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May 8, 2009   
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DOL Form MSHA 7000-1

View MSHA's Form MSHA 7000-1 Online htm
Agency: MSHA
Title: Mine Accident, Injury and Illness Report
Form Description: If an accident, injury or illness occurs at or in conjunction with activity at a mine, mine operators are required to report the circumstances of the incident to MSHA using Form 7000-1.
OMB Control Number: 1219-0007

 

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