321 - AT-R04 | Fuel/Lube & Refuelling Compliance & Reinstatement
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321 / AT-R04 — FUEL & REFUELLING COMPONENTS, COMPLIANCE & REINSTATEMENT TRACEABILITY
AT-R04 is the original editable Word mine fuel-system compliance and reinstatement traceability register. Seven authentic result/evidence checks relate a fuel farm or refuelling plant's restoration and transfer status to records, measured acceptance and mine fuel/fire authority.
WHY THIS FUEL CONTROL IS A CRITICAL SAFETY RECORD
The return of a fuel pump or restored bund does not by itself verify hose integrity, calibration, ignition controls, leak testing and mine permission to recommence transfer. An incorrect release decision can expose workers to fire, environmental contamination or a pressurised product release.
THE SEVEN ORIGINAL FUEL SAFETY EVIDENCE ROWS
1. Mine fuel/fire authority signs restored bund integrity and transfer approval. 2. Meter calibration, overfill cutoff, emergency-stop and leak-test evidence recorded. 3. Flammable-liquid sampling/tank entry subject to mine permit and gas testing. 4. Spill booms, bunding, contaminated-soil response and fire coverage prepared.
5. Static bonding, earthing, lightning protection and hoses inspected. 6. Fuel tanks, pressure, electrical/hydraulics and lines isolated and drained. 7. Hazardous-area classification, ignition control and hot-work exclusion checked.
COMPLETE THE ORIGINAL EVIDENCE AND MINE RELEASE FIELDS
Enter MINE / PIT / WORK AREA, WORK ORDER / MINE ZONE, DATE / SHIFT / PERMIT and CONTRACTOR SUPERVISOR. Each MINING-SPECIFIC ITEM / EVIDENCE TO TRACK has DOCUMENT / RESULT / MEASURED VALUE and DATE / AUTHORITY / STATUS. The original starts with authority acceptance and measured proof of overfill, meter, emergency stop and leak tests, then tracks tank permit/gas testing, spill containment, bonding, isolation and hazardous-area classification. Attach SDS, original asset and isolation details, leak tests and environmental acceptance references as supporting proof.
For open outcomes use OUTSTANDING DEFECT / NCR / REINSPECTION / RETENTION FILE REF. Mine authority approval is not implied by contractor testing.
SINGLE WORD FORM OR THE COMPLETE MINE COLLECTION?
This identical original editable purchaser-licensed DOCX is already INCLUDED in the full 386-document Surface Mining Checklist Package and full Contractor H&S File with wider core controls and trade annexures. Purchasers of those collections already own this form. Follow all current host-mine fuel, hazardous-area and permit requirements.

