Free Mining Risk Assessment Form Template

Mining Risk Assessment Form

Please review each section carefully and answer the questions based on your knowledge and observations.

Project Name

    Date of Assessment

      Location of Mining Site

        Hazard Identification

        Check all potential hazards observed at the mining site

          • Falling Rocks

          • Unstable Ground

          • Toxic Gas Exposure

          • Fire Hazard

          • Equipment Malfunction

          • Extreme Weather Conditions

          Risk Evaluation

          Falling Rocks

            Unstable Ground

              Toxic Gas Exposure

                Fire Hazard

                  Equipment Malfunction

                    Extreme Weather Conditions

                      Control Measures

                      Check the control measures in place to reduce risks

                        • Personal Protective Equipment (PPE)

                        • Safety Barriers/Signage

                        • Ventilation Systems

                        • Fire Extinguishers

                        • Regular Equipment Inspections

                        • Emergency Evacuation Plan

                        Additional Notes or Concerns

                          Assessor's Name:

                          Date:

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