Get the free MSHA Form 2000-136 - msha

Summary of Safeguards U. S. Department of Labor 1. Mine ID Number Section Cited 2. Mine Name Date Issued OSHA Form 2000-136, July 92 (revised) Safeguard Number Mine Safety and Heath Administration

How to fill out msha form 2000-136

How to fill out msha form 2000-136:

1. Begin by obtaining a copy of the msha form 2000-136. It can be downloaded from the official website of the Mine Safety and Health Administration (MSHA) or obtained from an MSHA office.
2. Carefully read the instructions provided with the form. It is essential to understand the purpose and requirements of the form before filling it out.
3. Fill in the personal information section of the form, including your name, address, contact information, and any other required details. Ensure that all the information is accurate and up to date.
4. If applicable, provide the information about the mine operator, mine name, mine ID, and any other specific mine-related details that are required on the form.
5. Proceed to the incident section of the form. This is where you will describe the circumstances or details of the incident that occurred. Clearly and concisely explain what happened, including the date, time, location, and any contributing factors.
6. Use additional sheets if necessary to provide a comprehensive and detailed account of the incident. Make sure to attach these sheets securely to the main form.
7. Describe any injuries or damages that resulted from the incident. Include information about any individuals involved, their names, job titles, and the extent of the injuries or damages sustained.
8. Continue to fill in the remaining sections of the form, following the instructions provided. This may include sections regarding equipment involved, safety measures taken, and any previous occurrences of a similar nature.
9. Review the completed form to ensure accuracy and completeness. Double-check all the information provided and make any necessary corrections or additions.
10. Once you are satisfied with the form, sign and date it. If applicable, have any other required individuals also sign the form.
11. Make a copy of the completed form for your records before submitting it to the appropriate MSHA office or designated recipient.

Who needs msha form 2000-136:

1. Employers in mining industries who have experienced an incident or accident at their operation that falls under the jurisdiction of MSHA may need to fill out msha form 2000-136.
2. This form helps MSHA gather important data regarding incidents, injuries, and safety incidents in order to enforce and improve mine safety regulations.
3. Individuals or organizations responsible for reporting incidents within mines, conducting investigations, or ensuring compliance with mine safety regulations may also need to fill out this form. Overall, anyone involved in an incident within the mining industry that fits the criteria specified by MSHA will require msha form 2000-136.

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What is msha form 136?

MSHA Form 136 is a form used by the Mine Safety and Health Administration (MSHA) to report quarterly dust sampling data.

Who is required to file msha form 136?

Operators of coal mines are required to file MSHA Form 136.

How to fill out msha form 136?

MSHA Form 136 can be filled out electronically or manually by entering the required dust sampling data for each quarter.

What is the purpose of msha form 136?

The purpose of MSHA Form 136 is to monitor and track the levels of respirable dust in coal mines to ensure compliance with health and safety regulations.

What information must be reported on msha form 136?

Operators are required to report the total amount of dust sampled, the average concentration of respirable dust, and any corrective actions taken to reduce dust levels.