S.L.A.M. - Capcoal Surface Operations

• Time & Date

  Date

• Coal Mine Worker's Name

• Task Supervisor

• Crew

• What Task Am I About To Do?

• Location

What Energy Sources and Hazard Factors Require Control for This Task?

• Gravitational

• Thermal

• Radiation

• Noise

• Fall Exposures

• Poor Housekeeping

• Atmospheric Change

• Electrical

• Chemical Reaction

• Stored Energy

• Heat

• Slippery Conditions

• Line of Fire

• Time Constraints

• Mechanical / Kinetic

• Suspension / Retained

• Fluid / Air Pressure

• Falling Objects

• Crush / Pinch Points

• Intermittent Movement

• Unserviceable Equipment

Golden Rules - What Rules apply to this task?

• 1. Fundamental Rules

  Yes

  N/A

• 2. Surface Controls

  Yes

  N/A

• 3. Mobile & LV Controls

  Yes

  N/A

• 4. Confined Space Work

  Yes

  N/A

• 5. Working at Heights

  Yes

  N/A

• 6. Isolation of Energy

  Yes

  N/A

• 7. Lifting & Mechanical Handling

  Yes

  N/A

• 8. Water Bodies / Liquid Storage

  Yes

  N/A

• 9. Chemicals & Hazardous' Substances

  Yes

  N/A

Critical Questions

• CRITICAL CONTROLS - Applicable controls are identified & provided for this task

  Yes (Controlled)

  No

• SHMS & SOP CONTROLS - Knowledge of effective controls & are in / ready for use

  Yes (Compliant)

  No

• ISOLATION - I've identifed all relevant energy sources & verifed them as isolated

  Yes (Verified)

  No

• EMERGENCIES - I've assessment / planned what to do in an emergency involving this job

  Yes (Planned)

  No

• INSPECTION - Has been completed to determine what controls are required to achieve safe work

  Yes (Inspected)

  No

Questions

• What could kill me or others?

• What are the other hazards in my work area? - Stop / Look for what could go wrong, risks, exposures, or HPH's

• Controls - Act / Manage. How are these hazards / changes to be controlled?

• Changes - What changes could occur that would trigger a review of this SLAM's controls?

• WORKING CONDITIONS & Workgroup Interactions - What conditions could change that would trigger a review of these controls?

Questions - 2

• What Permits are required? - Are all permit controls in place

• What additional PPE is required?

• What Other SOP / SWI Controls are required?

Residual Score

• Residual Risk Score

  Select 1L 2L 3L 4L 5L 6M 7M 8M 9M 10M 11M 12M 13S 14S 15S 16S 17S 18S 19S 20H 21H 22H 23H 24H 25H

  • 1L
  • 2L
  • 3L
  • 4L
  • 5L
  • 6M
  • 7M
  • 8M
  • 9M
  • 10M
  • 11M
  • 12M
  • 13S
  • 14S
  • 15S
  • 16S
  • 17S
  • 18S
  • 19S
  • 20H
  • 21H
  • 22H
  • 23H
  • 24H
  • 25H

• Is it Safe to State / Continue This Task ?

  Yes (All controls effective)

  No (Stop Task)