Lumiform Mobile audits & inspections
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Mining Inspection Form

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Required training completed
Risk Assessment Completed/FLRA Completed/Reviewed
Eye Protection (sealed, close-fitting, face shield)
Foot Protection (met guards)
Hearing Protection (plugs, muff, both)
Hand Protection (proper glove for the task)
Respiratory Protection (1/2, full, supplied)
Fall Protection (harness, SRL, lanyard, 100% tie-off
General Facility/Site Conditions/Housekeeping
Surface / Floor / Wall / Ceilings
Exits / Egress Routes Clear / Signage Posted
Stairways / Walkways / Ramps / Platforms
Driveways / Aisles
Warning Signs / Markings / Postings
General and Emergency Lighting
Orderliness & Material / Chemical Storage
Stacking And Storage
Organized / Not Congested / Stable
Containers Provided For Debris
Spill Containment and Response / Proper Resources
Proper Container in Use - Labelled
MSDS Available and Reviewed
Fire Protection
Fire Extinguishers Provided & Inspected
No Smoking - Flammable - Combustible Signs
Flammable / Combust Liquid / Material Storage
Welding & Cutting (Flash Arrestors)
Oxy - Fuel Cylinders Stored 25' Apart
Hot Work Permitted / Emergency Controls
Fall Protection
Underfoot Walking Working Surface Safe
Handrail Systems / Perimeter Guards
Scaffolding Properly Installed & Inspected
Ladder Condition, Setup, Tie Off & Use
Personnel Practicing 100% Tie Off
Wall Openings Guarded and Holes Covered
Confined Space
Permits Completed and Posted
Air Movement Systems in Place
Respiratory System Being Used
Supplied Air System Inspected and Signed Off
Confined Space Watch in Place
Energy Isolation Program (LOTO)
GFCI in place and being used
Cords - Tools - Plugs Inspected & Colour-Coded
High Voltage Hazards Marked
Generators and Welders Grounded
Equipment - Cranes, Loaders, Forklifts, Aerial Lifts & All Other Machines
Daily Pre-Use Inspection Completed / Signed
Alarms, Horns, and Warning Lights Working
Guards in Place / Wheel Chalks
Overall Safe Operation Condition
Tools, Equipment and Rigging
Hand-Power Tools Free of Defects
Air Guns & Hoses Pinned / Check Valves
Slings, Chains, Rigging Inspected & Tagged
Saw-Horses / Cribbing
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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