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Date : Shift :
I. LOADING AND SPITTING
Location: Undercutting Seq. No. :
FH No. :
INSPECTION CHECKLIST REMARKS Inspected By:
_________________
All support installations within 50 meters from the
location are finished Concreting
Supervisor /
Foreman
_________________
Rock Mechanics
The location is properly barred down. Inspector
I hereby certify that all required activities prior to undercutting has been properly complied and accomplished.