Application to operate a diesel engine underground

Before using a diesel engine in any underground mine or project, an application form as prescribed by the board shall be completed and submitted.” (this is a direct quote from section 15.58(2) of the WSCB regulation Part 15 - Surface and Underground Mines or Projects)

This information is being collected for the purpose of administering and enforcing the Workers’ Safety and Compensation Act in compliance with the Access to Information and Protection of Privacy Act. If you have any questions about the collection of this information, please contact the board’s Privacy Officer at 401 Strickland St., Whitehorse, YK, Y1A 5N8 or call 867-667-5642 or 1-800-661-0443.

Workplace Information

Business Point of Contact Information

Equipment Information

e.g. Jumbo, Scooptram
Overall Dimensions of Equipment
Fire Extinguishing Equipment
Hydraulic Fluids

Engine Information

Details of Exhaust Conditioning

Signature, consent, declaration