192 - AL-00 | Scaffold Annexure Scope Activation & Evidence Index
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UNDER GRD MINE — ORIGINAL EDITABLE WORD | R12.95
AL-00 — SCAFFOLD ANNEXURE SCOPE ACTIVATION & EVIDENCE INDEX
The seven-document evidence activation index lists the contractor's scaffolds, platforms, special height access, approved chambers and void-edge protection. These are seven source DOCUMENT references, not seven workface PASS/FAIL checks.
WHERE THIS MINE FORM IS USED
Use to activate the correct trade annexure in an underground mine safety file. Fill Underground mine / site, Company, Work scope / location, Host area owner, Permit / RA version and Annexure active (Y/N), and indicate ACTIVE or N/A.
SEVEN DOCUMENT CROSS-INDEX REFERENCES
1. AL-C01 — Prestart mine interface and trade-specific readiness
2. AL-F01 — Hold/release sign-off for critical work stages
3. AL-R01 — Trade risk, skills and permit/authorisation record
4. AL-T01 — Inspection/test/work-completion evidence
5. AL-R02 — Repeat inspection / defect and corrective action log
6. AL-TT01/02 — Two dedicated toolbox / shift briefing subjects
7. CORE A–AA / AB — Common incident, inspection, PPE, emergency, access and mine permits
HOW TO COMPLETE THE ORIGINAL FIELDS
Complete the original DOCUMENT, WHY / WHERE IT IS USED and SOURCE / EVIDENCE REF columns for all seven listed references. Attach the correct current workpack evidence, operator scope and authorised mine zone; do not invent completed inspections.
CRITICAL STOP-WORK AND MINE RELEASE RULE
The source explicitly warns that merely listing an activity does not authorise it. Mine production or statutory engineering duties are excluded absent separate approvals, assessments and operating permits.
WHY THIS EDITABLE SOURCE BELONGS IN A CONTROLLED FILE
This source Word form retains the original layout, printed record sequence and mine-specific evidence fields. Record observations, actual inspection results, signatures and current engineering approval. It cannot replace a mine-issued permit, rescue plan or statutory appointment.
BUY ONE SINGLE OR THE COMPLETE UNDERGROUND PACKAGES
This R12.95 AL-00 editable Word original is included in the 371-document Underground Mining Checklist Package and complete 628-page Contractor H&S File. Buyers who own either complete collection should avoid duplicate purchases. Mine-controlled fall rescue, anchorage, engineered access and operator release always govern work.
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