345 - AV-C03 | Shaft & Winder Change of Condition and Emergency Checklist
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UNDER GRD MINE — ORIGINAL EDITABLE WORD | R12.95
AV-C03 — SHAFT & WINDER CHANGE OF CONDITION AND EMERGENCY CHECKLIST
AV-C03 is the genuine shaft/winder change-of-condition and emergency-protection checklist. Its seven printed controls require renewed engineering verification when a condition, permit, shift or mine instruction changes, rather than accepting yesterday's brake or access clearance.
WHERE AND WHEN THIS SHAFT DOCUMENT IS USED
Use it at the actual shaft station, guide, headgear, rope or winder equipment following a condition change. Enter MINE / AREA / LEVEL, WORK ORDER / MINE ZONE, DATE / SHIFT / PERMIT and CONTRACTOR SUPERVISOR, and compare the new situation with mine-approved instructions.
SEVEN PRINTED SHAFT WORKFACE CHECKS
1. Shaft authority signs reinstatement and updated equipment inspection record
2. Worker access and evacuation remain separate from conveyance work envelope
3. Mine authorised competent inspector witnesses safety-device and brake tests
4. Inspection scope covers guides, headgear, ropes, stations and signalling as applicable
5. Independent anchorage, lifting, dropped-object and shaft barricade plans approved
6. Energy and stored tension in ropes, brakes and counterweights isolated
7. Personnel conveyance restrictions, emergency movement and rescue plan communicated
HOW TO COMPLETE THE ACTUAL SOURCE TABLE
Check each original WORKFACE VERIFICATION / REQUIRED CONTROL row as Y, N or N/A and record EVIDENCE / DEFECT / ACTION. Explain NO or N/A and attach the actual work order or inspection reference; the source explicitly says the checklist is not a work permit.
ACTUAL MINE SHAFT RISK AND RECORD
The source begins with authority-signed reinstatement and separated worker evacuation, followed by competent brake tests, inspection scope, independent lifting, energy isolation and conveyance restrictions. HOLD applies when mine clearance, isolations, emergency systems or other critical evidence are absent.
HOLD, CLOSE-OUT AND MINE AUTHORITY
The printed HOLD rule says STOP where mine-authorised clearance, isolation, emergency systems, support conditions or critical proof are absent. Reassess after a changed shift or conditions. Record actual review evidence and supervisor/mine sign-offs where required.
EDITABLE WORD SINGLE OR TWO COMPLETE COLLECTIONS
This R12.95 original editable AV-C03 form is already included in the 371-document Underground Mining Checklist Package and full 628-page Contractor H&S File. Existing owners need not buy it twice. Mine COPs, permits and competent appointments remain mandatory for the actual work.
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