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3/20/23, 4:44 PM Mine Safey Audit Checklist - SafetyCulture

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Information

Audit Title

Document No.

Client / Site

Conducted on 

Prepared by

Location 

Personnel

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Select date 

1 EMERGENCY RESPONSE

1.1 Current Emergency Evacuation Plan & Procedure displayed in appropriate positions
around site?

Yes No N/A

1.2 Fire Extinguishers are marked correctly on evacuation plan?

Yes No N/A

1.3 Emergency assembly & Muster points are highlighted on the evacuation plan?

Yes No N/A

1.4 Location of First Aid kits are marked on the evacuation plan?

Yes No N/A

1.5 Emergency Exits are marked correctly on evacuation plan

Yes No N/A

1.6 Emergency Numbers displayed on evacuation plan?

Yes No N/A

Tick if the emergency numbers displayed on evacuation plan include:

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Local Police Station

Local Fire Brigade

Local Hospital

Power or electricity source

Gas

Chemwatch

Water & Sewerage

Site Managers phone number

1.7 Firefighting equipment in place and in good condition?

Yes No N/A

1.8 Fire extinguishers are correct type for the area?

Yes No N/A

1.9 Fire extinguisher signage is in place and correct?

Yes No N/A

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1.10 Fire extinguishers are serviced every 12 months and fitted with anti-tamper tags?

Yes No N/A

1.11 One metre clearance maintained around fire fighting equipment?

Yes No N/A

1.12 Access to fire fighting equipment is clear?

Yes No N/A

1.13 Fire Breaks in place and adequate?

Yes No N/A

1.14 Access to switchboards is clear and unobstructed?

Yes No N/A

1.15 Smoke alarms fitted in nominated locations?

Yes No N/A

1.16 Emergency assembly / muster area(s) sign posted?

Yes No N/A

1.17 Emergency assembly / muster area(s) have a clear path to them and are free of
debris?

Yes No N/A

1.18 First Aid kits are available with correct signage displayed?

Yes No N/A

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1.19 First Aid kits in good condition and fully stocked (contents list is located on inside of
kit - check)?

Yes No N/A

1.20 Are names of first aiders on site located on the first aid kit?

Yes No N/A

1.21 Sign in sheets accurate?

Yes No N/A

1.22 Emergency 'exit' signs present and illuminates (above fire doors and directing
exits)?

Yes No N/A

1.23 Exits and stairs clear and unobstructed?

Yes No N/A

2 House Keeping

2.1 Access / Egress to work sites up to standard?

Yes No N/A

2.2 Caps on star pickets & rebar?

Yes No N/A

2.3 Rubbish bins provided and used?

Yes No N/A

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2.4 Materials neatly stacked?

Yes No N/A

2.5 Work platforms clear?

Yes No N/A

2.6 Adequate lighting for night work?

Yes No N/A

2.7 All hoses off ground?

Yes No N/A

2.8 Correct signage in place & readable?

Yes No N/A

2.9 Hazardous Sub's labeling & storage?

Yes No N/A

2.10 Waste stored / removed correctly?

Yes No N/A

2.11 Recycling is occurring?

Yes No N/A

2.12 Do employees pick up stock / litter / spillages off floor & site area?

Yes No N/A

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3 Offices and Ablutions

3.1 Crib room clean, tidy and hygienic?

Yes No N/A

3.2 Floors are clean, clear with a safe path of travel throughout area?

Yes No N/A

3.3 Floor coverings / surfaces in good condition?

Yes No N/A

3.4 Toilets clean and hygienic?

Yes No N/A

3.5 No evidence of sewage spills or overflows?

Yes No N/A

3.6 Barricading / signs in place where required?

Yes No N/A

3.7 Access and Egress; trip hazards, condition of flooring, anti-slip, handrails?

Yes No N/A

3.8 Emergency Evacuation Plan?

Yes No N/A

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3.9 Air conditioning & Ventilation adequate?

