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MSHA: CRUSHER/SCREENING PLANT DAILY INSPECTION

This is taken from the MSHA website https://www.msha.gov/sites/default/files/Regulations/SAMPLE%203%20CRUSHER%20SCREEN%20DAILY%20INSP_0.pdf This form must be completed by the operator each day.
2 MX Main Demo
09/05/2023

MSHA: CRUSHER/SCREENING PLANT DAILY INSPECTION

This is taken from the MSHA website https://www.msha.gov/sites/default/files/Regulations/SAMPLE%203%20CRUSHER%20SCREEN%20DAILY%20INSP_0.pdf This form must be completed by the operator each day.

    Main Plant

    Did you perform LOTO?

    • Yes
    • No
    • N / A
    if the answer is "oneOf [No,N/A]"

    Get your Supervisor's Signature before working on this without LOTO

    Click here to sign

    Why are you choosing not to perform LOTO before working on this equipment?

    if the answer is "oneOf [Yes]"

    Sign here that you did LOTO

    Click here to sign

    Guards in place (head/tail pulley, idlers, chains & gears, etc.

    • Pass
    • Flag
    • Fail

    Fire Extinguisher in place w/ tag & current inspection

    • Pass
    • Flag
    • Fail

    Hand rails/Safety harness/Fall protection in place

    • Pass
    • Flag
    • Fail

    Hearing protection available and used

    • Pass
    • Flag
    • Fail

    Proper PPE in Use - Hard Hats, Vests, & Safety Glasses

    • Pass
    • Flag
    • Fail

    First Aid Kit complete & one trained person on-site

    • Pass
    • Flag
    • Fail

    Stretcher & Blanket on Site

    • Pass
    • Flag
    • Fail

    Grounding and continuity certificate on site

    • Pass
    • Flag
    • Fail

    List of chemicals on site

    • Pass
    • Flag
    • Fail

    All chemical containers labeled

    • Pass
    • Flag
    • Fail

    MSDS for each chemical on site

    • Pass
    • Flag
    • Fail

    MSHA quarterly form 7000-2 on site

    • Pass
    • Flag
    • Fail

    Adverse Conditions:

    Site Conditions

    Housekeeping - neat and clean

    • Pass
    • Flag
    • Fail

    Signage - Traffic & Mine Rules

    • Pass
    • Flag
    • Fail

    Dump Sites - Adequate Berms & Bumper Blocks

    • Pass
    • Flag
    • Fail

    Highwalls - Examine for Potential Hazards

    • Pass
    • Flag
    • Fail

    Stockpiles - Examine for Potential Hazards

    • Pass
    • Flag
    • Fail

    Appropriate Berms on Haul/Approach Ramps

    • Pass
    • Flag
    • Fail

    Adverse Conditions:

    Support Equipment

    Equipment

    Equipment Number:

    Back-up Alarm & Horn functioning

    • Pass
    • Flag
    • Fail

    Fire Extinguisher in place w/ tag & current inspection

    • Pass
    • Flag
    • Fail

    Proper PPE in use

    • Pass
    • Flag
    • Fail

    Lights functioning

    • Pass
    • Flag
    • Fail

    Seat belt in place and in use by operator

    • Pass
    • Flag
    • Fail

    Brakes functioning properly

    • Pass
    • Flag
    • Fail

    Adverse Conditions

    Parts Trailer

    Parts Trailer Number:

    Gas Cylinders secured upright

    • Pass
    • Flag
    • Fail

    Oxygen - Min. 20' from Fuel Gases & Combustible Materials

    • Pass
    • Flag
    • Fail

    Clear Aisleways & No Trip Hazards

    • Pass
    • Flag
    • Fail

    Fire Extinguisher in place w/ tag & current inspection

    • Pass
    • Flag
    • Fail

    Steps with handrail in place

    • Pass
    • Flag
    • Fail

    Housekeeping - neat and clean

    • Pass
    • Flag
    • Fail

    Adverse Conditions:

    SPCC

    Fuel & Oil Tank Inspections

    Tank #1

    • Pass
    • Flag
    • Fail

    Tank #2

    • Pass
    • Flag
    • Fail

    Tank #3

    • Pass
    • Flag
    • Fail

    Dust Control

    Air Emission License #

    Weather Condition

    Water dust control system equipment functioning

    • Pass
    • Flag
    • Fail

    Approach road(s) dust control in place

    • Pass
    • Flag
    • Fail

    Water-Spray use: # of Hours:

    Water-Spray use: # of Gallons:

    Water-Spray use

    • Pass
    • Flag
    • Fail

    Daily Production

    Product

    Tailings

    Crusher Fuel Use (Gal)

    Hours of Operation

    Hours of Downtime

    Signature

    Signature

    Click here to sign
Source: 2 MX Main Demo (Community Member)

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