305 - AS-R03 | Refuge Work Results, Measurements & Evidence Register
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UNDER GRD MINE — ORIGINAL EDITABLE WORD | R12.95
AS-R03 — REFUGE WORK RESULTS, MEASUREMENTS & EVIDENCE REGISTER
AS-R03 is the genuine seven-row work results, measurements and evidence register for mine refuge chamber servicing, escape systems and rescue readiness. It makes life-support condition and crew capability traceable to the approved underground work order.
WHERE AND WHEN TO USE THIS REGISTER
Use it when documenting results of installed refuge safety equipment inspections or scheduled emergency system maintenance. Enter MINE / AREA / LEVEL, WORK ORDER / MINE ZONE, DATE / SHIFT / PERMIT and CONTRACTOR SUPERVISOR. Tie every measured result to the actual mine district and test instrument or source.
SEVEN SOURCE-ORIGINAL MINING EVIDENCE 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
7. Witnessed communication, alarm and life-support functional test completed
HOW TO COMPLETE THE GENUINE SOURCE FORM
The source provides MINING-SPECIFIC ITEM / EVIDENCE TO TRACK, DOCUMENT / RESULT / MEASURED VALUE and DATE / AUTHORITY / STATUS for seven numbered entries. Record actual findings, witness and test references, applicable maintenance logs and controlled revisions. Retain approvals and do not leave unexplained blanks.
WHAT THIS SPECIFIC SAFETY RECORD PROTECTS
The first check confirms chamber capacity, service interval and occupancy with mine emergency staff.
DEFECTS, REVIEW AND MINE EMERGENCY RELEASE
The original has OUTSTANDING DEFECT / NCR / REINSPECTION / RETENTION FILE REF and REVIEW / CLOSE-OUT AND EVIDENCE REFERENCES, contractor supervisor and host mine authority signatures where required and Date / release reference. Failed life-support evidence remains outstanding.
EDITABLE WORD SINGLE OR COMPLETE MINE COLLECTIONS
This exact source-original editable AS-R03 Word file is R12.95 and already appears in the 371-document Underground Mining Checklist Package and complete 628-page Underground Mining Contractor H&S File. Owners of either parent should not purchase it twice. Mine emergency systems, permits and release decisions stay with authorised officials.
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