel way

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Lighting

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Stairs/Ladders/Platforms

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Exits - Access/Signage

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

Ventilation / Environment

• Air (Dust, Fume, Moisture)

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Temperature (Heat, Cold)

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Ventilation

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

Support System

• Electrical

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Compressed Air & Water

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Signage / Tags

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

Storage Systems

• Chemical Storage / WHMIS

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Oil Storage

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Fuel Storage

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

Large Equipment

• General Condition

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Guarding

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

Tools / Small Equipment

• General Condition

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

• Guarding

  OK

  Not OK

• Hazard Class

  A - 15 to 18 Extreme Risk (immediate action)

  B - 11 to 14 High Risk (within 3 days)

  C - 7 to 10 Medium Risk (within 7 days)

  D - 3 to 6 Low Risk (within 31 days)

• Action required

Remarks 10 Golden Rules Fit for work Driving Ground stability Lifting, rigging, hoisting Energy isolation Working at heights Hazardous substances Permit to work Protective devices and guarding Personal protective equipment

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• Supervisor

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• General Foreman

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