Yes No N/A

3.10 Filing Cabinets / Shelving - not overloaded?

Yes No N/A

3.11 Leads, Lighting, Emergency Lighting?

Yes No N/A

3.12 Housekeeping, cleanliness, food / rubbish disposal, hygienic?

Yes No N/A

3.13 Individuals Work Stations clean and tidy?

Yes No N/A

3.14 Office equipment; Shredder protected, good height, ventilation, noise - all
adequate?

Yes No N/A

3.15 Equipment such as chairs, desks, computers, etc. are in good working condition?

Yes No N/A

3.16 Lights are working, covers in place where required and adequate for the job?

Yes No N/A

3.17 Double adaptors are not being used?

Yes No N/A

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3.18 Electrically operated machines have current testing and tagging (includes kitchen
appliances older than 12 months)?

Yes No N/A

3.19 Power points and power leads are good condition (no leads across floors or on wet
surfaces)?

Yes No N/A

3.20 First Aid Kit available?

Yes No N/A

3.21 MSDS available?

Yes No N/A

4 Personal Protective Equipment (PPE)

4.1 PPE available at the worksite?

Yes No N/A

4.2 All appropriate PPE being worn?

Yes No N/A

5 Mechanical / Workshop

5.1 9" grinders not in use?

Yes No N/A

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5.2 Clips fitted to all hoses?

Yes No N/A

5.3 Correct discs used in grinders?

Yes No N/A

5.4 Ladders secured and tagged?

Yes No N/A

5.5 guards fitted to machinery/ tools?

Yes No N/A

5.6 All power tools fitted with dead man?

Yes No N/A

5.7 Portable electrical equipment Tagged and current?

Yes No N/A

5.8 Wheel chocks in use / available?

Yes No N/A

5.9 Hand held tools are in good condition and stored appropriately?

Yes No N/A

5.10 Are sufficient stocks of PPE kept?

Yes No N/A

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5.11 Manual handling aids available?

Yes No N/A

5.12 Gas bottles secured / protected from damage or falling over ( e.g strapped or
chained to secured fixture)?

Yes No N/A

5.13 Ladders used are in good working condition?

Yes No N/A

5.14 Safety warning signs present including:

Manual Handling

Eye protection

Keep out - Authorised Personnel Only

Visitors report to the Office

Chemicals

5.15 A register of authorised employees to operate plant / equipment is available?

Yes No N/A

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5.18 Stacked items are safe - not overhanging or leaning?

Yes No N/A

5.19 Are pallets in good condition?

Yes No N/A

6 Electrical

6.1 Condition of leads, plugs etc - adequate upon assessment?

Yes No N/A

6.2 ELCB / RCD used for portable tools - adequate upon assessment?

Yes No N/A

6.3 All equipment tagged correctly?

Yes No N/A

6.4 Leads off ground not near water?

Yes No N/A

6.5 Isolations appropriate & completed?

Yes No N/A

6.6 Earth leads on welders good condition?

Yes No N/A

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7 Vehicles and Mobile Equipment

7.1 All vehicles parked according to parking rules?

Yes No N/A

7.2 Road rules are being followed?

Yes No N/A

7.3 Vehicles meet Minepower requirements?

Yes No N/A

7.4 Weekly pre-start inspection completed and logged on all light vehicle?<br>Refer to
Daily Re-start Inspection Checklist

