Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Basic Information

  • Date and Time of Inspection

  • Dragline

  • Location

  • Operators

  • Signature

Plan Compliance

  • Bench Width and RL

  • Bench RL on Design

  • Highwall Crest Position

  • Highwall Toe Position

  • Key Width as Designed

  • Lowwall Catch Berm as Designed

  • Lawwall Crest Position

  • Lowwall Toe Position

  • Pit Position / Block Line

  • Compliant to 3D Dig Position / Page

  • Ramp Width and Grade

  • Coal Edge Correct

  • Sump in Place and Operational

  • Photos Taken of Hard Blast

Dozer Requirements

  • Elevated Bench Pushed Off

  • Coal Cleaned Up

  • Key Pushed Down / Dozer on Wall

  • Bunding in Place to Standard

  • Drainage Installed

  • Bench Prep Completed

  • Machine White Board Completed

General Comments

  • General Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.