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Pool. S. Department of LaborPreliminary Report of Accident18Sep13Claification2. Accident1. Accident Type:Fatal LNI. Mine Safety and Health Admintration3. Dateline of AccidentPowered raulage09/16/20134.
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To fill out an MSHA preliminary report, follow these steps:
02
Start by entering the date and time of the incident.
03
Provide a brief description of the incident, including the location and any equipment involved.
04
Identify any individuals who were injured or affected by the incident.
05
Record any immediate actions taken to address the situation or prevent further harm.
06
Document any witnesses or individuals who provided assistance.
07
Provide a detailed account of what happened, including the sequence of events leading up to the incident.
08
Include information about any equipment malfunction or failure that may have contributed to the incident.
09
Summarize any injuries, damages, or other consequences resulting from the incident.
10
Conclude the report by recommending any necessary corrective actions or preventive measures.

Who needs msha - preliminary report?

01
Anyone who experiences or witnesses an incident at a mine site regulated by MSHA (Mine Safety and Health Administration) needs to fill out an MSHA preliminary report. This includes miners, mine operators, supervisors, and other personnel involved in mining operations. The report helps MSHA track and investigate incidents to improve safety and prevent future accidents.
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The MSHA Preliminary Report is an initial document required by the Mine Safety and Health Administration that provides essential information regarding mining accidents or incidents.
The operator of the mine or the individual in charge of the mining operation is required to file the MSHA Preliminary Report following an accident or incident.
To fill out the MSHA Preliminary Report, provide accurate information regarding the incident, including details about the mine, the timelines of the event, and any injured parties. Instructions and specific sections can be found on the MSHA website.
The purpose of the MSHA Preliminary Report is to swiftly inform the MSHA about accidents or incidents, allowing for a timely investigation and ensuring the safety and health of miners.
The report must include the date and time of the incident, location, nature of the accident, names and details of those involved, and any contributing factors.
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