Yes No N/A

7.5 Daily Pre-start inspection completed and logged on all machinery?<br>Refer to Daily
Pre-start inspection checklist

Yes No N/A

7.6 Flashing lights & headlights working and being used?

Yes No N/A

7.7 Are vehicles and equipment clean / no loose debris?

Yes No N/A

7.12 Radio procedures being followed?

Yes No N/A

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8 Traffic Management

8.1 Full segregation of Light Vehicle & Surface Mining Equipment is in place?

Yes No N/A

8.2 Park up areas are correct?

Yes No N/A

8.3 Traffic management plans are in place?

Yes No N/A

8.4 Speed limits are marked correctly?

Yes No N/A

9 Roads and Surfaces

9.1 Windrows at correct height?

Yes No N/A

9.2 Surfaces firm and safe?

Yes No N/A

9.3 Roads have adequate width?

Yes No N/A

9.4 Delineators are in place?

Yes No N/A

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10 Excavations and Mining

10.1 Battered back?

Yes No N/A

10.2 Barricaded correctly?

Yes No N/A

10.3 Easy entry and exit to Digger?

Yes No N/A

10.4 Loading of Trucks sequenced?

Yes No N/A

10.5 Correct method of digging is being used?

Yes No N/A

10.6 Dumpy park up defined?

Yes No N/A

10.7 All signals appropriate?

Yes No N/A

11 Job Start

11.1 Job Hazard Analysis (JHA) appropriate & completed?<br>Refer to JHA checklist

Yes No N/A

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11.2 JHA on the job and understood?

Yes No N/A

11.3 Field Level Risk Assessments (FLRA) have been undertaken?<br>Refer to FLRA
cheklist

Yes No N/A

11.4 Permits appropriate & completed?

Yes No N/A

11.5 Isolations appropriate & completed?

Yes No N/A

11.6 Work area de-marked and sign posted?

Yes No N/A

11.7 Material Safety Data Sheets (MSDS) for chemicals at the workplace?

Yes No N/A

11.8 Access/egress to work area appropriate?

Yes No N/A

12 Occupational Health

12.1 Dust levels low and controlled?

Yes No N/A

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12.2 Noise levels acceptable?

Yes No N/A

12.3 Fibrous Material is being controlled?

Yes No N/A

12.4 Vibration is being controlled?

Yes No N/A

13 Hot Work

13.1 Permit in place?

Yes No N/A

13.2 Flashback arresters on cylinders and hand pieces?

Yes No N/A

13.3 All equip (hoses, etc) in good condition?

Yes No N/A

13.4 Fire extinguishers available for all Hot Work?

Yes No N/A

13.5 Earth clamps in correct location?

Yes No N/A

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14 Working at Heights

14.1 WAH is being eliminated?

Yes No N/A

14.2 Fall arrest equipment used?

Yes No N/A

14.3 Permit to work at Height in place?

Yes No N/A

14.4 Spotters in place as required?

Yes No N/A

14.5 ECO barricading in place?

Yes No N/A

14.6 Drop zone barricading in place?

Yes No N/A

14.7 Dropped objects prevention is in place?

Yes No N/A

15 Craneage Operations

15.1 Crane log books and documentation in place in the crane?

Yes No N/A

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15.2 Cranes set up correctly?

Yes No N/A

15.3 Crane operator competent?

Yes No N/A

15.4 Crane lift risk assessment form in place?

Yes No N/A

15.5 Crane suitable for the task?

Yes No N/A

16 Confined Space

16.1 Confined space permit in place?

Yes No N/A

16.2 Sentry space permit in place?

Yes No N/A

16.3 Procedure being followed?

Yes No N/A

16.4 Space safe?

Yes No N/A

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17 Hydrocarbon Storage

17.1 All hydrocarbon materials inside bunds?

Yes No N/A

17.2 Oil spill equipment available, status?

Yes No N/A

17.3 No evidence of stains / spillage?

Yes No N/A

17.4 Bunds fully effective?

Yes No N/A

17.5 Fuel-containing equipment and plant in trays or provided with other bunding?

Yes No N/A

18 Flora and Fauna

18.1 All clearing approved?

Yes No N/A

18.2 VDAs in place for all activities?

Yes No N/A

18.3 Priority flora is identified and fenced?

Yes No N/A

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18.4 Topsoil stockpiled and signposted?

