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FUTURE COAL (Pty) Ltd

A.D.T. PLANNED TASK OBSERVATION

DATE :______________________ NAME :_____________________


DEPARTMENT :______________________ OCCUPATION :_____________________
JOB OBSERVED :______________________
YES NO
1. Was the pre-use checklist filled in correctly?
2. Is the Driver in possession of a Mine License?
3. Were defects found noted on the pre-use checklist?
4. Was the Driver wearing his seat belt?
5. Was the Driver wearing ear plugs whilst operational?
6. Whilst travelling does the Driver adhere to Mine Standards?
7. Articulation in a straight line whilst being loaded and tipping?
8. After tipping a load did the Driver pull off at a crawl whilst the load-bin was
lowering?
9. Does the Driver know the isolation and lockout procedure?
10. Was the cab door closed whilst operational?
SUB STANDARDS OBSERVED:

REMEDIAL ACTION TO BE TAKEN:

ODSERVATION CONDUCTED BY :____________________________


OBSERVER SIGNATURE :____________________________
EMPLOYEE SIGNATURE :____________________________
H.O.D. SIGNATURE :____________________________

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