297 - AS-00 | Refuge Annexure Activation & Evidence Index
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UNDER GRD MINE — ORIGINAL EDITABLE WORD | R12.95
AS-00 — REFUGE ANNEXURE ACTIVATION & EVIDENCE INDEX
AS-00 is the authentic six-requirement annexure activation and evidence index for contractors whose awarded mine scope covers refuge chambers, self-rescuer support or rescue systems. It decides whether the specialist workpack is activated for an approved underground zone.
WHERE THIS UNDERGROUND SOURCE IS USED
Use it during safety-file scoping and permit documentation before refuge system support work starts. Record MINE / AREA / LEVEL, WORK ORDER / MINE ZONE, DATE / SHIFT / PERMIT and CONTRACTOR SUPERVISOR; identify the mine emergency team responsible for acceptance.
SIX ACTUAL ANNEXURE ACTIVATION ITEMS
1. Refuge chamber capacity, service interval and occupancy needs agreed with mine emergency team
2. Life-support oxygen, CO2 removal, water and communications services secured
3. Before isolation, alternative escape/refuge capability approved for affected district
4. Self-rescuer issue, condition and training interfaces verified with mine records
5. Refuge seals, pressure integrity, emergency lighting and gas monitors inspected
6. Rescue equipment remains available and competent responders are briefed
HOW TO COMPLETE THE SOURCE WORD RECORD
The genuine three columns are ACTIVATION REQUIREMENT, EVIDENCE / ACCEPTANCE REFERENCE and STATUS / OWNER. Record documentary source and accountable owner for six exact items, including capacity, life-support supply, alternative escape, self-rescuers, chamber integrity and rescue readiness.
SOURCE-SPECIFIC SAFETY AND RELEASE CONTROL
This activation index is neither a Y/N workface prestart nor a permit. It records traceable obligations and source references, with contractor supervisor and mine authority review where required; only the mine official may authorise system isolation and release.
OPERATOR CONTROL AND HANDOVER SIGNATURES
The source includes REVIEW / CLOSE-OUT AND EVIDENCE REFERENCES with contractor supervisor and host mine authority signatures where required, plus Date / release reference.
THE WORD SINGLE OR COMPLETE UNDERGROUND COLLECTIONS
This source-identical editable AS-00 Word form is R12.95 and already included in the 371-document Underground Mining Checklist Package and complete 628-page Contractor H&S File. Owners of either complete product should avoid purchasing twice. Current mine emergency COPs, permits and written approval govern all work.
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