Information
-
Name:
-
Area Inspected:
-
Supervisor:
-
Date:
Refuge Station Checklist Template
STATION
-
TUGGER
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
HOUSEKEEP
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
ELECT. PANELS
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
TRAVEL WAY
-
ORE PASS
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
WASTE PASS
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
TRACK/ROADWAYS
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
WORKPLACE
-
HOUSEKEEPING
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
GROUND SUPPORT
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
VENTILATION:
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
FACE PREP
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
BARRICADES
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
SIGNS
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
WORKERS P.P.E
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
EQUIPMENT
-
FIRE EXT.
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
CABLE REEL
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
WEDGE (REMOTE)
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
BRAKE TEST
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
SEAT
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
WASHROOM
-
LIGHT
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
DOOR
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
TOILET PAPER
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
-
HOUSEKEEPING
-
To Standard:
-
Sub Standard:
-
Observations:
-
Action Taken:
