21 - AB-16-C01 | Underground Mine Equipment Handover & Close-Out Check
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UNDER GRD MINE — EDITABLE SOURCE-ORIGINAL WORD | R12.95
AB-16-C01 — UNDERGROUND MINE EQUIPMENT HANDOVER & CLOSE-OUT CHECK
This authentic AB-16-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 Mine Equipment Handover & Close-Out 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. Approved work scope, drawings, test plan and as-built changes reconciled.
2. All equipment, guards, alarms and emergency systems restored as required.
3. Critical underground services (ventilation, dewatering, communications, fire) signed back.
4. Temporary barricades, scaffold, chocks and isolation tags safely removed by authorised owner.
5. Waste, oils, water, consumables and recovered parts removed by mine routes.
6. Final testing/commissioning and defect limitations approved by mine technical official.
7. Permits, inspection records and hold releases complete and signed.
8. Mine worksite/access and rescue routes unobstructed.
9. Mine owner accepts outstanding defects with conditions or refuses handback.
10. Personnel, materials and area accountability completed before site closure.
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-16-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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