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Pool U.S. Department of Labor Preliminary Report of Accident 10Jul13 2. Accident Classification 1. Accident Type: Fatal Injury Mine Safety and Health Administration 3. Date/Time of Accident Slip or
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How to fill out MSHA - Preliminary Report:

01
Gather all necessary information: Before starting to fill out the MSHA - Preliminary Report, make sure you have all the relevant information at hand. This may include details about the mine operator, location, date and time of the accident, and any other pertinent information.
02
Document the incident: Provide a clear and concise description of the incident, including what happened, how it happened, and any potential causes. Be specific in your observations and avoid speculation.
03
Identify witnesses and involved parties: Include the names and contact information of any witnesses present during the incident. Also, list any individuals who were directly involved, such as employees or contractors.
04
Provide details of injuries or damages: Clearly outline any injuries sustained or damages caused by the incident. Include the names of individuals affected, the extent of the injuries, and any necessary medical attention provided.
05
Describe actions taken: Explain any immediate actions taken after the incident, such as providing first aid, calling emergency services, or initiating rescue operations. Provide accurate information about the steps taken to mitigate further harm.
06
Include preventative measures: Suggest possible solutions or preventative measures that could be implemented to prevent similar incidents in the future. This may involve improved safety procedures, additional training, or equipment modifications.

Who needs MSHA - Preliminary Report:

01
Mine operators: It is crucial for mine operators to maintain accurate records of incidents that occur at their mines. The MSHA - Preliminary Report is a valuable tool for identifying potential hazards and implementing necessary safety measures to protect workers.
02
Mine safety and health personnel: Those responsible for overseeing safety and health at mines should review and analyze the MSHA - Preliminary Report to identify trends, patterns, and areas for improvement. This information can help in creating effective training programs and developing strategies to prevent future accidents.
03
Regulatory agencies: MSHA - Preliminary Reports are often required to be submitted to regulatory agencies responsible for overseeing mine safety and health. These reports help regulatory bodies to monitor compliance with safety regulations and identify areas that may require additional inspections or enforcement actions.
Remember, accurate and detailed reporting is crucial when filling out the MSHA - Preliminary Report. It ensures that incidents are properly documented, helps identify areas for improvement, and ultimately contributes to a safer working environment in mines.
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The MSHA - preliminary report is a report that must be submitted to the Mine Safety and Health Administration in the event of a mining accident or incident.
Mine operators are required to file the MSHA - preliminary report.
The MSHA - preliminary report can be filled out online on the MSHA's official website or submitted through the mail.
The purpose of the MSHA - preliminary report is to provide the MSHA with information about the accident or incident so they can investigate and ensure safety measures are in place.
The MSHA - preliminary report must include details about the accident or incident, such as the time and location, number of injuries or fatalities, and a brief description of what happened.
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