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U.S. Department of LaborPreliminary Report of AccidentMine Safety and Health AdministrationPR001 01/25/2022 1. Accident Type F Fatal Injury2. Accident Classification 18 Slip or Fall of Person6. Mine

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How to fill out fatal accident preliminary report

01

Gather all necessary information such as date, time, and location of the accident

02

Obtain details about the individuals involved in the accident

03

Fill out the report form accurately and completely

04

Include any witness statements or evidence related to the accident

05

Submit the completed report to the appropriate authorities

Who needs fatal accident preliminary report?

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Law enforcement agencies

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Government agencies

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What is fatal accident preliminary report?

The fatal accident preliminary report is a document that provides an initial overview of an accident resulting in a fatality.

Who is required to file fatal accident preliminary report?

The parties involved in the accident, such as the driver, employer, or other relevant individuals, are required to file the fatal accident preliminary report.

How to fill out fatal accident preliminary report?

The fatal accident preliminary report can be filled out by providing details such as the date and time of the accident, location, names of individuals involved, and a brief description of the incident.

What is the purpose of fatal accident preliminary report?

The purpose of the fatal accident preliminary report is to provide an initial assessment of the accident, gather relevant information, and ensure that appropriate actions are taken.

What information must be reported on fatal accident preliminary report?

The fatal accident preliminary report must include details such as the date and time of the accident, location, names of individuals involved, and a brief description of the incident.

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