Quad Bolter Operator Competency Assessment

• Site conducted

  Select

• Assessment Date

  Date

• Assessor Name

• Employee Name

• Location

• Is the operator working from a safe position?

  Yes

  No

  N/A

• Can the operator explain the Managers Ground Control Rules for bolting operations?

  Yes

  No

  N/A

• Is the operator bolting as per Managers Ground Control Rules? (inc failed bolt procedure)

  Yes

  No

  N/A

• Has the operator checked the conditions of the roof and sides prior to and during operations?

  Yes

  No

  N/A

• Is there good communication with other operators?

  Yes

  No

  N/A

• Can the operator explain the isolation procedure?

  Yes

  No

  N/A

• Can the operator identify the positions of emergency stops?

  Yes

  No

  N/A

• Does the operator have a good knowledge of the risk of "high pressure injuries"?

  Yes

  No

  N/A

• Have all bolts been installed correctly?

  Yes

  No

  N/A

• Is the operator wearing the correct PPE?

  Yes

  No

  N/A

• Can the operator explain the hazards associated with bolting operations? (Environmental and machine hazards)

  Yes

  No

  N/A

• Can the operator explain (or demonstrate) the tramming procedure to include the associated risks to himself and others whilst tramming?

  Yes

  No

  N/A

• Can the operator demonstrate/explain the correct procedure for leaving the machine in a safe position and safe working order at the end of his shift?

  Yes

  No

  N/A

Sign Off

• Assessor Sign.

  Sign

• Candidate Sign.

  Sign