Information
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Document No.
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Inspection Title
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Location of inspection
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Date of inspection
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Inspection completed by
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Signature
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Note the inspection was a sample inspection only. It remains the primary responsibility of Management and Mine Workers to identify and correct hazards not identified during this inspection. Under s.68 of the Act this entry forms part of the Mine Record.
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Note the inspection was a sample inspection only. It remains the primary responsibility of Management and Mine Workers to identify and correct hazards not identified during this inspection.
Under s.68 of the Act this entry forms part of the Mine Record.
- Area location / Equipment inspected
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Location / Equipment / Area
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Compliance / Positives identified
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Notes on Compliance / Positives identified
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Photos of Compliance / Positives
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Non-compliance / Improvement opportunities
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Notes on non-compliance / Improvement opportunities
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Photos of non-compliance / improvement opportunities