Yes No N/A

18.5 Easy exit for fauna from trenches & pits?

Yes No N/A

18.6 Bore caps in place & conduit ends taped?

Yes No N/A

18.10 No weeds growing in project areas?

Yes No N/A

19 Water Management

19.1 Flow meters / volumes recording in place?

Yes No N/A

19.2 Water holding facilities appropriately constructed (drainage of standpipes, depth)?

Yes No N/A

19.3 Water holding facilities stock fenced & have exit ropes?

Yes No N/A

20 Erosion

20.1 No erosion from stockpiles?

Yes No N/A

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20.2 No erosion of gullies and streams?

Yes No N/A

21 Sewerage Treatment

21.1 Facility approved & permits in place?

Yes No N/A

21.2 Alarms/warning devices in place for clearing capacity?

Yes No N/A

21.3 Receiving effluent tank higher capacity then freshwater input tank?

Yes No N/A

22 Occupational Health and Safety Administration

22.1 Is there a procedure for personnel to refuse working where they feel that injury or
harm could occur to themselves or to other people?

Yes No N/A

22.2 Has a register of Hazardous Materials been developed?

Yes No N/A

22.3 Names of OH&S Reps Displayed on Notice Board?

Yes No N/A

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22.4 Incident / Accident Recording, Reporting & Investigation Folder is available and
current?

Yes No N/A

22.5 Danger Tags are available and being used correctly site wide?

Yes No N/A

22.6 Current Company OHS Policies are on display in a prominent position?

Yes No N/A

22.7 Review Toolbox Minutes from last six meetings?

Yes No N/A

22.8 Have Site Specific Risk Assessments been completed on contractors?<br>Refer to


Site Specific Risk Assessment Checklist

Yes No N/A

22.9 Is the Site Specific Risk Assessment Current? (Risk Assessment must be no older
than 2 years old.)

Yes No N/A

22.10 Have controls been put in place to control hazards identified? (review site specific
risk assessment)

Yes No N/A

22.11 Does the Site conduct regular evacuation drills? Did the employees participate
(Review the last few Fire Drill Records)

Yes No N/A

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22.11(1) When was the last one (Last evacuation drill



not to be more than 6 months)

22.12 Has the employee completed Specific Training (review on the job training records)

Yes No N/A

22.13 Has the employee received / or has the ability to access Safe Work Procedures?
(review employee file for sign off)

Yes No N/A

22.14 Has each crew been established with a First Aider?

Yes No N/A

22.15 Employees who conduct specialist tasks have received appropriate training in
OH&S Related Matters? (check employee personnel files for record of training (certificate
or attendance registers)

Yes No N/A

22.16 Employees have received appropriate training in return to work? (check training
matrix)

Yes No N/A

22.37 Has OH&S Training been conducted for OH&S Representatives within 12 months
of accepting the position? (review personnel files or training matrix)

Yes No N/A

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23 Chemicals

23.1 Are only approved chemicals being used as per the Approved Chemical Register?

Yes No N/A

23.2 Chemicals stored on site are not expired or obsolete?

Yes No N/A

23.3 Chemicals are not decanted? (substances must be in original containers with
original labels)

Yes No N/A

23.4 Are all the chemicals clearly labelled?

Yes No N/A

23.5 Material Safety Data Sheets present at location where Chemicals are kept and easily
accessible?

Yes No N/A

23.6 Containers in which chemicals are stored are in good condition and are not
leaking?

Yes No N/A

23.7 Nominated area in which chemicals are stored is locked allowing only restricted
access and bundled?

Yes No N/A

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23.8 Gas bottles secured/ protected from damage or falling over? (e.g strapped or
chained to secured fixture)

Yes No N/A

23.9 Is there adequate ventilation where chemicals are stored?

Yes No N/A

23.10 Spill kits available and fully stocked?

Yes No N/A

23.11 Are emergency showers or eye wash stations available & easily assessable?

Yes No N/A

Review

Remarks

Person completing form 

Witness/Participant 

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's
solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should
independently determine whether the template is suitable for your circumstances.

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