Refuge Station Checklist Template - A

Download this checklist

Print as pdf

Pao Manalaysay

3 Downloads

Download this checklist

Refuge Station Checklist Template - A

RLGM Cell Production Template:

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:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.