170 - AJ-R03 | Fire-System Inspection & Technical Evidence Register
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UNDER GRD MINE — SOURCE-ORIGINAL EDITABLE WORD | R12.95
AJ-R03 — FIRE-SYSTEM INSPECTION & TECHNICAL EVIDENCE REGISTER
AJ-R03 is the actual seven-control inspection and technical evidence register for mine fire suppression, extinguishers, detectors and emergency alarms. It begins with a mine-authorised fire impairment permit and temporary coverage, and ends with witnessed alarm, valve, pump and discharge-interface tests.
WHERE AND WHEN THIS ORIGINAL MINE FIRE RECORD APPLIES
Use before returning a repaired, inspected or modified underground life-safety system to service. Enter MINE / AREA / LEVEL, WORK ORDER / MINE ZONE, DATE / SHIFT / PERMIT and CONTRACTOR SUPERVISOR. Identify affected detection loops and refuge/escape fire protection.
SEVEN SOURCE-ORIGINAL FIRE SAFETY EVIDENCE ITEMS
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
6. Panel disablements and inhibit states logged and time-limited
7. Witnessed alarm, valve, pump and discharge interface tests recorded
COMPLETING ACTUAL PRINTED SOURCE FIELDS
Complete the printed evidence tracking table with actual measurements, authority and status for each of seven items. File impairment approval, detector/zone map, water supply and agent pressure, affected hot-work/diesel notification, certified suppression components, logged panel inhibits and witnessed full test results.
MINE FIRE SAFETY, STOP-WORK AND RELEASE RESTRICTIONS
Power-on or panel acknowledgement is not mine fire-safety acceptance. Capture outstanding defects and reinspection under the source's NCR line, then obtain contractor review and receiving mine fire-owner signature with dated restoration reference.
ORIGINAL WORD SINGLE OR COMPLETE UNDERGROUND FILES
This R12.95 AJ-R03 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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