352 - AV-T01 | Shaft & Winder Technical Inspection and Acceptance Record
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UNDER GRD MINE — ORIGINAL EDITABLE WORD | R12.95
AV-T01 — SHAFT & WINDER TECHNICAL INSPECTION AND ACCEPTANCE RECORD
A repaired shaft or winder requires more than a verbal declaration of completion. AV-T01 is the original editable seven-row technical inspection and acceptance record, with actual results, defects, reinspection and host-mine release evidence—not 16 toolbox signatures.
WHERE AND WHEN THE MINE CREW USES THIS
Use it at acceptance of headgear, guide, rope, brake, winder or shaft-station maintenance. Identify MINE / AREA / LEVEL, WORK ORDER / MINE ZONE, DATE / SHIFT / PERMIT and CONTRACTOR SUPERVISOR and tie every outcome to the inspected component and mine-controlled specification.
SEVEN ACTUAL TECHNICAL EVIDENCE ITEMS
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 FILL IN THE GENUINE WORD FIELDS
Complete the real table columns #, MINING-SPECIFIC ITEM / EVIDENCE TO TRACK, DOCUMENT / RESULT / MEASURED VALUE and DATE / AUTHORITY / STATUS. Record measured or observed results and source revision, retaining genuine certificates, test sheets and approvals. The source disallows unexplained blanks.
IMPORTANT SHAFT-ENGINEERING DECISION
Brake and safety-device tests need mine-authorised competent witness evidence; keep defects and reinspection open until the appropriate mine official accepts release.
STOP, WITHDRAW AND OPERATOR RELEASE
Use the source's OUTSTANDING DEFECT / NCR / REINSPECTION / RETENTION FILE REF and REVIEW / CLOSE-OUT AND EVIDENCE REFERENCES, contractor and mine authority signatures where required, and Date / release reference. The host mine—not this record—authorises return to service.
SOURCE-ORIGINAL WORD, SINGLES AND LARGER PRODUCTS
The R12.95 editable AV-T01 original is also included in the 371-document Underground Mining Checklist Package and the 628-page complete Contractor H&S File. Existing owners already have this form and need not buy it again. Mine COPs, actual permits and competent approvals govern site use.
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