202 - AL-T01 | Scaffolding & Height Access Work Inspection Test Record
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UNDER GRD MINE — ORIGINAL EDITABLE WORD | R12.95
AL-T01 — SCAFFOLDING & HEIGHT ACCESS WORK INSPECTION TEST RECORD
AL-T01 is the source-original SEVEN-row inspection and testing record for underground scaffolding, height access and special access. It follows void/chamber acceptance and engineered anchor approval through scaffold tags, fall/rescue equipment, SCSR and ventilation, dropped objects, dismantling and mine-area handback.
WHERE TO USE THE ORIGINAL MINE DOCUMENT
Use it for the mine's formal test/completion and receiving acceptance of an elevated access task. Enter Underground mine / site, Contractor, Item / system / asset ID, Work order, Drawing / revision and Activity date against true mine-approved engineering documents.
SEVEN SOURCE SCAFFOLD INSPECTION AND TEST ITEMS
1. Void/chamber area acceptance and anchorage engineering
2. Scaffold erection tag and daily access inspection
3. Fall prevention/rope device inspection and rescue readiness
4. Lighting/communications/ventilation and SCSR check
5. Dropped object / open void controls
6. Access alteration/dismantling sign-off
7. Mine shift supervisor safe return of area
HOW TO COMPLETE THIS SOURCE-ORIGINAL WORD
Complete seven printed TEST / COMPLETION RECORD, RESULT / MEASUREMENT and SOURCE / SIGN-OFF entries. Attach rock engineer approval, competent scaffold inspection, rescue-readiness proof, mine communication/lighting/ventilation/SCSR checks, void exclusion and alteration/dismantling inspection sign-off.
MINE STOP-WORK AND RESCUE AUTHORITY
Blank rows are not evidence; attach test and inspection records, calibration and photographs where specified. The original disallows returning an affected area to service without operator-approved close-out and receiving mine representative signature.
BUY ONE WORD ORIGINAL OR THE COMPLETE MINE PACKAGE
This R12.95 editable AL-T01 original Word record is already included in the 371-original Underground Mining Checklist Package and full 628-page Contractor H&S File. Owners of either collection should avoid purchasing the same Single again. Approved mine ground control, valid anchor engineering, assessed rescue access, emergency refuge and mine-authorised area release always govern its use.
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