2 - AB-03-C01 | Contractor Mobilisation & Work Authorisation Gate
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AB-03-C01 — CONTRACTOR MOBILISATION & WORK AUTHORISATION GATE
Your company has won work inside a live mine. Contractor Mobilisation & Work Authorisation Gate cannot be controlled using another firm's unrelated forms. This original AVC Section AB Word record addresses the actual awarded scope, current site rules and the mine's release authority before work begins.
10 SOURCE-ORIGINAL YES / NO / N/A POINTS
1. Supplier and contractor scope formally accepted by mine owner.
2. COIDA / insurance / registration evidence current.
3. Employee list, site-induction, access clearance and accepted ID/permit.
4. Medical fitness and exposure restrictions confirmed for assigned work.
5. Competence, mine-specific training and appointment/authorisation matrix approved.
6. Site risk assessments, task procedures and change notices reviewed.
7. All vehicles, mobile plant, lifting equipment and powered equipment accepted.
8. Emergency contacts, route, muster and rescue interface confirmed.
9. Simultaneous operations and active mine production conflicts closed.
10. Required host-mine permit and area release obtained.
EXACT PRINTED FORM AND PRACTICAL USE
The printed document has 10 verification rows, each with YES / NO / N/A and EVIDENCE / ACTION, plus the actual mine, site, contractor, area/zone, shift, scope and supervisor. Contractor and HOST MINE release signatories are separate. Explain N/A and record evidence for all critical checks.
WHEN TO STOP, WITHDRAW OR REQUEST A SITE REVIEW
The original RELEASE RULE requires stopping for any NO against a critical risk, escalating it and recording the correction and new mine-owned authorisation. Contractor signatures never replace the mine's permits or operational instructions.
COMPLETE THE WORD ORIGINAL FOR YOUR OWN SITE
Add your company's real work order, affected zone, shift, personnel, mine-controlled permits, inspection or verification references and required signatures. Retain supporting evidence and changed-condition records with the actual contractor work package.
ONE ORIGINAL OR THE COMPLETE CONTRACTOR SYSTEM
This R12.95 AB-03-C01 source-original Word document is ALREADY INCLUDED in the 386-document Surface, Opencast & Quarry Mining Checklist Package and inside the full Surface Mining Contractor Health & Safety File. Don't buy it twice if you own a larger set. The full file includes the contractor management framework and relevant trade annexures.
Browse AVC Safety Checklist Singles.
Compare the 386-document Surface Mining Checklist Package.
View the complete Surface Mining Contractor Safety File.
IMPORTANT: These are editable source documents, not statutory permits, mine-approved COPs, safety accreditation or automatic access to work at a mine. Always apply site law, work permissions and competent mine review.

