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MSHA Coal Mine Health: Inspector’s Review Of Waiver Request Mobile App

This MSHA Coal Mine Health: Inspector’s Review Of Waiver Request Mobile App is to be completed by each inspector conducting an investigation pursuant to Part 71, Subpart E, “Surface Bathing Facilities, Change Rooms and Sanitary Flush Toilet Facilities at Surface Coal Mines” and Part 75, Section 75.1712, “Bathhouse and Toilet Facilities at Underground Mines.” Use this app to promote federal mine safety on behalf of miners, according to the specifications of the safety and health administration. As a MSHA inspector in the mining industry, use this app to identity health and safety violations according to regulations.

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Take a peek inside the MSHA Coal Mine Health: Inspector’s Review Of Waiver Request Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    The “Inspector’s Review of Waiver Request” shall be completed by each inspector conducting an inv...

  • Ico date

    Date of Review - Date an investigation was conducted at the mine site to review this waiver requ...

  • Ico textbox

    District - Coal Mine Safety and Health District number.

  • Ico textbox

    Mine ID Number - Mine identification number assigned by MSHA.

  • Ico textbox

    Mine Name - Name of the coal mine as submitted on the Legal Identity form submitted by the coal ...

  • Ico textbox

    5. Company Name - Name of the company as reported on the Legal Identity form

  • Ico textbox

    6. To District Manager - District Manager’s name

  • Ico textbox

    Through - Through inspector’s immediate supervisor or subdistrict manager.

  • Ico textbox

    8. Request for

  • Ico integer

    Number of Employees - Number of mine employees that will be affected by this waiver.

  • Ico integer

    Remaining Life of Mine - Life in years and months of the area within the boundaries of the mine ...

  • Ico multiline

    Is it practical to develop a private water supply and sanitary waste disposal?

  • Ico dropdown

    Is electricity available?

  • Ico drawing

    If no, is availability practical?

  • Ico dropdown

    Is it practical to construct a central bathhouse and change room and make it available to all w...

  • Ico drawing

    If so, sketch the mine or mines, roads used, and location of the bathhouse facility.

  • Ico signature

    Operator submitted a signed statement by all employees agreeing that a waiver should be granted.

  • Ico multiline

    Contract or agreement made between the operator and employees for bathing at home.

  • Ico multiline

    Availability of facilities through a third party.

  • Ico dropdown

    Are adequate drainage facilities available?

  • Ico dropdown

    If surface mine, copy of application posted on mine bulletin board with addresses of Regional Pr...

  • Ico dropdown

    19. Sanitary facilities provided at administrative office or other relatively permanent installat...

  • Ico multiline

    If yes, is it practical to expand them for miners' use Explain.

  • Ico dropdown

    20. Agreement Mine

  • Ico dropdown

    21. Discussion held with representative number of miners, or, if agreement mine, with Safety Comm...

  • Ico multiline

    Comments of representatives contacted:

  • Ico multiline

    Remarks

  • Ico date

    Date Submitted - Date inspector’s Review of Waiver Request was submitted to his supervisor.

  • ...and More!

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