MSHA Inspection

• Client / Site

• Document No.

• Prepared by

• Personnel

• Inspection Day

0.0 - Weather Conditions

2.0 - Inspection Area / Equipment

• Inspection Area / Equipment

Area / Equipment #

3.0 - Citations

• Citations

Citation #

• Issued to

  Select Roanoke Cement Contractor Pensucco Cement Pensucco Aggregate Castle Sands Heard Aggregates

  • Roanoke Cement
  • Contractor
  • Pensucco Cement
  • Pensucco Aggregate
  • Castle Sands
  • Heard Aggregates

• Date and Time of Citation

  Date

• Condition or Practice

• CFR 30 Standard

• Gravity

  Select No Likelihood Unlikely Reasonably Likely Highly Likely Occurred

  • No Likelihood
  • Unlikely
  • Reasonably Likely
  • Highly Likely
  • Occurred

• Type of Citation

  Select Non S&S S&S 107(a) B Order G Order J Order

  • Non S&S
  • S&S
  • 107(a)
  • B Order
  • G Order
  • J Order

• Severity

  Select No lost work days Lost work days or restricted duty Permanently disabling Fatal

  • No lost work days
  • Lost work days or restricted duty
  • Permanently disabling
  • Fatal

• Numbers of Persons Potentially Affected

• Negligence

  Select No Negligence Low Negligence Moderate Negligence High Negligence Reckless Disreguard

  • No Negligence
  • Low Negligence
  • Moderate Negligence
  • High Negligence
  • Reckless Disreguard

• Citation Photos

  Media

• Termination Due Date

  Date

• Action to Terminate

• Termination Photos

  Media

• Inspector

• Recommendation

#

• Photos

  Media

5.0 - Comments

• Comments

#

• Photos

  Media

6.0 - Questions from MSHA

• Questions from MSHA

#

• Add media

  Media

6.1 - Questions from Roanoke Cement

• Questions from Roanoke Cement

#

• Photos

  Media

6.2 - Questions from Contractor

• Questions from Contractor

#

• Questions

• Photos

  Media

7.0 - Area of Next Inspection

8.0 - Citations to Date

• 8.1 - Non-S&S Issued to Roanoke Cement

• 8.2 - S&S Issued to Roanoke Cement

• 8.3 - Non-S&S Issued to Contractor

• 8.4 - S&S Issued to Contractor