10 - AB-07-F01 | Mine Permit-to-Work & Energy Isolation Pre-Start — Release
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AB-07-F01 — MINE PERMIT-TO-WORK & ENERGY ISOLATION PRE-START — RELEASE RECORD
You've won work at a live surface mine. Mine Permit-to-Work & Energy Isolation Pre-Start — Release Record cannot be documented responsibly using another contractor's old construction forms. This authentic AVC Section AB record gives the awarded crew the original source controls, evidence fields and required mine-owner release interface.
FIVE ACTUAL HOLD / RELEASE STEPS
1. Work authorisation references and host permission valid for date/time/zone.
2. All applicable permits identified (electrical, hot work, excavation, confined entry, lifting, height, process isolation).
3. Host energy owner and approved isolation method identified.
4. All energy sources including mechanical, hydraulic, pneumatic, gravity and electrical accounted for.
5. Isolation verification and zero-energy trial witnessed or recorded as required.
WHAT THE ORIGINAL WORD FORM RECORDS
The printed original is a FIVE-STAGE release record with STEP, HOLD / STOP POINT, STATUS (Hold / Release / N/A), and VERIFIER / RECORD with evidence, time and signature. This is different from the matching ten-row assessment form: do not merge them.
Fill in Mine / site, Company, Area / equipment, Permit / work order, Supervisor and Host-mine work owner. FINAL CONTRACTOR ACCEPTANCE and HOST-MINE RELEASE (IF REQUIRED) are separate name, signature and date fields.
HOLD POINTS AND COMPETENT RELEASE
The printed NO RELEASE IF rule applies where the work order or permit lacks host approval, risks remain unresolved, the mine supervisor is missing or verification is incomplete. Only the proper mine official may grant the applicable work release.
HOW TO COMPLETE AND RETAIN THE ORIGINAL
Edit this genuine A4 Word document with the actual mine work area, date/shift, contract, scope, permit and responsible people. Enter authentic findings and current evidence references. Retain incomplete and changed-condition issues openly, with their follow-up records.
BUY ONE SINGLE OR GET THE COMPLETE SYSTEM
This authentic R12.95 AB-07-F01 Word original is ALREADY INCLUDED in AVC's 386-document Surface, Opencast & Quarry Mining Checklist Package and in the complete Surface Mining Contractor Health & Safety File. Do not buy it twice if you own either. The full file adds the professional contractor-management framework.
Browse AVC individual Safety Checklist Singles.
Compare the 386-document Surface Mining Checklist Package.
Explore the complete Surface Mining Contractor H&S File.
IMPORTANT: A completed document is supporting evidence, not a mine permit, statutory approval, operational release, professional certification or substitute for current host-mine COP/SOP duties.

