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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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Inspection report
Complete the document from this template: sections, fields, photo documentation, and signatures.
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Document Preview
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Mine Working Inspection Act
No.MW-2026-089
1. General Information
The general information about the inspection, including the purpose, scope, and legal basis, is provided below.
| Inspection date | 7/14/2026 | Time | 8:00 AM — 9:30 AM |
| Address | Level 3, West Decline, Pine Creek Mine |
Expert David Thompson , Mine Inspector
The inspection was carried out in full compliance with the approved schedule and methodology.
2. Object of Inspection
The inspected object is identified by its name, location, and unique identification data.
| Object name | West Decline Level 3 |
The object identification data were verified against the mine plan and found to be accurate.
3. Ventilation and Ground Support
The main geometric and operational parameters of the mine workings were measured and compared with design values.
| Airflow Adequate | No | Ventilation Duct Condition | Good |
| Gas Readings | CH4: 0.1%, O2: 20.9%, CO: 2 ppm | Roof Condition | Good |
| Bolt Condition | Good | Mesh Condition | Good |
The measured parameters are within the permissible tolerances specified by the design documentation.
4. General Safety
Additional parameters, including ventilation, lighting, and communication systems, were assessed.
| ☐ Lighting Adequate | ☐ Housekeeping |
| ☐ Signage Present |
All additional parameters meet the regulatory requirements for safe operation.
5. Defects and Observations
List any defects or observations noted during the inspection.
| No. | Damage description | Photos |
|---|---|---|
| 1 | - | not filled in |
6. Additional Information
Provide overall status of the mine working and any recommendations.
| Identification was carried out | Area: West Decline Level 3 |
| There are remarks | Ventilation adequate, ground support generally good. Minor loose rock noted. |
7. Inspection Participants
List the inspector and mine manager involved.
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | David Thompson | Mine Inspector | Lead inspector |
| 2 | Robert Clark | Safety Officer | Accompanied inspection |
Signatures
Capture signatures of the inspector and mine manager.
______________________________
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
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
Fill in Inspection Details
Enter the inspection date, inspector name, location, and shift. Then proceed to the ventilation check.
- 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
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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Capture images on-site with the mobile app and sync them directly to your mine working inspection act for a complete visual record.
Mobile AppDocument Sections
Click a section to jump to it in the sample document.
General Information
The general information about the inspection, including the purpose, scope, and legal basis, is provided below.
Object of Inspection
The inspected object is identified by its name, location, and unique identification data.
Ventilation and Ground Support
The main geometric and operational parameters of the mine workings were measured and compared with design values.
General Safety
Additional parameters, including ventilation, lighting, and communication systems, were assessed.
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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Enter inspection details and generate a ready-to-download document.