ASARCO Ray MSHA Inspection

• Document No.

• Conducted on

  Date

Citation 1

• Citation No.

• Inspector

• Condition or Practice

• Part/Section of Title 30 CFR:

• Gravity: Injury or Illness (has) (is):

  No Likelihood

  Unlikely

  Reasonably Likely

  Highly Likely

  Occurred

• Severity: Injury/Illness could reasonably be expected to be:

  No Lost Workdays

  Lost Workdays/Restricted Duty

  Permanently Disabling

  Fatal

• Significant and Substantial:

  Yes

  No

  N/A

• Persons Potentially Affected:

• Negligence

  No Negligence

  Low

  Moderate

  High

  Reckless Disregard

• Termination Due Date

  Date

• Picture of Findings

  Media

• Additional Notes

Citation 2

• Citation No.

• Inspector

• Condition or Practice

• Part/Section of Title 30 CFR:

• Gravity: Injury or Illness (has) (is):

  No Likelihood

  Unlikely

  Reasonably Likely

  Highly Likely

  Occurred

• Severity: Injury/Illness could reasonably be expected to be:

  No Lost Workdays

  Lost Workdays/Restricted Duty

  Permanently Disabling

  Fatal

• Significant and Substantial:

  Yes

  No

  N/A

• Persons Potentially Affected:

• Negligence

  No Negligence

  Low

  Moderate

  High

  Reckless Disregard

• Termination Due Date

  Date

• Picture of Findings

  Media

• Additional Notes

Citation 3

• Citation No.

• Inspector

• Condition or Practice

• Part/Section of Title 30 CFR:

• Gravity: Injury or Illness (has) (is):

  No Likelihood

  Unlikely

  Reasonably Likely

  Highly Likely

  Occurred

• Severity: Injury/Illness could reasonably be expected to be:

  No Lost Workdays

  Lost Workdays/Restricted Duty

  Permanently Disabling

  Fatal

• Significant and Substantial:

  Yes

  No

  N/A

• Persons Potentially Affected:

• Negligence

  No Negligence

  Low

  Moderate

  High

  Reckless Disregard

• Termination Due Date

  Date

• Picture of Findings

  Media

• Additional Notes

Citation 4

• Citation No.

• Inspector

• Condition or Practice

• Part/Section of Title 30 CFR:

• Gravity: Injury or Illness (has) (is):

  No Likelihood

  Unlikely

  Reasonably Likely

  Highly Likely

  Occurred

• Severity: Injury/Illness could reasonably be expected to be:

  No Lost Workdays

  Lost Workdays/Restricted Duty

  Permanently Disabling

  Fatal

• Significant and Substantial:

  Yes

  No

  N/A

• Persons Potentially Affected:

• Negligence

  No Negligence

  Low

  Moderate

  High

  Reckless Disregard

• Termination Due Date

  Date

• Picture of Findings

  Media

• Additional Notes

Citation 5

• Citation No.

• Inspector

• Condition or Practice

• Part/Section of Title 30 CFR:

• Gravity: Injury or Illness (has) (is):

  No Likelihood

  Unlikely

  Reasonably Likely

  Highly Likely

  Occurred

• Severity: Injury/Illness could reasonably be expected to be:

  No Lost Workdays

  Lost Workdays/Restricted Duty

  Permanently Disabling

  Fatal

• Significant and Substantial:

  Yes

  No

  N/A

• Persons Potentially Affected:

• Negligence

  No Negligence

  Low

  Moderate

  High

  Reckless Disregard

• Termination Due Date

  Date

• Picture of Findings

  Media

• Additional Notes