Information

  • Name:

  • Heading:

  • Date:

  • Shift:

Supervisor's amd Driller's Audit

  • Has proper face preperation been done?

  • Has line been shot?

  • What are the offsets?

  • What is the actual offset on face?

  • Has grade been shot?

  • What are the offsets?

  • Is grade line painted on wall?

  • What is the distance from front plug to face?

  • Dimensions of Evacuation:

  • Length:

  • Width:

  • Height:

  • Is ventilation in good shape 50 feet from face?

  • Are atomizers being used?

  • GROUND SUPPORT & CONDITIONS

  • Is the ground support installed to standard?

  • Is the screen installed to standard?

  • Are ground conditions suitable to avoid overbreak?

  • Description of Conditions:

  • Is methane tester present?

  • Driller's Signature:

  • Supervisor's Signature:

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.