276 - AQ-R04 | Ground Support Material, Test & Return-to-Service Register
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UNDER GRD MINE — ORIGINAL EDITABLE WORD | R12.95
AQ-R04 — GROUND SUPPORT MATERIAL, TEST & RETURN-TO-SERVICE REGISTER
AQ-R04 is the original seven-row material, test and return-to-service register for underground ground support. It traces rock-engineer instructions, installation maps, bolt and torque tests, source material batches and real mine acceptance.
WHEN TO USE THIS UNDERGROUND SAFETY RECORD
Use it at close-out of approved bolting, mesh, shotcrete or scaling work before others enter the zone. Record MINE / AREA / LEVEL, WORK ORDER / MINE ZONE, DATE / SHIFT / PERMIT and CONTRACTOR SUPERVISOR, citing the approved support design and actual installation map.
SEVEN SOURCE-ORIGINAL GROUND SUPPORT CONTROLS
1. Completed ground support inspected and released before others enter
2. Hold points identify test frequency and mine engineer release authority
3. Seismic, blast and changed ground conditions trigger re-examination
4. No drilling or scaling outside approved supported and barricaded workface
5. Support bolts, resin, shotcrete, mesh and torque tests retain batch traceability
6. Pre-entry barring/scaling inspection carried out under approved procedure
7. Competent rock engineer defines zone, unsupported span and safe access sequence
HOW TO COMPLETE THE SOURCE'S EVIDENCE TABLE
Complete each original # / MINING-SPECIFIC ITEM / EVIDENCE TO TRACK / DOCUMENT / RESULT / MEASURED VALUE / DATE / AUTHORITY / STATUS row with actual rock-support test data, source material batch/certificate, hold-point result and competent reviewing mine official.
GROUND SUPPORT FAILURE AND OPERATOR RELEASE
The first printed row demands that completed support be inspected and released before entry. Other rows require hold tests, seismic reassessment, barricaded work, traceable materials, barring inspection and engineer-defined safe access. Contractor completion cannot release the face.
DEFECTS, WITNESSES AND FINAL ACCEPTANCE
The source has OUTSTANDING DEFECT / NCR / REINSPECTION / RETENTION FILE REF, REVIEW / CLOSE-OUT AND EVIDENCE REFERENCES, contractor supervisor and host mine authority signatures where required and Date / release reference.
SOURCE WORD SINGLE OR COMPLETE MINE COLLECTIONS
The R12.95 editable AQ-R04 Word original is already within the 371-original Underground Mining Checklist Package and the full 628-page Contractor H&S File. If you own either containing collection, do not buy this form twice. Current geotechnical design, mine COPs, appointments and engineer-approved release govern work.
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