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SMAC HSE SEM Statutory Appointment - Daily Report
SMAC HSE SEM Statutory Appointment - Daily Report
Boris Divis

SMAC HSE SEM Statutory Appointment - Daily Report

As per Work Health and Safety (Mines) Regulations 2022 (WA) (r.630). The outgoing supervisor must provide a written report in relation to the state of the mine workings and plant and any other matters that relate to work health or safety. The incoming supervisor must communicate the content of the report to the workers who are, or will be, working under that supervisor.

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Free SMAC HSE SEM Statutory Appointment - Daily Report Checklist

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Title Page

  • Date Conducted

  • Site Conducted

  • Statutory Appointment Completed By

    • Ross
    • Martin
    • Pip
    • Steve B
    • Steve W
    • Shane
    • Colin
    • Jason

SMAC Statutory Inspection - Daily report

  • Highlights

  • Emerging Issues

  • Lowlights

  • Priorities

Shift

  • Crew (Panel)

  • SEM Capability: https://forms.office.com/r/Hint9KHp0d

Daily Tasks

  • Vehicle Pre-starts Completed

  • Daily Workplace Inspection Completed

  • Equipment Inspected

Incident Callouts

  • Fire Alarms

  • Medical Events

  • Fire and/or Rescue

Leader Communication | General

  • Add all relevant communication

Site Senior Executive Information

  • South Flank

  • Mining Area C

Sign Off

  • Name of Incoming Statutory Appointment

    • Ross
    • Martin
    • Pip
    • Steve B
    • Steve W
    • Shane
    • Colin
    • Jason

  • Outgoing Statutory Appintment Signature

SMAC HSE SEM Statutory Appointment - Daily Report
Boris Divis

SMAC HSE SEM Statutory Appointment - Daily Report

As per Work Health and Safety (Mines) Regulations 2022 (WA) (r.630). The outgoing supervisor must provide a written report in relation to the state of the mine workings and plant and any other matters that relate to work health or safety. The incoming supervisor must communicate the content of the report to the workers who are, or will be, working under that supervisor.

Use this Template
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