19 - AB-15-C01 | Underground Incident, Near Miss & Restart Check
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UNDER GRD MINE — EDITABLE SOURCE-ORIGINAL WORD | R12.95
AB-15-C01 — UNDERGROUND INCIDENT, NEAR MISS & RESTART CHECK
This authentic AB-15-C01 Underground Mining Word form contains 10 printed mine safety release and workface verification points. Each buyer gets the real editable source document, not a generic substitute; every source point is identified below.
APPLICATION TO THE ACTUAL MINE WORK ORDER
Use this Underground Incident, Near Miss & Restart Check for the relevant underground mine work zone, company, work order, assigned supervisor, shift and permitted task. Complete the source's location/asset and responsibility fields and confirm site-specific mine COP/SOP revisions.
TEN ORIGINAL SOURCE SAFETY VERIFICATION POINTS
1. Incident reporting path to mine shift controller, contractor and statutory duty holder confirmed.
2. Stop-work/withdrawal from unsafe underground place supported without retaliation.
3. Injury/fire/gassing/flooding/ground incidents trigger immediate emergency response.
4. Scene preservation and evidence collection do not delay rescue.
5. Mine operator retains statutory decisions and regulator notification as legally assigned.
6. Contractor records witness, equipment, hazard and corrective action evidence.
7. Affected system/area tagged and protected from premature restart.
8. Lessons learned trigger amended RA, procedure and training.
9. Return-to-work/return-to-service requires recorded competent/mine owner acceptance.
10. Worker and emergency accountability verified after incident.
HOW TO COMPLETE THE ORIGINAL WORD
Mark the ten actual RELEASE / VERIFICATION POINT lines YES, NO or N/A with EVIDENCE / ACTION; explain defects, capture actual source documents, technical results and named mine review.
CRITICAL MINE STOP WORK AND OPERATOR AUTHORITY
Any NO against a critical risk, missing mine permit, unresolved hazard or failed emergency protection requires stop, escalation, correction and new mine-owned release. Contractor sign-off never overrides a host mine statutory controller's responsibility for incident response or plant restart.
INDIVIDUAL SOURCE WORD OR COMPLETE MINE COLLECTION
This R12.95 AB-15-C01 original is included in the complete 371-document Underground Mining Checklist Package and 628-page Contractor Health and Safety File. Owners of either should avoid duplicate purchase. Actual mine access and technical acceptance remain required.
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