JDM Daily Workplace Exam

JDM Daily Examination of Working Places

Work areas must be inspected BEFORE work begins in that place. If conditions that may adversely affect safety and health CANNOT be corrected immediately, miners must be promptly notified of the conditions.
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Competent Person:

First NameLast Name
Location of all areas examined: Mark “YES” box if a “Corrective Action Needed (CAN)” is found. Mark “NO” box if no Corrective Action is needed. If nobody was working in that area today, mark N/I for “Not Inspected”.
Please describe the hazard and planned corrective actions for anything requiring corrective action:
Operators must promptly initiate corrective action of any condition that may adversely affect miners’ safety and health.
Corrective Action Details (REQUIRED only if any corrective actions are needed):
Should be Empty:

JDM Daily Examination of Working Places