Fillable PRESHIFT CONTEST Judge's Discount Card (Mine Safety and Health Administration)

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PRESHIFT CONTEST Judge's Discount Card (Mine Safety and Health Administration)

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Notes
Mine Number
Contestant Number
PRESHIFT CONTEST
Judge's Discount Card
Working Time
Minutes
Seconds
:
SIGNATURES:
WRITTEN JUDGE
WRITTEN JUDGE
JUDGE
JUDGE/TIMEKEEPER
SCORECARD EXAMINERS
RECORDERS
U.S. Department of Labor
Mine Safety and Health Administration
Coal Mine Safety and Health
2019
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
x
=
FIELD
Discount x Occurrences = Total
Discount x Occurrences = Total
19. Failure to comply with general rules not covered in the
discount sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x
=
1. Failure to check in after starting the clock (2) and
check out prior to stopping the clock (2) (maximum
- 4 points) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Failure to have required equipment (for each
omitted item) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Failure to visually examine self-contained
self-rescuer prior to entering the mine . . . . . . . . . . .
4. Failure to place date, time, and initials at required
locations (each location) . . . . . . . . . . . . . . . . . . . . .
5. Failure to make necessary gas tests where
required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. Improper procedure when testing with gas
detectors, testers, and indicators (Maximum 4
discounts at each location) . . . . . . . . . . . . . . . . . . .
7. Failure to determine correct section ventilation and
proper direction of the ventilating current (each
location) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. Improper procedure when taking an air
measurement (each location) . . . . . . . . . . . . . . . . .
9. Not taking the required air measurement in the
proper location prior to stopping the clock
(regulation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Improper procedure when examining and testing
the mine roof (each location) . . . . . . . . . . . . . . . . . .
11. Failure to find hazardous condition (each
occurrence) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Failure to correct hazardous condition (each
omission) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Traveling at more than walking speed . . . . . . . . . . .
14. Contestant's equipment not maintained in operable
condition (each infraction) . . . . . . . . . . . . . . . . . . . .
15. Any act by the examiner which may result in an
explosion of an explosive air/gas mixture (each
occurrence) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16. Any act by the examiner which may endanger
himself/herself or others (each occurrence) . . . . . .
17. Contestant not following the written instructions for
working the problem (each occurrence) . . . . . . . . .
18. Failure to examine all accessible areas that can be
safely traveled (each location, maximum 20) . . . . .
Field Discounts
RECORD
=
Discount assessed to each illegible article; two
judges must concur, not to exceed 30 discounts
1. Preshift record page not legible . . . . . . . . . . . . . . . .
x
2. Failure to record location of examination (each
omission) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x
=
3. Failure to record hazardous conditions (each
omission) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x
=
4. Failure to record action taken to correct hazardous
conditions (each omission) . . . . . . . . . . . . . . . . . . .
x
=
x
=
5. Failure to record date and time of examination . . . .
6. Failure to record results of air measurements,
(each omission) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x
=
7. Failure to record results of methane (CH
4
)
examinations (each omission) . . . . . . . . . . . . . . . . .
x
=
x
=
8. Failure to certify by signature . . . . . . . . . . . . . . . . .
x
=
9. Failure to date entry of signature . . . . . . . . . . . . . . .
10. Recording a reading when contestant failed to take
gas test or air reading (each occurrence) . . . . . . . .
x
=
Record Discounts
Written Examination
x
=
1. For each incorrect answer . . . . . . . . . . . . . . . . . . . .
Written Discounts
TOTAL DISCOUNTS
2
2
2
2
5
2
10
2
5
2
10
10
5
2
30
20
15
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
2
2
2
2
2
2
2
2
20
1
0
0
0
0
0
0
0
0
0
0
0
0
0
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PRESHIFT CONTEST Judge's Discount Card (Mine Safety and Health Administration)

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Completed 7 August 2020

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