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MINE OPERATOR / CONTRACTOR PRE JOB SAFETY CHECKLIST

The MINE OPERATOR / CONTRACTOR PRE JOB SAFETY CHECKLIST is for points of discussion between Mine Operators and Contractors prior to the start of projects that involve Contractors to be working on Mine Sites, other points of discussion may be necessary. Essentially, this form helps in ensuring the safety and health of your mine operators and employees.
MaintainX
04/26/2021

MINE OPERATOR / CONTRACTOR PRE JOB SAFETY CHECKLIST

The MINE OPERATOR / CONTRACTOR PRE JOB SAFETY CHECKLIST is for points of discussion between Mine Operators and Contractors prior to the start of projects that involve Contractors to be working on Mine Sites, other points of discussion may be necessary. Essentially, this form helps in ensuring the safety and health of your mine operators and employees.

    This is a safety checklist for points of discussion between Mine Operators and Contractors prior to the start of projects that involve Contractors to be working on Mine Sites, other points of discussion may be necessary.

    DATE:

    MINE NAME:

    MSHA LEGAL ID:

    PERSONS IN ATTENDANCE FOR OPERATOR:

    CONTRACTOR NAME:

    MSHA LEGAL ID:

    PERSONS IN ATTENDANCE FOR CONTRACTOR:

    SCOPE OF WORK:

    NUMBER OF CONTRACTOR EMPLOYESS ON SITE:

    SAFETY TOPICS REVIEWED:

    PART 46 / 48 TRAINING PLAN, CURRENT? AVAILABLE FOR MSHA REVIEW?

    • Pass
    • Flag
    • Fail

    PART 46 / 48 TRAINING RECORDS / TASK TRAINING / CURRENT? AVAILABLE FOR MSHA REVIEW?

    • Pass
    • Flag
    • Fail

    HAS OPERATOR DISCUSSED IN DETAIL COMPANY SAFETY POLICIES WITH CONTRACTOR? COPY PROVIDED TO CONTRACTOR?

    • Pass
    • Flag
    • Fail

    WHO WILL CONDUCT THE WORKPLACE EXAMINATION FOR THE WORK AREA?

    • Pass
    • Flag
    • Fail

    HAVE AREAS OF RESPONSIBILITY AND AREAS TO BE EXAMINED BY EACH PARTY BEEN CLEARLY DEFINED FOR ALL SHIFTS?

    • Pass
    • Flag
    • Fail

    WHO IS THE COMPANY CONTACT FOR CONTRACTOR ON EACH SHIFT?

    • Pass
    • Flag
    • Fail

    WHO IS CONTRACTOR CONTACT FOR OPERATOR ON EACH SHIFT?

    • Pass
    • Flag
    • Fail

    WILL CONTRACTOR BE USING SUB CONTRACTORS ON THIS JOB?

    • Pass
    • Flag
    • Fail

    HAS THE OPERATOR OR GENERAL CONTRACTOR REVIEWED THESE TOPICS WITH THE SUB CONTRACTOR?

    • Pass
    • Flag
    • Fail

    HAVE ALL CONTRACTORS BEEN ADDED TO THE OPERATORS CONTRACTOR LIST?

    • Pass
    • Flag
    • Fail

    HAS THE OPERATOR CONDUCTED SITE SPECIFIC TRAINING WITH CONTRACTORS AND SUB CONTRACTORS EMPLOYEES?

    • Pass
    • Flag
    • Fail

    TRAINING CERTIFICATES SIGNED AND PROVIDED?

    • Pass
    • Flag
    • Fail

    DOES THE CONTRACTOR AND SUB CONTRACTORS HAVE CURRENT PART 47 PROGRAMS / MSDS FILES ON SITE OF ALL HAZARDOUS MATERIALS? / SHARED INFO?

    • Pass
    • Flag
    • Fail

    DOES THE CONTRACTOR HAVE ACCESS TO FIRST AID SUPPLIES EMERGENCY PHONE NUMBERS ON EACH SHIFT?

    • Pass
    • Flag
    • Fail

    WHO WILL CONDUCT SITE SPECIFIC TRAINING TO CONTRACTORS DELIVERY DRIVERS EACH SHIFT?

    • Pass
    • Flag
    • Fail

    HAS THE CONSTRUCTION AREA & LAY DOWN YARD BEEN PROPERLY DEFINED AND OR BARRICADED?

    • Pass
    • Flag
    • Fail

    HAS THE CONTRACTOR PROVIDED AND DOCUMENTED SITE SPECIFIC TRAINING TO MINE EMPLOYEES NEEDING TO ACCESS THE CONSTRUCTION AREA AS TO THE HAZARDS?

