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Pool. S. Department of LaborPreliminary Report of Accident28Feb123. Date/Time of Accident2. Accident Classification1. Accident Type:Fatal Injuring Safety and Health Administration02/22/2012Slip or
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Obtain the metalnonmetal fatal slip form from the appropriate authority or website.
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Fill out the personal information section accurately, including your name, contact details, and any other required details.
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Provide the necessary information regarding the incident or accident that resulted in the fatal outcome.
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Clearly describe the circumstances, location, date, and time of the incident.
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Include details about the individuals involved, such as their names, positions, and any known details about their work history.
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If applicable, provide information about any witnesses who can provide further insight into the incident.
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The metal/nonmetal fatal slip or is a report that must be filed to notify regulatory agencies about fatal accidents that occur in the metal and nonmetal mining industries.
Employers in the metal and nonmetal mining industries are required to file the metal/nonmetal fatal slip or when a fatality occurs involving their employees.
To fill out the metal/nonmetal fatal slip or, miners must provide information regarding the accident, including details about the deceased individual, circumstances of the accident, and relevant witness statements.
The purpose of the metal/nonmetal fatal slip or is to ensure that regulatory authorities are informed about fatal accidents and can carry out investigations to prevent future incidents.
Information that must be reported includes the name of the deceased, the date and time of the accident, details of the incident, and any contributing factors.
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