Lumiform Mobile audits & inspections
Get App Get App

MSHA Accident Reporting

In the event of a mining accident, prompt and accurate reporting is crucial. MSHA accident reporting ensures that necessary actions are taken to address safety concerns, support injured workers, and prevent future incidents.

Downloaded 3 times
MSHA Accident Reporting
Date of the accident
Time of the accident
Location of the accident
Provide a description of the accident
Nature of accident
Contributing factors
Corrective Actions Taken
What immediate actions were taken to address the accident scene?
Which measures should be implemented to prevent further injuries or damage?
Based on the accident investigation, what recommendations can be made to prevent similar incidents in the future?
Share this template:

Streamline accident reporting with the MSHA accident reporting template

  Accidents in mining can have serious consequences, making accurate and efficient reporting essential. Introducing the MSHA Accident Reporting Template, designed to simplify the documentation process and promote safety in mining operations. This comprehensive template includes sections for recording crucial details such as the accident date, time, location, description, and involved individuals. It also incorporates sections to capture information on injuries sustained, equipment involved, contributing factors, witness statements, corrective actions taken, and recommendations for prevention.   By utilizing this user-friendly template, mining companies can ensure consistent and thorough accident reporting, enabling timely response, analysis, and implementation of preventive measures. Enhance workplace safety and compliance by adopting the MSHA Accident Reporting Template as an integral part of your accident management procedures.  
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
This site is registered on as a development site. Switch to a production site key to remove this banner.