Supervisors and Drillers Audit

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

DRILLING AUDIT

• Dayshift or Nightshift?

  Select Dayshift Nightshift

  • Dayshift
  • Nightshift

• Has a proper face Preparation been completed?

  Yes

  No

  N/A

• Has line been shot? What are the offsets?

  Yes

  No

  N/A

• Has Grade been shot? What are the offsets?

  Yes

  No

  N/A

• Has Grade line been painted on the wall?

  Yes

  No

  N/A

• What is the distance of the front plug to the face?

• Dimensions of Excavation:

• Is the ventilation in good shape and 50' from the face?

  Yes

  No

  N/A

• Are Atomizers set up for use?

  Yes

  No

  N/A

• Supporting Media

  Media

GROUND SUPPORT AND CONDITIONS

• Is the ground support installed as per print and to company standards?

  Yes

  No

  N/A

• Is screen/shotcrete installed as per company standards? (ie. 5' from floor, overlap etc...)

  Yes

  No

  N/A

• Is there overbreak due to poor ground conditions?

  Yes

  No

  N/A

• Description of conditions:

• Supporting Media:

  Media

• Does the driller have a working methane tester?

  Yes

  No

  N/A

OVERALL CONDITIONS:

• Workplace: (Road conditions, Housekeeping, ventilation, standing water)

• Notes:

• Ventilation: (Required CFM's, Actual CFM's, Installation, Quality, Distance from face)

• Notes:

• Ground Support: (Bolted to compliance, quality, screen tight to wall/back, correct overlap, within 5' of floor)

• Notes:

• Housekeeping: (neat, organized, clean)

• Notes:

• Services: (Air, Water, Quality, to standard, leaking)

  Off

  On

• Notes:

• Supporting Media:

  Media

• Signature:

  Sign