ASARCO RAY INTERNAL MINE NOTIFICATION OF FINDINGS - duplicate

• Citation No.

• Conducted on

  Date
• Location
  Address

• Inspector Name

• Written by

• Condition or Practice

• Part/Section of Title 30 CFR:

Inspector's Evaluation

Gravity: Injury or illness (has) (is): (check one)

• No Likelihood

• Unlikely

• Reasonably Likely

• Highly Likely

• Occurred

Severity: Injury/Illness could reasonably be expected to be: (check one)

• No Lost Workdays

• Lost Workdays/Restricted Duty

• Permanently Disabling

• Fatal

Significant and Substantial: (check one)

• Yes

• No

Persons Potentially Affected: (check one)

• 0

• 1

• 2

• 3

• 4

• 5

• 6

• 7

• 8

• 9

• 10

• 11 or more

Negligence: (check one)

• No Negligence

• Low Negligence

• Moderate Negligence

• High Negligence

• Reckless Disregard

Inspection Notes

• Issues

• Argument

• Inspection Notes

• Desired Outcome

Action to Terminate

• Action to Terminate

• Termination Due Date

  Date

• Picture of Findings

  Media