Underground workplace inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

NAME OF BEAT SUPERVISOR:

• Select date

  Date

• Was inspection completed on dayshift or nightshift?

  dayshift

  nightshift

HEADING LOCATION:

ENTRANCE AND TRAVELWAY:

• Is the travel way in good condition?

  Yes

  No

  N/A

• Is the housekeeping in good order?

  Yes

  No

  N/A

• Is the proper signage in use?

  Yes

  No

  N/A

• Is the ground support up to company standards?

  Yes

  No

  N/A

• Is the CFM Board up to date and installed correctly?

  Yes

  No

  N/A

• Is the vent tubing in good condition and adequately installed?

  Yes

  No

  N/A

• Is the travel way clear of tripping hazards and obstructions?

  Yes

  No

  N/A

• COMMENTS:

WORKPLACE/HEADING:

• Is the vent tubing in good condition and adequate?

  Yes

  No

  N/A

• Is the housekeeping in good order?

  Yes

  No

  N/A

• Is the area well scaled?

  Yes

  No

  N/A

• Is the ground support installed as per print and policy?

  Yes

  No

  N/A

• Has a proper face prep been completed?

  Yes

  No

  N/A

• Are the proper tools for the task being used?

  Yes

  No

  N/A

• Are company policies and procedures being adhered to?

  Yes

  No

  N/A

• Are the workers wearing the proper PPE for the job they are doing?

  Yes

  No

  N/A

• Are services installed as per company standards?

  Yes

  No

  N/A

• Has the tag board been used correctly?

  Yes

  No

  N/A

• Safety bays clean, prepped and clearly identified?

  Yes

  No

  N/A

• Working platform set-up correctly? (Jacks down, proper hand rails, etc)

  Yes

  No

  N/A

• Explosives stored correctly?

  Yes

  No

  N/A

• Air/water leaks?

  Yes

  No

  N/A

• Is there flammable refuse in heading? (Used oil, rags, cardboard, etc)

  Yes

  No

  N/A

• Barricades and signs posted as per company standard?

  Yes

  No

  N/A

• Central blast line installed correctly?

  Yes

  No

  N/A

• Is the vent tubing 50' from the face and physically felt?

  Yes

  No

  N/A

• WHIMIS controlled products stored correctly? (Oil, fuel, resin, etc)

  Yes

  No

  N/A

• COMMENTS:

WORKERS:

• Are the workers wearing the proper PPE?

  Yes

  No

  N/A

• Are the workers properly trained and authorized?

  Yes

  No

  N/A

• Have the workers properly completed their safety cards?

  Yes

  No

  N/A

• Are the workers following company policy and procedure?

  Yes

  No

  N/A

• Do the workers know what is expected of them?

  Yes

  No

  N/A

• Are the workers capable of performing the prescribed tasks?

  Yes

  No

  N/A

• Do the workers know their escape route and location of the refuge station?

  Yes

  No

  N/A

• Do the workers have a lock/tag?

  Yes

  No

  N/A

• Is special PPE required? (Face shield, fall arrest...)

  Yes

  No

  N/A

• LIST:

• Do the workers have the correct attitude to continue doing their job safely?

  Yes

  No

  N/A

• WORKERS NAMES:

• COMMENTS:

EQUIPMENT:

• Has the equipment been serviced correctly?

  Yes

  No

  N/A

• Is the fire extinguisher/fire suppression is good order?

  Yes

  No

  N/A

• Is special PPE required for specific equipment and/or material?

  Yes

  No

  N/A

• Does the equipment have proper guards in place?

  Yes

  No

  N/A

• Wheel checks present?

  Yes

  No

  N/A

• Working seatbelt?

  Yes

  No

  N/A

• Has a proper Pre-op been completed?

  Yes

  No

  N/A

• Does the work area have adequate ventilation?

  Yes

  No

  N/A

• COMMENTS:

  Yes

  No

  N/A

REMOTE MUCKING:

• Proper signs and barricades installed?

  Yes

  No

  N/A

• Is yellow bag present with proper policies and print?

  Yes

  No

  N/A

• Are there updated prints in the work heading?

  Yes

  No

  N/A

• Is the ground support installed as per company standards?

  Yes

  No

  N/A

• Work area well scaled?

  Yes

  No

  N/A

• Is the work area properly ventilated?

  Yes

  No

  N/A

• Is the wedge installed correctly?

  Yes

  No

  N/A

• Has the wedge been commissioned?

  Yes

  No

  N/A

• Does the operator have the proper training?

  Yes

  No

  N/A

• Does the remote operate correctly?

  Yes

  No

  N/A

• When was the last time the beat supervisor conducted a job task observation?

  Yes

  No

  N/A

• COMMENTS:

  Yes

  No

  N/A

FALL ARREST:

• Is fall arrest required for the job site?

  Yes

  No

  N/A

• Is there proper anchor points?

  Yes

  No

  N/A

• Has the fall arrest gear been properly inspected?

  Yes

  No

  N/A

• Is the fall arrest in good order?

  Yes

  No

  N/A

• Are the workers properly trained?

  Yes

  No

  N/A

• COMMENTS:

• Add media

  Media

• SIGNATURE:

  Sign