Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Drill Pattern

  • Are all windrows of adequate height & bench surfaces maintained to a safe condition?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Are all drill patterns properly delineated as per site procedure?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Is there excessive dust in the work area?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Drill pattern has a designated parking area off the pattern.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Is work taking place in a high risk zone. i.e.: undulated ground conditions

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Have pre-start check’s been completed on all equipment being used?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Is high wall in an adequately safe condition - Rock fall areas identified and controls in place.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Have lighting plant been setup for upcoming nightshift?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Access tracks are compliant for SME, HV's & LV's

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Drill consumables stored & handled correctly while in use.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

Blast Pattern

  • Are all windrows of adequate height?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Are all blast patterns properly delineated / Blue lights present for sleeping shots?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • All personnel competent to perform task they are assigned?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Blast crew have SIGNED OFF load sheets before loading commences.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Has the blast pattern been dipped and logged for depth before loading commences?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Have blast board notifications been completed before shift and are they correct?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Is there a delineated parking area being used for explosives vehicles in use?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Have clear instructions given to the explosive truck operator and safe access to blast pattern made available?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Have pre-start checks been completed on all equipment being used?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Authorised Shotfirer is present when loading / explosives are handled?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Stemming pile is suitably located, to specification and contamination free.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Access tracks are compliant for MPU & Stemming IT.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Have Blast Guards been allocated and issued with a clearance map?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

General Safety

  • All Personnel conducted BAC testing prior to shift.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Has every person been properly trained to do the job they are doing?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Is PPE being worn as prescribed?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • For non routine work with NO Procedure, has a THA / JHA been completed?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • START Card reviewed with personnel.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Are all work groups on site aware of Blasting time?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Working above and below controls are in place (if required).

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Are there any adverse weather conditions?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

Laydown/Maintenance Yard

  • Fire Extinguishers accessible?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Housekeeping adequate?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Rubbish bins emptied

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • All Parking bays compliant with site standard.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Work conducted in the yard has adequate delineation and signage in place?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • All Bulk liquids in appropriate Bunding?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Electrical equipment in use tags are compliant?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • Lifting equipment in use, are tags compliant?

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

  • SME - HV & LV's parked in designated parking areas.

  • Inspection Location
  • Enter date and time (early shift inspection)

  • Inspection Location
  • Enter date and time (mid shift inspection)

  • Inspection Location
  • Enter date and time (Later shift inspection)

Sign Off

  • Supervisor Conducting Inspection

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