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Pool 05-Jan-12 I. Accident Type: Preliminary Report of Accident 2. Accident Classification 3. Date/Time of Accident U.S. Department of Labor Mine Safety and Health Administration 4. Date/Time of Death
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How to fill out msha - preliminary report
How to fill out an MSHA - Preliminary Report:
01
Gather all necessary information such as the date, time, and location of the incident, as well as the names of the individuals involved.
02
Write a detailed description of the incident, including what happened, how it happened, and any contributing factors.
03
Include any injuries or damages that occurred as a result of the incident and provide information about the medical treatment received, if applicable.
04
Identify any potential violations of MSHA safety regulations that may have played a role in the incident.
05
Provide contact information for witnesses or any other individuals who can provide additional information about the incident.
06
Submit the completed MSHA - Preliminary Report to the appropriate MSHA office or designated authority.
Who needs an MSHA - Preliminary Report:
01
Mine operators are required by law to report any accidents, injuries, or fatalities that occur at their mine sites to the Mine Safety and Health Administration (MSHA). Therefore, mine operators are the primary individuals who need to submit an MSHA - Preliminary Report.
02
Any person involved in an incident at a mine, such as miners, contractors, or visitors, may also need to provide their account of the event and participate in the completion of the report.
03
MSHA inspectors and investigators will rely on the information provided in the MSHA - Preliminary Report to assess the incident and take appropriate actions to ensure the safety and health of mine workers.
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What is msha - preliminary report?
The MSHA - Preliminary Report is a document that provides a summary of an accident, injury, or illness that occurred in a mining operation. It serves as an initial report to inform the Mine Safety and Health Administration (MSHA) about the incident.
Who is required to file msha - preliminary report?
Any mining operation that experiences an accident, injury, or illness that meets the reporting criteria set by the MSHA must file an MSHA - Preliminary Report. This includes mine operators, contractors, and independent contractors.
How to fill out msha - preliminary report?
To fill out an MSHA - Preliminary Report, the reporting entity must provide details about the incident such as the location, date, time, involved individuals, and a description of what happened. The report can be submitted electronically through the MSHA's online reporting system.
What is the purpose of msha - preliminary report?
The purpose of the MSHA - Preliminary Report is to notify the MSHA about accidents, injuries, and illnesses that occur in mining operations. It helps the MSHA identify trends, assess risks, and take appropriate actions to improve safety and health in the mining industry.
What information must be reported on msha - preliminary report?
The MSHA - Preliminary Report must include information such as the names of individuals involved, their job titles, the nature of the accident, the injuries or illnesses sustained, the equipment or machinery involved, and any contributing factors. Additional details may be required depending on the specific incident.
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