Act

Mine Working Inspection Act

Formally record the condition and safety status of mine workings with this structured inspection act template. Check ventilation adequacy, duct condition, gas readings, roof condition, bolt and mesh condition, lighting, housekeeping, and signage. Open the template in our online editor to start.

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Mine Working Inspection Act

No.MW-2026-089

1. General Information

Inspection date7/14/2026 Time8:00 AM — 9:30 AM
AddressLevel 3, West Decline, Pine Creek Mine
Expert David Thompson , Mine Inspector

2. Object of Inspection

Object nameWest Decline Level 3

3. Ventilation and Ground Support

Airflow AdequateNo Ventilation Duct ConditionGood
Gas ReadingsCH4: 0.1%, O2: 20.9%, CO: 2 ppm Roof ConditionGood
Bolt ConditionGood Mesh ConditionGood

4. General Safety

☐ Lighting Adequate ☐ Housekeeping
☐ Signage Present

5. Defects and Observations

No.Damage descriptionPhotos
1-not filled in

6. Additional Information

Identification was carried outArea: West Decline Level 3
There are remarksVentilation adequate, ground support generally good. Minor loose rock noted.

7. Inspection Participants

No.Full namePosition / statusComment
1David ThompsonMine InspectorLead inspector
2Robert ClarkSafety OfficerAccompanied inspection

Signatures

______________________________
David Thompson, Mine Inspector
______________________________
David Thompson
______________________________
Robert Clark

Act

Purpose and Procedure for Drafting the Document

What Is a Mine Working Inspection Act?

A mine working inspection act is a formal document used to record the condition and safety status of mine workings, including ventilation, ground support, general safety, and any defects or observations. It is typically completed on a regulatory schedule such as weekly or monthly. This template provides a structured format for comprehensive inspections.

Key Sections of the Template

The template includes sections for inspection details, ventilation check, ground support check, general safety, defects and observations, conclusions, and signatures. Each section contains fields for specific checks like airflow adequacy, roof condition, and lighting.

Who Uses This Document?

Mine inspectors, safety officers, and mine managers use this act to document the condition of mine workings. It supports regulatory compliance and safety management.

Periodic Mine Inspections

Mine workings are inspected on a regular schedule (e.g., weekly or monthly) to ensure safety. This act provides a consistent format for recording findings.

Regulatory Compliance

Mining regulations often require formal inspection records. This template helps meet those requirements by providing a structured format for data collection.

Safety Audits

During safety audits, these inspection acts provide evidence that required checks were performed. They can be presented to auditors to demonstrate compliance.

Incident Investigation

If an incident occurs, previous inspection acts can be reviewed to identify any overlooked issues. They serve as a historical record of conditions.

Maintenance Planning

The act identifies defects and areas needing attention, supporting maintenance planning and resource allocation.

  1. 1

    Open the Template

    Open the mine working inspection act template in the online editor. The template is pre-configured with all necessary sections and fields.

  2. 2

    Fill in Inspection Details

    Enter the inspection date, inspector name, location, and shift. Then proceed to the ventilation check.

  3. 3

    Perform Checks and Record Findings

    Assess ventilation adequacy, duct condition, gas readings, roof condition, bolt and mesh condition, lighting, housekeeping, and signage. Note any defects or observations.

  4. 4

    Complete Conclusions and Signatures

    Provide an overall status (safe, needs attention, unsafe) and recommendations. Add signatures of the inspector and mine manager, then export the act.

Photo Report Generator

Attach photos of the mine working area, roof condition, ventilation equipment, and defects to your inspection act using the photo report generator.

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Mobile Photo Documentation App

Capture images on-site with the mobile app and sync them directly to your mine working inspection act for a complete visual record.

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Document Sections

Click a section to jump to it in the sample document.

General Information

Record the inspection date, shift, location, and inspector name.

Object of Inspection

Identify the specific mine working area being inspected.

Ventilation and Ground Support

Assess ventilation adequacy, duct condition, gas readings, roof condition, bolt condition, and mesh condition.

General Safety

Check lighting adequacy, housekeeping, and presence of safety signage.

Defects and Observations

List any defects or observations noted during the inspection.

Additional Information

Provide overall status of the mine working and any recommendations.

Inspection Participants

List the inspector and mine manager involved.

Signatures

Capture signatures of the inspector and mine manager.

Document Fields and Columns

General Information

Inspection date
Date when the inspection was performed.
Time
Shift during which the inspection was conducted (day/night).
Address
Specific area of mine workings inspected.
Expert
Name of the inspector.

Object of Inspection

Object name
Identifier for the mine working area.

Defects and Observations

No.
Sequential number for each defect or observation.
Element
Area or component related to the defect.
Defect
Type of defect or observation.
Damage description
Detailed description of the defect.
Photos
Attach photos of the defect.

Inspection Participants

No.
Sequential number for each participant.
Full name
Full name of the participant.
Position / status
Role or title of the participant.
Comment
Any additional comments.

Frequently Asked Questions about Photo Reports and Photo Tables

What is a mine working inspection act?

A mine working inspection act is a formal document used to record the condition and safety status of mine workings. It includes checks on ventilation, ground support, general safety, and any defects or observations. The template helps inspectors systematically capture all required data for compliance and safety management.

Who signs the mine working inspection act?

The inspector who conducts the inspection and the mine manager who reviews the findings typically sign the document. Their signatures confirm that the inspection was performed and the results are acknowledged.

Can I add photos to the inspection act?

Yes, the template supports attaching photos of the general view, roof condition, ventilation equipment, and any defects. Using the photo report generator or mobile app, you can easily include visual evidence.

How often should a mine working inspection be performed?

Typically, mine workings are inspected on a regulatory schedule such as weekly or monthly. The exact frequency depends on local regulations and mine-specific conditions.

How do I start using this template?

Click the 'Use this template' button to open it in our online editor. You can then fill in the fields, add photos, and export the completed act. No download is required.

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