Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
ROM PHYSICAL SEAPARTION CHECKLIST
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To be used in the event the OPF requires isolation and/or works to any ROM area owned by the Mining Department
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Visual description of works shall be provided to Mining upon request
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To be completed by an OPF and Mining stakeholder directly associated with the delegation of these tasks.
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Copy to be sent to Permit Hut before any associated permits will be issued by Shutdown Area Lead or Coordinators
JOB DETAILS - OPERATIONS
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Shut Revision
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Work Description
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Requested By
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Date Required
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Time Required
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Operations Delegate
PRE-PLANNING - OPERATIONS
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ROM areas for requested works
EXECUTION - MINING
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Hopper traffic lights are Red
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Windrows been built to plan
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Windrows at min 1.8m as per standards
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SME machinery outside of the windrowed area
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Physical separation ready for mine star lock out
HANDOVER - MINING TO OPERATIONS
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Windrows driven with Operations Supervisor or delegate
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100% physical separation between Mining Area and OPF Personnel
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Verified hopper traffic lights are Red
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Mine star ‘lock out zone’ in place and verified
HANDOVER SIGN OFF
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Mining Supervisor
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Mining Supervisor
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Notify Operations
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Supervisors Name
- Carmel Clarke
- Hayden Stevenson
- Brad Horton
- Scott Freeman
- Danny Samuels
- Jake Mildwater
- Summah Bedford-Mcginity
- Jai Hoon (Coordinator)
- TeTerry (Coordinator)
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Operations Supervisor
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Operations Supervisor
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Notify Permit Hut
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Permit Hut Names
- Erin Munza
- Mick Woods
- Duran Grieg
- Victor Wicker
- Brad Adams
- Samuel Harlan
- Nick Deards (Supervisor)