Digitalize this paper form now
Register for free on lumiformapp.com and conduct inspections via our mobile app
Cut inspection time by 50% Uncover more issues and solve them 4x faster Select from over 4000 expert-proofed templates Mining Inspection Form Program Required training completed Yes No N/A Risk Assessment Completed/FLRA Completed/Reviewed Yes No N/A PPE Eye Protection (sealed, close-fitting, face shield) Yes No N/A Foot Protection (met guards) Yes No N/A Hearing Protection (plugs, muff, both) Yes No N/A Hand Protection (proper glove for the task) Yes No N/A Respiratory Protection (1/2, full, supplied) Yes No N/A Fall Protection (harness, SRL, lanyard, 100% tie-off Yes No N/A General Facility/Site Conditions/Housekeeping Surface / Floor / Wall / Ceilings Yes No N/A Exits / Egress Routes Clear / Signage Posted Yes No N/A Stairways / Walkways / Ramps / Platforms Yes No N/A Driveways / Aisles Yes No N/A Warning Signs / Markings / Postings Yes No N/A General and Emergency Lighting Yes No N/A Orderliness & Material / Chemical Storage Stacking And Storage Yes No N/A Organized / Not Congested / Stable Yes No N/A Containers Provided For Debris Yes No N/A Spill Containment and Response / Proper Resources Yes No N/A Proper Container in Use - Labelled Yes No N/A MSDS Available and Reviewed Yes No N/A Fire Protection Fire Extinguishers Provided & Inspected Yes No N/A No Smoking - Flammable - Combustible Signs Yes No N/A Flammable / Combust Liquid / Material Storage Yes No N/A Welding & Cutting (Flash Arrestors) Yes No N/A Oxy - Fuel Cylinders Stored 25' Apart Yes No N/A Hot Work Permitted / Emergency Controls Yes No N/A Fall Protection Underfoot Walking Working Surface Safe Yes No N/A Handrail Systems / Perimeter Guards Yes No N/A Scaffolding Properly Installed & Inspected Yes No N/A Ladder Condition, Setup, Tie Off & Use Yes No N/A Personnel Practicing 100% Tie Off Yes No N/A Wall Openings Guarded and Holes Covered Yes No N/A Confined Space Permits Completed and Posted Yes No N/A Air Movement Systems in Place Yes No N/A Respiratory System Being Used Yes No N/A Supplied Air System Inspected and Signed Off Yes No N/A Confined Space Watch in Place Yes No N/A Electrical Energy Isolation Program (LOTO) Yes No N/A GFCI in place and being used Yes No N/A Cords - Tools - Plugs Inspected & Colour-Coded Yes No N/A High Voltage Hazards Marked Yes No N/A Generators and Welders Grounded Yes No N/A Equipment - Cranes, Loaders, Forklifts, Aerial Lifts & All Other Machines Daily Pre-Use Inspection Completed / Signed Yes No N/A Alarms, Horns, and Warning Lights Working Yes No N/A Guards in Place / Wheel Chalks Yes No N/A Overall Safe Operation Condition Yes No N/A Tools, Equipment and Rigging Hand-Power Tools Free of Defects Yes No N/A Air Guns & Hoses Pinned / Check Valves Yes No N/A Slings, Chains, Rigging Inspected & Tagged Yes No N/A Saw-Horses / Cribbing Yes No N/A
Please note that this checklist template is a hypothetical 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.