SISHEN MINE

FOREMAN/SUPERVISOR (2.9.2) MONTHLY COMPLIANCE IMPLEMENTATION DATE 2016-06-20

CHECKLIST REV 00
DOC NO SHEQ-SISHEN-FORM-152

Section: (Area of
Initials & Surname:
Responsibility)
Ratin
Criteria Comments / Actions
g
Safety Risk Management Program
 JSA/WRAC for all identified tasks/activities done an communicated
 SLAM’s conducted on a daily basis as required
 HPHs reported and actions closed out
Legal Appointments
 All legal appointments in area of responsibility are in place
including any acting appointments as applicable
Training
 Training Matrix & Schedule
 Sectional Workplace induction
 Procedures applicable to section communicated to team
SHE Committee Meetings
 Participation in other relevant SHE committee meetings
 Matters arising from SHE Meetings, actions are addressed
Communication
 Daily caucus held
 Caucus pack information communicated
 Incident Learnings discussed with team
 Safety notice board up-to-date
Planned Inspections
 2.9.2 monthly inspection conducted and deviations addressed
 SHE Representative inspections conducted and deviations
addressed
 Safety Officer inspection deviations addressed
 Internal Section 54/55 findings addressed
 Safe workplace declarations conducted (where applicable)
 Participation on VFL sessions
Incidents
 All incidents / deviations reported
 Applicable incidents investigated
 Learning’s/actions implemented (where applicable)
Planned Task Observations
 All critical tasks identified and PTO schedule drafted
 PTO’s conducted according to schedule
 Actions addressed arising from PTO’s
Safety Register
 All equipment on registers
 Monthly inspections conducted as per applicable register
 Emergency drills conducted
 Deviations addressed appropriately
 Monthly over inspections conducted

Rating System: 0 Not applicable

1 Nothing in place
2 Requirements partially met
3 Requirements fully met

Signature of Supervisor: _________________________ Date: ___________________________

Signature of SHE Rep: ____________________________ Date: ___________________________

Signature of Line Manager: _________________________ Date: ___________________________

Refer to Waypoint Document Management System for the latest version of the document. Copyright resides with the company. Page 1 of 1