Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Drill Pattern
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Are all windrows of adequate height & bench surfaces maintained to a safe condition?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Are all drill patterns properly delineated as per site procedure?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Is there excessive dust in the work area?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Drill pattern has a designated parking area off the pattern.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Is work taking place in a high risk zone. i.e.: undulated ground conditions
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Have pre-start check’s been completed on all equipment being used?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Is high wall in an adequately safe condition - Rock fall areas identified and controls in place.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Have lighting plant been setup for upcoming nightshift?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Access tracks are compliant for SME, HV's & LV's
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Drill consumables stored & handled correctly while in use.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
Blast Pattern
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Are all windrows of adequate height?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Are all blast patterns properly delineated / Blue lights present for sleeping shots?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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All personnel competent to perform task they are assigned?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Blast crew have SIGNED OFF load sheets before loading commences.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Has the blast pattern been dipped and logged for depth before loading commences?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Have blast board notifications been completed before shift and are they correct?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Is there a delineated parking area being used for explosives vehicles in use?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Have clear instructions given to the explosive truck operator and safe access to blast pattern made available?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Have pre-start checks been completed on all equipment being used?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Authorised Shotfirer is present when loading / explosives are handled?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Stemming pile is suitably located, to specification and contamination free.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Access tracks are compliant for MPU & Stemming IT.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Have Blast Guards been allocated and issued with a clearance map?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
General Safety
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All Personnel conducted BAC testing prior to shift.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Has every person been properly trained to do the job they are doing?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Is PPE being worn as prescribed?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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For non routine work with NO Procedure, has a THA / JHA been completed?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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START Card reviewed with personnel.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Are all work groups on site aware of Blasting time?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Working above and below controls are in place (if required).
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Are there any adverse weather conditions?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
Laydown/Maintenance Yard
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Fire Extinguishers accessible?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Housekeeping adequate?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Rubbish bins emptied
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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All Parking bays compliant with site standard.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Work conducted in the yard has adequate delineation and signage in place?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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All Bulk liquids in appropriate Bunding?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Electrical equipment in use tags are compliant?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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Lifting equipment in use, are tags compliant?
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
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SME - HV & LV's parked in designated parking areas.
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Inspection Location
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Enter date and time (early shift inspection)
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Inspection Location
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Enter date and time (mid shift inspection)
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Inspection Location
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Enter date and time (Later shift inspection)
Sign Off
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Supervisor Conducting Inspection