• Document No.

  • Shift supervisors inspection

  • Company

  • Conducted on

  • Prepared by

  • Site
  • Crew

  • Shift Supervisor

  • Date

  • Day

  • Night


  • Windy

  • Calm

  • Clear

  • Overcast

  • Snow

  • Rain

  • Dry

  • Pending weather during shift

Haul road conditions

  • Dry

  • Damp

  • Wet

  • Icy


  • Yes

  • No

Road surface condition

  • Smooth

  • Rough

  • Improvements/ repairs made

Working area

  • Check safety berm

  • Check batter stability

  • Water hazards

  • Work area lighting

  • Improvements made

Waste dumps

  • Check cracks in dump area

  • Check windrow height/ stability

  • Check work area lighting

  • Improvements made

Ore stockpiles

  • Check windrow height/ stability

  • Check stockpile stability

  • Check work area lighting

  • Improvements made

  • Safety orientation to crew

  • Comments from crew

  • Supervisor

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