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Pool US Department of Labor Preliminary Report of Accident 19-Nov-13 2. Accident Classification l. Accident Type: FatallnjlfY Explosives and Min 3. Dateline of Accident BRE: king Ag8lts 11/17/2013
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How to fill out msha - preliminary report
How to fill out msha - preliminary report:
01
Start by gathering all necessary information related to the incident or accident that occurred at the mine site. This may include details such as the date, time, location, personnel involved, equipment used, and any witnesses.
02
Use the provided MSHA - preliminary report form or template to ensure accurate and complete information. Make sure to include all relevant sections and fields, such as the incident description, nature of the accident, and any injuries or damages incurred.
03
Provide a detailed account of the events leading up to the incident, including any contributing factors or potential hazards. It is important to be as specific and thorough as possible in your description to aid in the investigation process.
04
Document any immediate actions taken, such as administering first aid or securing the area to prevent further harm. Include any emergency response measures or protocols followed.
05
If applicable, include any information regarding the extent of injuries sustained or damages caused. This can include details about medical treatment provided, property damage, or any potential impact on production or operations.
06
Finally, ensure that the report is signed and dated by the appropriate personnel responsible for submitting it. This may include the mine operator, supervisor, or designated safety representative.
Who needs msha - preliminary report?
01
Companies or individuals who operate mines, regardless of size or type, are required by the Mine Safety and Health Administration (MSHA) to complete and submit a preliminary report for any qualifying incidents or accidents that occur at the mine site.
02
Mine operators, supervisors, and designated safety representatives are typically responsible for ensuring the timely and accurate completion of the MSHA - preliminary report.
03
Regulatory agencies, such as MSHA, rely on these reports to monitor safety compliance, identify potential hazards, and investigate incidents to prevent future occurrences.
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