Surface Areas Inspection

• Document Number

• Conducted on

  Date

• Prepared by

• Personnel Involved

• Completed On

  Date

• Site conducted

  Select

• Location

1. ORE PAD

• Road condition good – free of large rocks

  Yes

  No

  N/A

• Signage - Ore stockpiles easily identified

  Yes

  No

  N/A

• Ramp visibility

  Yes

  No

  N/A

• House keeping

  Yes

  No

  N/A

• Dust suppression

  Yes

  No

  N/A

• Lighting tower working and in good condition

  Yes

  No

  N/A

• Accumulated bolts and mesh to be cleared away

  Yes

  No

  N/A

• Windrows half wheel height of largest vehicle using the area – not too low or high

  Yes

  No

  N/A

2. SURFACE SUB STATION

• Security – in good condition and locked

  Yes

  No

  N/A

• House keeping

  Yes

  No

  N/A

• Signage to prevent access, CPR sign in place

  Yes

  No

  N/A

• Weed control around perimeter and inside

  Yes

  No

  N/A

3. MINE LAY DOWN AREA

• Roadway condition - No rocks

  Yes

  No

  N/A

• Gear stored in the correct location

  Yes

  No

  N/A

• Gear signage

  Yes

  No

  N/A

• Housekeeping in the area

  Yes

  No

  N/A

• Rubbish stored in the correct area

  Yes

  No

  N/A

• Mesh stored safely

  Yes

  No

  N/A

• Rock bolts stored safely and neat

  Yes

  No

  N/A

• Vent bag neat and stored by size

  Yes

  No

  N/A

4. SURFACE DAM & STAND PIPE AREA

• Stand pipe condition

  Yes

  No

  N/A

• Roadway - in good condition - No puddles

  Yes

  No

  N/A

• Silt in the catching dam - nil

  Yes

  No

  N/A

• Pump line and coupling condition

  Yes

  No

  N/A

5. RUBBISH DUMP AREA

• Road condition - No rubbish, graded

  Yes

  No

  N/A

• Dumping area - Accessible

  Yes

  No

  N/A

• Area pushed over

  Yes

  No

  N/A

• House keeping

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Recycling system in place / adequate

  Yes

  No

  N/A

6. SURFACE FANS

• Correct signage in place for PPE

  Yes

  No

  N/A

• Warning lights working (where used)

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Condition of fan

  Yes

  No

  N/A

7. DIESEL BOWSER

• Signage in place clear and clean

  Yes

  No

  N/A

• Extinguishers - Tagged and charged (6 monthly)

  Yes

  No

  N/A

• All spill kits and rubbish bins in good order

  Yes

  No

  N/A

• Area free of diesel spills

  Yes

  No

  N/A

• Eye Wash Station

  Yes

  No

  N/A

8. DIESEL TANKS

• Pump coupling guards in good repair and in place

  Yes

  No

  N/A

• Bund walls in good repair

  Yes

  No

  N/A

• Bunded area free of diesel spills and water build up

  Yes

  No

  N/A

9. COMPRESSOR AREA

• Fire extinguishers

  Yes

  No

  N/A

• Compressor floors clean

  Yes

  No

  N/A

• Free of air leaks

  Yes

  No

  N/A

• Water traps working

  Yes

  No

  N/A

• Lighting inside and outside

  Yes

  No

  N/A

10. FIRE PROTECTION SURFACE AREA

• Fire extinguishers accessible

  Yes

  No

  N/A

• Fire hydrants accessible

  Yes

  No

  N/A

11. CHEMICALS STORAGE AREA

• Chemicals stored properly

  Yes

  No

  N/A

• Labelled properly

  Yes

  No

  N/A

• S.D.S Sheets for all chemicals (sign posted?)

  Yes

  No

  N/A

• Area sign posted (toxic, acid, etc.)

  Yes

  No

  N/A

12. VEGETATION

• Adequately controlled

  Yes

  No

  N/A

• No fire hazard

  Yes

  No

  N/A

• No obstruction of signs/roadways

  Yes

  No

  N/A

• Vegetation clear of overhead powerlines

  Yes

  No

  N/A

13. ROADWAYS

• In good condition

  Yes

  No

  N/A

• Clearly marked and sign posted

  Yes

  No

  N/A

• Where used, windrows half wheel height of largest vehicle using the area – not too low or high

  Yes

  No

  N/A

14. OUTSIDE LIGHTING

• In good condition

  Yes

  No

  N/A

• Outside work areas illuminated sufficiently

  Yes

  No

  N/A

15. FENCING

• In good condition

  Yes

  No

  N/A

• Gates secured appropriately

  Yes

  No

  N/A

• Access to gate ways and travel ways unobstructed

  Yes

  No

  N/A

• Emergency access to be clearly marked and sign posted for ambulance

  Yes

  No

  N/A

• Name & Signature of person conducting Inspection:

  Sign