67 - AC-T01 | Underground Civil Repair Inspection & Test Record
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UNDER GRD MINE — SOURCE-ORIGINAL EDITABLE WORD | R12.95
AC-T01 — UNDERGROUND CIVIL REPAIR INSPECTION & TEST RECORD
Seven original underground structural/civil inspection test rows verify work order and signed engineering drawings, embedded-service search and permits, temporary support release, concrete/fire certificates, slurry/ventilation safety, as-built travel access and mine engineer handback.
MINE CIVIL REPAIR WORK SCOPE
Use for repaired underground floors, partitions, support-adjacent construction, concrete/masonry and other mine-approved civil services. Record Underground mine / site, Contractor, Item / system / asset ID, Work order, Drawing / revision and Activity date.
SEVEN TRUE CIVIL INSPECTION TEST RECORDS
1. Work order and signed engineering drawing register
2. Services search/LOTO and excavation/opening permit
3. Temporary support inspection and release evidence
4. Materials, fire-rating and concrete test certificates
5. Dust/slurry/spill disposal and ventilation interface
6. As-built change and access/escape-route reinstatement
7. Mine engineer/operator handback
COMPLETING THE ORIGINAL WORD FIELDS
Enter real RESULT / MEASUREMENT and SOURCE / SIGN-OFF for each of seven original TEST / COMPLETION RECORD rows. Attach certified materials, signed propping inspection, dust/drainage proof, survey as-builts and mine acceptance.
STOP WORK AND MINE STRUCTURAL AUTHORITY
Printed CONDITION OF HANDOVER rejects blanks as completion evidence. Defective or restricted civil facilities cannot return to service without the mine operator's actual accepted close-out.
MINE CIVIL EVIDENCE AND OPERATOR ACCEPTANCE
Document the actual mine work order, rock engineering authorisation, support design, mine access segregation, embedded utilities isolation, approved material/fire specifications, silica ventilation, drainage controls and signed survey/as-built handback. This source-original editable Word records safe work evidence but cannot independently authorise mine ground-support removal, structural design or re-opening a restricted escape route.
SINGLE ORIGINAL OR COMPLETE UNDERGROUND PACKAGE
This R12.95 AC-T01 Word original is included in the full 371-original Underground Mining Checklist Package and complete 628-page Contractor H&S File. Existing owners should avoid buying a duplicate. Mine-appointed engineering, rock-support, ventilation and access releases remain necessary.
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