9 - AB-07-C01 | Mine Permit-to-Work & Energy Isolation Pre-Start

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AB-07-C01 — MINE PERMIT-TO-WORK & ENERGY ISOLATION PRE-START

You've won work at a live surface mine. Mine Permit-to-Work & Energy Isolation Pre-Start cannot be documented responsibly using another contractor's old construction

TEN ORIGINAL YES / NO / N/A VERIFICATIONS

1. Work authorisation references and host permission valid for date/time/zone.

2. All applicable permits identified (electrical, hot work, excavation, confined entry, lifting, height, process isolation).

3. Host energy owner and approved isolation method identified.

4. All energy sources including mechanical, hydraulic, pneumatic, gravity and electrical accounted for.

5. Isolation verification and zero-energy trial witnessed or recorded as required.

6. Permit changes / overlaps / task suspension and shift handover specified.

7. Adjacent operating equipment barrier and exclusion installed.

8. Rescue and emergency support available for the actual permit.

9. Permits displayed / accessible to operators.

10. Closure / safe restoration and return-to-service owner agreed.

WHAT THE ORIGINAL WORD FORM RECORDS

This is a TEN-ROW operator-interface checklist. For each original RELEASE / VERIFICATION POINT, record YES, NO or N/A plus EVIDENCE / ACTION. Explain every N/A; critical failures require recorded correction and renewed authorisation.

The form identifies Mine / site, Contractor / company, Area / zone, Date / shift, Work order / activity and Supervisor. It contains distinct CONTRACTOR CHECK, MINE / HOST RELEASE and DATE / REFERENCE fields.

HOLD POINTS AND COMPETENT RELEASE

A NO against a critical risk means stop, escalate, document the correction and obtain a new competent host release. Neither a contractor tick nor an old permit overrides current mine operating instructions.

HOW TO COMPLETE AND RETAIN THE ORIGINAL

Edit this genuine A4 Word document with the actual mine work area, date/shift, contract, scope, permit and responsible people. Enter authentic findings and current evidence references. Retain

BUY ONE SINGLE OR GET THE COMPLETE SYSTEM

This authentic R12.95 AB-07-C01 Word original is ALREADY INCLUDED in AVC's 386-document Surface, Opencast & Quarry Mining Checklist Package and in the complete Surface Mining Contractor Health & Safety File. Do not buy it twice if you own either. The full file adds the professional contractor-management framework.

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IMPORTANT: A completed document is supporting evidence, not a mine permit, statutory approval, operational release, professional certification or substitute for current host-mine COP/SOP duties.