Form E.L.U.
APPLICATION FOR MINE BLASTING LICENCE: EXPLOSIVES REGULATIONS: 1989
TO: INSPECTOR OF MINES AND
EXPLOSIVES………………… Fees US$150-00
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Receipt No:………………………
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(Application to be addressed to the Inspector or sub-inspector of explosives of the mining district in which the
applicant resides.
I,……………………………………………………..I.D No…………………………………………….
(full names)
Hereby apply, in terms of section 11 of the regulations, for a Mine Blasting Licence to be used at……..
…………………………………………………………
(mine name)
in the mining district of:……………………………….
Date of birth:…………………………………………..
Residential Address:…………………………………………………………………………………………
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Present employer and address:…………………………………………………………………………….
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Signature of applicant:………………………………………….Date:……………………………………
First Aid certificate No………………………………………Expiry Date:………………………………
RECOMMENDATION BY MINE MANAGER
I,…………………………………………………………………………………………
(MANAGER’S FULL NAMES)
Manager of the above mine, hereby recommend the above application for grant of Mine Blasting Licence.
He is employed on the mine and is under my control. I certify that he/she:
a) has had not less than 300 shifts underground mining experience, including at least 75 shifts blasting
experience under the direct supervision of the holder of a blasting licence other than a Restricted
Blasting Licence.
b) In my opinion has a sufficient knowledge of the examination and making safe of places where blasting
operations are carried out at a mine, the handling and use of explosives, the dangers arising from the
presence of noxious gases and the regulations dealing with the licensing and use of explosives and
relevant Mining (Management and Safety) Regulations.
Signature:………………………………………….Date:…………………………………………………………
(Manager)
Note: 1. A mine blasting licence may not be granted unless the applicant has had at least 300 shifts applicable
mining experience, including at least 75 shifts blasting experience under the supervision of the
holder of a full, surface endorsed or mine blasting licence
2. A mine blasting licence may not be granted to a person less than 20 years of age
