167 - AJ-H02 | Fire-System Witness Hold & Mine Return-to-Service Gate
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UNDER GRD MINE — SOURCE-ORIGINAL EDITABLE WORD | R12.95
AJ-H02 — FIRE-SYSTEM WITNESS HOLD & MINE RETURN-TO-SERVICE GATE
AJ-H02 is the original FIVE-gate independent mine witness hold and return-to-service form for underground fire suppression, detection and emergency alarm systems. It begins with accepted impairment permits and substitute protection, and ends with certified suppression materials appropriate to mine specifications.
WHERE AND WHEN THIS ORIGINAL MINE FIRE RECORD APPLIES
Use before an affected mine fire system is altered, tested or returned to operation. Enter MINE / AREA / LEVEL, WORK ORDER / MINE ZONE, DATE / SHIFT / PERMIT and CONTRACTOR SUPERVISOR, naming the mine fire-system responsible authority and witnesses.
FIVE GENUINE INDEPENDENT MINE FIRE WITNESS HOLDS
1. Fire impairment permit and alternate protection accepted by mine fire authority
2. Detection loops, suppression zones and alarm interfaces identified before shutdown
3. Water supply, agent cylinder pressure and fire-pump availability reviewed
4. Hot work and diesel operations affected by impaired equipment communicated
5. Certified suppression media, hoses and components match mine-approved specification
COMPLETING ACTUAL PRINTED SOURCE FIELDS
Complete each genuine HOLD TRIGGER / EVIDENCE GATE, REQUIRED EVIDENCE / VERIFICATION and RESULT / REFERENCE / WITNESS field. Capture accepted alternate fire arrangements, protection-zone maps, water pressure and agent cylinder availability, notices to hot-work/diesel operations and certificates for fire media, hoses and parts.
MINE FIRE SAFETY, STOP-WORK AND RELEASE RESTRICTIONS
Each applicable gate must PASS with work-order evidence; defects must be corrected and witnessed. The original assigns formal mine-area and system release solely to the named authorised mine representative. Contractor completion or witness signatures cannot reinstate life-safety coverage.
ORIGINAL WORD SINGLE OR COMPLETE UNDERGROUND FILES
This R12.95 AJ-H02 source-identical editable Word record is already included in the 371-document Underground Mining Checklist Package and full 628-page Contractor H&S File. Owners of either complete collection should not purchase a duplicate. Fire-system impairment approvals, emergency communications, witness tests and mine fire-owner release remain mandatory.
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