Impoundment inspection form 2025

1. Click ‘Get Form’ to open the impoundment inspection form in the editor.
2. Begin by filling in the Mine ID, Inspector's name, Date, Mine Name, Mining Company, and Mine Product. This information is crucial for identifying the specific site being inspected.
3. Indicate whether the impoundment is new or an update by checking the appropriate box. Specify if it is currently under construction and if water or tailings are being pumped into it.
4. Select the function of the impoundment from options like Tailings/Water Disposal or Fresh Water. Provide details about the nearest downstream town and its distance from the impoundment.
5. Fill in dam location coordinates (longitude and latitude) and indicate if a state agency regulates this impoundment.
6. Assess and mark the hazard potential level based on possible outcomes of a failure. Describe your reasoning for this rating in the provided space.
7. Complete configuration details including embankment height, pool area, and current freeboard measurements.
8. Mark all applicable types of outlets and provide specifications as required. Include any history of failures at this site with detailed descriptions.

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