Transcription of Preliminary Report of Accident U.S. Department of Labor ...
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Department of LaborMine safety and health AdministrationPreliminary Report of AccidentPR001 12/20/20211. Accident TypeF - Fatal Injury2. Accident Classification17 - Machinery 3. Date/Time of Accident12/13/2021 8:45 AM4. Date/Time of Death12/13/2021 8:45 AM5. Fatal Case NoFAI-6915008-16. Mine Informationa) Mining Company Name:Imerys Carbonates USA, Incb) Mine Name:Whitestone Mine #4c) Parent of Mining Company:Imerys S A7. Mine Location Informationa) Cityb) Countyc) StateMarble HillPickensGA8. Mine ID Number09-000479. UnionYes10. Primary Mineral MinedCrushed & Broken Marble Mining11. Number of Employeesa) Totalb) Underground c) Open Pit/Quarryd) Mill/Prep Plante) Other40103012. Contractor Name13. Contractor Union14. Contractor ID Number15. Contractor Addressa) Cityb) Countyc) Stated) Zip Code16. Number of Contractor Employeesa) Totalb) Undergroundc) Open Pit/Quarryd) Mill/Prep Plante) Other17.
Dec 20, 2021 · Mine Safety and Health Administration. Preliminary Report of Accident. PR001 12/20/2021. 1. Accident Type F - Fatal Injury. 2. Accident Classification 17 - Machinery . 3. Date/Time of Accident 12/13/2021 8:45 AM. 4. Date/Time of Death 12/13/2021 8:45 AM. 5. Fatal Case No FAI-6915008-1. 6. Mine Information a) Mining Company Name: Imerys ...
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