Title Page
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Client / Site
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Audit Title
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Conducted on
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Prepared by
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Location
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Personnel
Plant Data - For Information Only
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Site Supervisor
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Assisted during audit by
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Previous audits?
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Recent Electrical issues/incidents?
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Who does electrical Red Books/ maintenance/breakdown support?
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Who does pump protection (PP) testing? When was last PP online report downloaded?
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Is Orica site within mine lease?
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Mining company
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Type of mine
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Are electrical panels key locked? If yes, who has a key?
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Which Mobile units operate out of this site at time of audit?
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Electrical supply to plant
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Are the latest versions of electrical drawings available on site?
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Are the latest versions of electrical drawings recorded in EPDM?
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RCD Register complete and test records up-to-date?
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Portable appliance register complete and test records up-to-date?
Top Fatality Risks
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Have the Top 3 Fatality Risks been identified at site?
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ACTION: Top 3 Fatalities and controls to be identified.
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Fatality Risk #1
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Controls
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Are the controls in place safe and effective?
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Fatality Risk #2
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Controls
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Are the controls in place safe and effective?
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Fatality Risk #3
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Controls
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Are the controls in place safe and effective?