SRM Work Area Inspection – Overburden Department

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Basic Information

• Date and Time of Inspection

  Date

• Location

  Select R2 R4 R8 R9 R10 R11 R12 R13 R14 R15 R16

  • R2
  • R4
  • R8
  • R9
  • R10
  • R11
  • R12
  • R13
  • R14
  • R15
  • R16

• Signature

  Sign

Active Area

• Location / Area

• Findings

• Actions

  Yes

  No

  N/A

Active Area

• Location / Area

• Findings

• Actions

  Yes

  No

  N/A

Active Area

• Location / Area

• Findings

• Actions

  Yes

  No

  N/A

Active Area

• Location / Area

• Findings

• Actions

  Yes

  No

  N/A

Seat Belt Verification Inspection Details

• Location

• Vehicle ID

• Seat Belts Worn?

  Yes

  No

  N/A

• Number of Passangers ?

  Select 1 2 3 4 5 5+

  • 1
  • 2
  • 3
  • 4
  • 5
  • 5+

• Actions

Risk Assessments and Permits

• For work being completed in the above areas, was a risk assessment conducted for the task observed?

  Select Informal (BMA Safe) Formal (JSA) None N/A

  • Informal (BMA Safe)
  • Formal (JSA)
  • None
  • N/A

• For the work being completed in the above areas, was the appropriate Sub-Permit / Authority observed?

  Select Permit to Work Working at Heights Sub-Permit Hot Work Sub-Permit Confined Space Sub-Permit Permit to Penetrate/Dig Permit to Disturb High Voltage Access Authority Authority to Travel Under Power Lines on a Non-Standard Route Authority to Operate within 25m of Powerlines and Sub-Stations Authority to Recover Vehicles and Mobile Equipment Complex Lift Plan N/A

  • Permit to Work
  • Working at Heights Sub-Permit
  • Hot Work Sub-Permit
  • Confined Space Sub-Permit
  • Permit to Penetrate/Dig
  • Permit to Disturb
  • High Voltage Access Authority
  • Authority to Travel Under Power Lines on a Non-Standard Route
  • Authority to Operate within 25m of Powerlines and Sub-Stations
  • Authority to Recover Vehicles and Mobile Equipment
  • Complex Lift Plan
  • N/A

Checklist

General

• Hazards – clearly marked, appropriately managed

  Yes

  No

  N/A

• Personal protective equipment – adequate for task

  Yes

  No

  N/A

• Plant Safety Inspections (Pre-starts) – completed, defects rectified

  Yes

  No

  N/A

• Risk assessment – suitable quality, appropriate for task, positive communication

  Yes

  No

  N/A

• Signage – appropriate, in place, visible, mounted correctly

  Yes

  No

  N/A

• Positive Communication – when entering area and interacting work areas

  Yes

  No

  N/A

• Parking areas – clearly indicated and demarcated

  Yes

  No

  N/A

• Waste management – correct bins, accumulated waste, spill kits, sumps

  Yes

  No

  N/A

• Hazardous Materials – stored and labelled correctly

  Yes

  No

  N/A

• Supervisor area inspection – shift area inspection completed, actions rectified

  Yes

  No

  N/A

Access Road

• Roads in good condition – graded, contoured, clearly signed

  Yes

  No

  N/A

Truck, Shovel, Excavator and Dozer Operations

• Roads in good condition – graded, contoured, clearly signed

  Yes

  No

  N/A

• Cable Management – delineated and laid out correctly

  Yes

  No

  N/A

• 50m Active Mining Area in place and functional

  Yes

  No

  N/A

• Loading and discharge – correct process in place, procedures followed

  Yes

  No

  N/A

Draglines

• In pit parking areas – clearly demarcated and correctly set up

  Yes

  No

  N/A

• Roads in good condition – graded, contoured, clearly signed

  Yes

  No

  N/A

• Cable Management – delineated and laid out correctly

  Yes

  No

  N/A

Drill & Blast

• In pit parking areas – clearly demarcated and correctly set up

  Yes

  No

  N/A

• Roads in good condition – graded, contoured, clearly signed

  Yes

  No

  N/A

• Blast boards – functional and current

  Yes

  No

  N/A

General Comments

• General Comments