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U.S. Department of LaborPreliminary Report of AccidentMine Safety and Health AdministrationPR001 10/04/2024 1. Accident Type F Fatal Injury2. Accident Classification 07 Fall of Roof or Back6. Mine

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What is preliminary accident and incident?

Preliminary accident and incident refers to the initial documentation or reporting of an event that involves an accident or incident requiring investigation or record-keeping, often to assess safety and compliance.

Who is required to file preliminary accident and incident?

Typically, the operator or owner of the facility or vehicle involved in the accident or incident is required to file the preliminary report, along with any relevant personnel present at the time.

How to fill out preliminary accident and incident?

To fill out a preliminary accident and incident report, one must provide detailed information about the event such as the date, time, location, individuals involved, description of the incident, and any immediate actions taken.

What is the purpose of preliminary accident and incident?

The purpose of the preliminary accident and incident report is to document the event for legal, regulatory, and safety purposes, enabling proper investigation and potentially preventing future incidents.

What information must be reported on preliminary accident and incident?

Necessary information includes the names and contact details of those involved, a detailed description of the event, damages incurred, any injuries sustained, and the circumstances leading up to the incident.

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