217 - AM-T01 | Scaffolding Work at Height Inspection & Test Record
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217 / AM-T01 — MINE HEIGHT ACCESS WORK INSPECTION & TEST RECORD
AM-T01 is an original editable seven-row work INSPECTION AND TEST RECORD for scaffold, fall-arrest, boom lift and elevated mine access systems. It captures the actual checked result and source evidence rather than allowing a contractor to close a height-work permit by ticking a vague general safety box.
WHY THIS SURFACE MINE HEIGHT CONTROL MATTERS
A scaffold can be removed while the mine still has exposed pits, and a retriever can be named but unavailable on the relevant shift. Missing anchor traceability, expired MEWP authorisation or an unclosed drop zone can leave risk behind after the crew has departed. The record creates a traceable link from access planning through handback.
SEVEN ORIGINAL INSPECTION AND RESULT ROWS
1. Access plan and named rescuer/communications roster. 2. Scaffold erection or alteration handover results. 3. Anchor/fall-arrest equipment inspection and identification. 4. MEWP operator competence and pre-start inspection.
5. Dropped-object exclusion zone and weather checks. 6. Task completion and retrieval of tools/equipment. 7. Receiving mine authority's area acceptance and access closure.
ACTUAL EDITABLE ORIGINAL WORD FIELDS
The printed columns are TEST / COMPLETION RECORD, RESULT / MEASUREMENT and SOURCE / SIGN-OFF for exactly SEVEN real items. It identifies Mine/site, Item / System / Asset ID, Drawing/Revision, Contractor, Work Order and Activity Date. Separate CONTRACTOR SUPERVISOR and RECEIVING MINE REPRESENTATIVE signatures are required, with operator-approved closeout of any restrictions.
CONDITION OF HANDOVER: retain actual measured/assessed results, open defects, restricted items and the operator's mine-site close-out.
BUY THIS SINGLE OR THE COMPLETE MINING COLLECTION?
This same purchaser-licensed editable original Word document is ALREADY INCLUDED in the 386-document Surface Mining Checklist Package and the complete Surface Mining Contractor Health and Safety File. Buyers of either comprehensive set already receive the exact Single with additional specialist controls and contractor management forms. Local mine permits, rescue authorisation and area-release procedures always prevail.

