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PROFIT. S. Department of LaborPreliminary Report of Accident28Jan112. Accident Classification. Accident Type:Fatal Injuring Safety and Health AdministrationPowered Haulage01/27/20115. Fatal Case No4,
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How to fill out msha - preliminary report
How to fill out msha - preliminary report
01
To fill out MSHA - preliminary report, follow these steps:
02
Begin by providing your basic information, such as your name, contact information, and the date of the incident.
03
Identify the mine where the incident occurred, including its name, address, and unique identification number.
04
Provide details about the person(s) involved in the incident, such as their names, job titles, and any injuries sustained.
05
Describe the incident in detail, including the date, time, and location, as well as the specific activities being carried out at the time.
06
Explain the sequence of events leading up to the incident, including any contributing factors or equipment involved.
07
Include any relevant witness statements or observations from other individuals present at the time of the incident.
08
Provide information about any equipment or machinery involved, including its identification number, condition, and any maintenance or repair history.
09
Summarize the injuries, damages, or other consequences resulting from the incident.
10
Sign and date the report to verify its accuracy and completeness.
11
Submit the completed MSHA - preliminary report to the appropriate authority or organization as instructed.
Who needs msha - preliminary report?
01
MSHA - preliminary report is needed by mining companies, miners, and contractors who are required to comply with the Mine Safety and Health Administration (MSHA) regulations.
02
This report helps to document and investigate incidents, accidents, or near-misses that occur in mining operations, with the goal of improving safety measures and preventing future occurrences.
03
It is an essential tool for ensuring compliance with MSHA regulations and promoting a safe working environment for all individuals involved in mining activities.
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What is msha - preliminary report?
MSHA - preliminary report is a form that must be submitted to the Mine Safety and Health Administration (MSHA) by mine operators after an accident, injury, or certain other events occur at a mine.
Who is required to file msha - preliminary report?
Mine operators are required to file MSHA - preliminary reports.
How to fill out msha - preliminary report?
MSHA - preliminary reports can be filled out online on the MSHA website or submitted by mail.
What is the purpose of msha - preliminary report?
The purpose of MSHA - preliminary report is to provide MSHA with information about accidents, injuries, and other events at mines so that they can investigate and take appropriate actions.
What information must be reported on msha - preliminary report?
Information such as the date, time, and location of the event, a description of what happened, the names of individuals involved, and any witnesses must be reported on MSHA - preliminary report.
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