306 - AS-R04 | Refuge Material, Test & Return-to-Service Register
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UNDER GRD MINE — ORIGINAL EDITABLE WORD | R12.95
AS-R04 — REFUGE MATERIAL, TEST & RETURN-TO-SERVICE REGISTER
AS-R04 is the original seven-row material, test and return-to-service register for underground refuge chamber and rescue-system maintenance. It traces impairment permits, witnessed life-support tests, emergency inventory and actual mine emergency-control restoration.
WHERE AND WHEN TO USE THIS REGISTER
Use it when returning a serviced or repaired refuge facility to the mine's emergency protection plan. Record MINE / AREA / LEVEL, WORK ORDER / MINE ZONE, DATE / SHIFT / PERMIT and CONTRACTOR SUPERVISOR. Correlate the impairment, alternate coverage and acceptance evidence to the correct zone.
SEVEN SOURCE-ORIGINAL MINING EVIDENCE ITEMS
1. Mine emergency control signs restoration and updates maps/muster instructions
2. Witnessed communication, alarm and life-support functional test completed
3. Rescue equipment remains available and competent responders are briefed
4. Refuge seals, pressure integrity, emergency lighting and gas monitors inspected
5. Self-rescuer issue, condition and training interfaces verified with mine records
6. Before isolation, alternative escape/refuge capability approved for affected district
7. Life-support oxygen, CO2 removal, water and communications services secured
HOW TO COMPLETE THE GENUINE SOURCE FORM
The genuine register has # / MINING-SPECIFIC ITEM / EVIDENCE TO TRACK / DOCUMENT / RESULT / MEASURED VALUE / DATE / AUTHORITY / STATUS columns. Enter measured outcomes, controlled test sheets, certificate revisions and named mine reviewers for all seven items, not unverified tick marks.
WHAT THIS SPECIFIC SAFETY RECORD PROTECTS
The first original evidence row is emergency control signed restoration and revised muster maps.
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-R04 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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