UNDERGROUND WORKPLACE INSPECTION. ¥

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

TRAVEL WAY

• Is the travel way clean and in good order?

  Yes

  No

  N/A

• Ground Conditions?

  Yes

  No

  N/A

• Are proper barricades and signs in place?

  Yes

  No

  N/A

• Is ventilation in good order? ( doors working, reflective tape on doors, bulkheads)

  Yes

  No

  N/A

• Condition of Powder Mag

  Yes

  No

  N/A

• Condition of Cap Mag

  Yes

  No

  N/A

SAFETY SYSTEM

• Did the employees attend the morning huddle?

  Yes

  No

  N/A

• Are they wearing properPPE?

  Yes

  No

  N/A

• Was the 5-point safety card filled out?

  Yes

  No

  N/A

• Has a hazard been identified?

  Yes

  No

  N/A

• Does the stope bag have an updated print and methane policy in it?

  Yes

  No

  N/A

• Is the safety topic on the card?

  Yes

  No

  N/A

• Are the required permits present ( burning, non-routine)

  Yes

  No

  N/A

VENTILATION

• Is the equipment tagged in properly?

  Yes

  No

  N/A

• Is the crew aware of the ventilation requirements?

  Yes

  No

  N/A

• Is there sufficient ventilation in the heading for the equipment being used?

  Yes

  No

  N/A

• Is the ventilation 50 feet from the face?

  Yes

  No

  N/A

• Is the vent tube on messenger cable and in good order?

  Yes

  No

  N/A

WORKPLACE AND EQUIPMENT

• Are proper barricades in place? (Unsupported ground, rotating equipment electrical cable)

  Yes

  No

  N/A

• Is the heading print available?

  Yes

  No

  N/A

• Are the proper length and number of scaling bars present?

  Yes

  No

  N/A

• Are equipment pre-op's complete?

  Yes

  No

  N/A

• Is face properly preped?

  Yes

  No

  N/A

• Is the face report complete

  Yes

  No

  N/A

• Has line been shot?

  Yes

  No

  N/A

• Is the geology report present?

  Yes

  No

  N/A

• Is ground support requirements being followed?

  Yes

  No

  N/A

• Other Information

  Yes

  No

  N/A

MUCKING

• Is the remote mucking wedge commissioning report present and complete?

  Yes

  No

  N/A

• Is the wedge secured to the wll properly?

  Yes

  No

  N/A

• Is there water in the wedge.

  Yes

  No

  N/A

• Is there caution tape at the brow?

  Yes

  No

  N/A

• Are samples being taken?

  Yes

  No

  N/A