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MSHA Coal Mine Health: Waiver Request Action (Underground) Mobile App

The MSHA Coal Mine Health: Waiver Request Action (Underground) mobile app is intended to be used by the district office to notify the mine operator of the results of an investigation concerning a request for a waiver of sanitary facilities at an underground mine. In the event this waiver is granted, a copy of it shall be placed in the field office Mine File for as long as the waiver continues in effect at the mine

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Take a peek inside the MSHA Coal Mine Health: Waiver Request Action (Underground) Mobile App

Included Features

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Included Fields

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

  • Ico statictext

    This form is intended to be used by the district office to notify the mine operator of the result...

  • Ico date

    Date - The date the district issued this waiver.

  • Ico textbox

    2. District - The district number where the mine is located

  • Ico textbox

    Mine ID Number - Mine ID number as reported on the Legal Identity Report (MSHA Form 2000-7).

  • Ico textbox

    Mine Name - Mine name as it appears on the Legal Identity Report (MSHA Form 2000-7).

  • Ico textbox

    Company Name - Company name as reported on the Legal Identity Report (MSHA Form 2000-7).

  • Ico textbox

    Post Office Address of Mime Operator - The nearest post office to location of the mine.

  • Ico textbox

    Waiver Number - The number of this waiver.

  • Ico checkbox

    Based on an investigation by Mine Safety and Health personnel concerning the application, a waiv...

  • Ico checkbox

    This waiver entitles the operator to waive the installation of the requirements of Sections 75.

  • Ico statictext

    NOTE: This waiver is issued because it is impracticable for the operator to construct the necessa...

  • Ico statictext

    This waiver must be posted on the mine bulletin board for at least 30 days.

  • Ico statictext

    9. This waiver is nontransferable and may be modified or terminated if an inspection reveals such...

  • Ico statictext

    10. This waiver

  • Ico checkbox

    is.

  • Ico checkbox

    or is not.

  • Ico multiline

    District Manager should explain why the waiver was or was not granted.

  • Ico statictext

    “This waiver is granted due to a third party agreement: MSHA retains the right to inspect third ...

  • Ico signature

    District Manager - Signature of the District Manager should appear here.

  • ...and More!

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