Template

Control Verification Template

by Tony Matthews, from the Community

This Control Verification Template helps mining teams verify the effectiveness of critical controls in the context of identified hazards and unwanted events. Capture hazard details, control names, and evidence, then assess whether controls are reliable, present, and survivable. Include comments, photos, and verifier sign-off to support compliance and continuous improvement across mining operations and projects.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
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by Mike Brewer, from the Community
Downloads: 10+
Get

Onsite Safety Interaction Template for Mining

Use this mining template to record onsite safety interactions and observations in the field. Capture task details, names of people observed, conversation notes, positive observations, at risk conditions, and opportunities for improvement. Log corrective actions, location, date, and observer details, then add a sign off signature. Designed for standardizing field checks and strengthening safety culture across mining operations.

by Nathan Hoskins, from the Community

10+

Get

Template

Fall of Ground Critical Control Verification

This critical control verification checklist helps surface mining teams prevent fall of ground incidents. It covers prework checks, worker competency, ground control hazards, highwall scaling and catch benches, exclusion zones and barricades, engineered trenching support, permits, geotechnical monitoring, and emergency procedures. Use it to confirm controls are in place, pause work when risks are identified, and document corrective actions.

by NGM Health and Safety, from the Community

Get

Template

Mobile Equipment Critical Control Verification

This mobile equipment critical control verification checklist helps mining teams confirm fatal risk controls are in place before and during operations. It guides checks for safe driving practices, safety devices and seatbelts, vehicle-pedestrian segregation, berm standards, stable parking and secured loads, positive communication and radios, and engineered fire detection and suppression systems. Use it to pause work when critical controls are ineffective, and to document inspections with sign-off by the responsible person.

by Gerald Visagie, from the Community

10+

Get

Template

Traffic Management Critical Control Verification

This mining traffic management critical control verification checklist helps supervisors audit high-risk activities and ensure controls are adequate and in use. Review operator training and competency, equipment safety systems and pre-shift checks, road and intersection design, signage and separation, visibility and lighting, and radio communication and emergency protocols. Use it to identify gaps, prevent serious incidents, and standardize traffic safety across mine sites.

by Mike Brewer, from the Community

10+

Get

Control Verification Template

About author

You might also like

Onsite Safety Interaction Template for Mining

Fall of Ground Critical Control Verification

Mobile Equipment Critical Control Verification

Traffic Management Critical Control Verification

You might also like

Onsite Safety Interaction Template for Mining

Fall of Ground Critical Control Verification

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Traffic Management Critical Control Verification