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Mining Inspection Form

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Mining Inspection Form



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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