Completed by *

First Name

Last Name

Date *

MM

DD

YYYY

1. Is it safe to enter the extraction area? *

Yes

No

2. Is all edge protection in place? *

Minimum 1m

Yes

No

3. Does the working face appear stable? *

Yes

No

4. Any cracking behind the crest or blast back break? *

Yes

No

5. Is the load out area of an adequate size? *

Yes

No

6. Are haul roads / load out areas in a serviceable condition? *

Yes

No

7. Are drilling areas fenced (if applicable), bunded at back and signposted? *

Yes

No

8. Are all light vehicles parked away from haul teams in a bunded area? *

Yes

No

9. Are dump tipping surfaces stable? *

Yes

No

10. Is any slumping present at the base of dumps? *

Yes

No

11. Excessive/significant ponding of water near crest? *

Yes

No

12. Water running over the face or entering cracks? *

Yes

No

13. Water issuing from face (note speed: Running/Dripping/Flowing)? *

Yes

No

14. Loose material in the face, broken ground and overhangs? *

Yes

No

15. Unfavourable defects or deterioration / weathering of slopes? *

Yes

No

NA

16. If tipping from above, is there adequate edge protection? *

Minimum 1m

Yes

No

NA

17. Is the crest stable? *

Yes

No

NA

18. Is the slope stable & at angle of repose? *

Yes

No

NA

19. Has loading out occurred at the base of the stockpile? *

Yes

No