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REFERENCES 3. 1. 30 CFR Part 6 Testing and Evaluation by Independent Laboratories and Non-MSHA Product Safety Standards 3. 2. 30 CFR Part 19 Electric Cap Lamps 3. 3. ACRI2001 Criteria for the Evaluation and Test of Intrinsically Safe Apparatus and Associated Apparatus 3.

How to fill out msha acri2001 form

How to fill out MSHA ACRI2001 form?

1. Start by obtaining the MSHA ACRI2001 form. You can download it from the official website of the Mine Safety and Health Administration (MSHA) or request a physical copy.
2. Familiarize yourself with the instructions provided with the form. It is crucial to understand the guidelines and requirements before filling out the form.
3. Begin by entering the required information on the form, such as your name, contact details, and the specific mine or operation information.
4. Provide accurate details regarding the time, date, and location of the accident or incident that occurred at the mine site.
5. Describe the nature of the accident or incident in detail. Include any relevant factors, causes, or parties involved. Be precise and concise in your description.
6. If there were any witnesses to the accident, provide their names and contact information. It is important to include the testimony of any individuals who may have observed the incident.
7. Fill out the sections related to the injured individual(s). Include their names, job titles, injuries sustained, and any immediate medical treatment provided.
8. If there were any fatalities as a result of the accident, provide the necessary information about the deceased individual, including their name, age, and relationship to the mine site.
9. Make sure to append your signature and the date on the form, certifying the accuracy of the information provided.
10. Keep a copy of the completed form for your records and submit it to the appropriate MSHA office according to the instructions provided.

Who needs MSHA ACRI2001 form?

1. Employees or contractors working at mine sites regulated by the Mine Safety and Health Administration (MSHA) are required to fill out the MSHA ACRI2001 form in the event of an accident or incident.
2. Mine operators or employers are responsible for ensuring that the form is completed accurately and submitted to the relevant MSHA office within the specified time frame.
3. MSHA uses the information provided on the ACRI2001 form to investigate accidents, gather data, and identify potential hazards or safety issues to improve mine safety and health.

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What is msha acri2001 form?

The MSHA ACRI2001 form is a reporting form used by mining companies to provide information on accidents, injuries, and illnesses that occur at their mining operations.

Who is required to file msha acri2001 form?

All mining companies, operators, and contractors are required to file the MSHA ACRI2001 form.

How to fill out msha acri2001 form?

To fill out the MSHA ACRI2001 form, mining companies need to provide detailed information on any accidents, injuries, and illnesses that occurred at their mining operations during the reporting period. This includes information on the date and time of the incident, location, description of the incident, nature of the injury or illness, and any other relevant details.

What is the purpose of msha acri2001 form?

The purpose of the MSHA ACRI2001 form is to enable the Mine Safety and Health Administration (MSHA) to track and analyze accidents, injuries, and illnesses in the mining industry. This helps identify potential hazards, develop safety measures, and enforce regulations to improve safety standards.

What information must be reported on msha acri2001 form?

The MSHA ACRI2001 form requires mining companies to report information on the date and time of the incident, location, description of the incident, nature of the injury or illness, number of days lost as a result of the incident, and any other relevant details that may help in the investigation and analysis of the incident.