Templates
Mining Inspection Form

Mining Inspection Form

Use this template to ensure in the mining industry that all occupational health and safety measures are observed and that all working materials are available.

Use this template
or download pdf
Mining Inspection Form

Use this template to ensure in the mining industry that all occupational health and safety measures are observed and that all working materials are available.

Use this template
or download pdf

Related categories

Preview of the template
Audit
Program
Required training completed
Risk Assessment Completed/FLRA Completed/Reviewed
Other
PPE
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
Other
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
Other
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
Other
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
Other
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
Other
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
Electrical
Energy Isolation Program (LOTO)
GFCI in place and being used
Cords - Tools - Plugs Inspected & Colour-Coded
High Voltage Hazards Marked
Generators and Welders Grounded
Other
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
Other
Tools, Equipment and Rigging
Hand-Power Tools Free of Defects
Air Guns & Hoses Pinned / Check Valves
Slings, Chains, Rigging Inspected & Tagged
Saw-Horses / Cribbing
Other
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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.