This is a reminder that if an accident or occupational injury or illness occurs the operator shall mail completed 7000-1 forms to MSHA within ten working days after the accident or occupational injury occurs or an occupational illness is diagnosed.
When the miner is ready to resume work, please make sure to fill out Section D “Return to Duty Information” of form 7000-1, within five days, and mail to the MSHA Office of Injury and Employment Information to the following address: MSHA Office of Injury and Employment Information, P.O. Box 25367, Denver Federal Center, Denver, Colorado, 80225.
Applicable sections of the MSHA Part 50 reporting regulations are noted below.
50.20 Preparation and submission of MSHA Report Form 7000–1—Mine Accident, Injury, and Illness Report.
(a) Each operator shall maintain at the mine office a supply of MSHA Mine Accident, Injury, and Illness Report Form 7000–1. These may be obtained from the MSHA District Office. Each operator shall report each accident, occupational injury, or occupational illness at the mine. The principal officer in charge of health and safety at the mine or the supervisor of the mine area in which an accident or occupational injury occurs, or an occupational illness may have originated, shall complete or review the form in accordance with the instructions and criteria in §§ 50.20–1 through 50.20–7. If an occupational illness is diagnosed as being one of those listed in § 50.20–6(b)(7), the operator must report it under this part. The operator shall mail completed forms to MSHA within ten working days after an accident or occupational injury occurs or an occupational illness is diagnosed.
§ 50.20–1 General instructions for completing MSHA Form 7000–1.
Each Form 7000–1 consists of four sheets, an original and three copies. The original form shall be mailed to: MSHA Office of Injury and Employment Information, P.O. Box 25367, Denver Federal Center, Denver, Colo. 80225, within ten working days after an accident, occupational injury or occupational illness. At the same time, the first copy shall be mailed to the appropriate local MSHA district office. If the first copy does not contain a completed Section D—Return to Duty Information— the second copy shall be retained by the operator until the miner returns to work or a final disposition is made respecting the miner. When the miner returns to work or a final disposition is made, the operator shall, within five days, complete Section D and mail the second copy to the MSHA Office of Injury and Employment Information at the above address. A third copy, containing all the information in the first and second copies shall be retained at the mine office closest to the mine for a period of five years. You may also submit reports by facsimile, 888–231–5515. To file electronically, follow the instructions on MSHA Internet site, http://www.msha.gov.