    • Pass
    • Flag
    • Fail

    HAS THE CONTRACTOR PROVIDED SAFE ACCESS TO AREAS THAT MINE EMPLOYEES NEED TO ACCESS FOR MAINTENANCE AND INSPECTIONS WITHIN THE WORK SITE?

    • Pass
    • Flag
    • Fail

    HAS THE OPERATOR DISCUSSED WITH THE CONTRACTOR THE PROCEEDURE FOR REPORTING ACCIDENTS? PROTOCOL?

    • Pass
    • Flag
    • Fail

    WILL CONTRACTOR BE USING RENTAL EQUIPMENT? TASK TRAINING? RENTAL COMPANY LISTED IN PART 46 TRAINING PLAN COMPENENT PERSONS LIST TO CONDUCT TASK TRAINING?

    • Pass
    • Flag
    • Fail

    HAS A THROUGH INSPECTION BEEN CONDUCTED TO EACH PIECE OF EQUIPMENT PRIOR TO OR UPON ARRIVAL ON MINE PROPERTY?

    • Pass
    • Flag
    • Fail

    DEFICIENCIES CORRECTED? FIRE EXTINGUISHERS INSPECTED? SEATBELTS?

    • Pass
    • Flag
    • Fail

    HAVE EMPLOYEES RECEIVED NEW TASK TRAINING AND TRAINING DOCUMENTED FOR MSHA REVIEW?

    • Pass
    • Flag
    • Fail

    HAS THE OPERATOR FULLY DISCUSSED MSHA COMPLIANCE WITH THE CONTRACTOR?

    • Pass
    • Flag
    • Fail

    HAS THE OPERATOR INVESTIGATED CONTRACTORS HISTORY ON MSHA DATA RETREIVAL SYSTEM?

    • Pass
    • Flag
    • Fail

    WILL THE OPERATOR AND CONTRACTOR JOINTLY CONDUCT SITE SAFETY AUDITS OF THE WORK SITE AND CORRECT DEFIENCIES?

    • Pass
    • Flag
    • Fail

    ARE PRE SHIFT MEETINGS CONDUCTED BETWEEN OPERATOR AND CONTRACTOR TO COMMUNICATE WORK PLANS FOR THAT SHIFT?

    • Pass
    • Flag
    • Fail

    HAS THE OPERATOR ADDED TO THE MINES TRAINING PLAN ANY CCONTRACTORS WHO WILL BE PROVIDING TASK TRAINING TO THE PLANS COMPENTENT PERSON LIST?

    • Pass
    • Flag
    • Fail

    ALONG WITH EQUIPMENT ON SITE TO TASK TRAINING?

    • Pass
    • Flag
    • Fail

    HAS OVERHEAD ELECTRICAL POWER LINES BEEN IDENTIFIED, DEENERGIZED, BARRICADED?

    • Pass
    • Flag
    • Fail

    HAS ALL UNDERGROUND UTILITIES BEEN IDENTIFIED, DE ENERGIZED, PERGED PRIOR TO EXCAVATING?

    • Pass
    • Flag
    • Fail

    HAVE ARRANGEMENTS BEEN MADE TO ASSURE PROPER LO / TO AFFECTED WORK AREAS, LINES PURGED, EQUIPMENT BLOCKED FROM MOTION, MULTIPLE LOCKS?

    • Pass
    • Flag
    • Fail

    WILL EQUIPMENT OPERATORS FOR THE CONTRACTOR BE CONDUCTING PRE OP INSPECTIONS OF ALL MOBILE EQUIPMENT INCLUDING RENTAL EQUIPMENT AND DOCUMENTING THOSE RESULTS?

    • Pass
    • Flag
    • Fail

    HAS A HAZARD ASSESSMENT BEEN CONDUCTED IN BUILDINGS TO BE DEMOLISHED TO ASSURE THAT ALL UTILITIES HAVE BEEN DISCONNECTED, LINES PURGED, HAZARDOUS CHEMICLES OR MATERIALS SAFETLY IDENTIFIED?

    • Pass
    • Flag
    • Fail

    HAVE ARRANGEMENTS BEEN MADE WITH LOCAL EMS AS TO SCOPE OF CONSTRUCTION WORK INVOLVED? IS THE LOCAL EMS TRAINED AND EQUIPPED TO PROVIDE EMERGIENCY RESCUE SERVICE FOR AREAL, CONFINED SPACE, EXCAVATION, RESCUES?

    • Pass
    • Flag
    • Fail

    ADDITIONAL COMMENTS/NOTES

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