Shift supervisor pre-shift inspection

• Document No.

• Shift supervisors inspection

• Company

• Conducted on

  Date

• Prepared by

• Site
  Address

• Crew

• Shift Supervisor

• Date

  Date

• Day

• Night

Weather

• Windy

• Calm

• Clear

• Overcast

• Snow

• Rain

• Dry

• Pending weather during shift

  Yes

  No

  N/A

Haul road conditions

• Dry

• Damp

• Wet

• Icy

Spillage

• Yes

• No

Road surface condition

• Smooth

• Rough

• Improvements/ repairs made

  Yes

  No

  N/A

Working area

• Check safety berm

• Check batter stability

• Water hazards

• Work area lighting

• Improvements made

  Yes

  No

  N/A

Waste dumps

• Check cracks in dump area

• Check windrow height/ stability

• Check work area lighting

• Improvements made

  Yes

  No

  N/A

Ore stockpiles

• Check windrow height/ stability

• Check stockpile stability

• Check work area lighting

• Improvements made

  Yes

  No

  N/A

• Safety orientation to crew

• Comments from crew

• Supervisor

  Sign