ASARCO RMSHA Inspection

• Prepared by

• Personnel

• Location
  Address

• Conducted on

  Date

Please Select Add To Input Citation

Citation #

• Issued to:

• Area of Citation

  Select Concentrator L-SXEW Crusher Lab Open Pit Administration

  • Concentrator
  • L-SXEW
  • Crusher
  • Lab
  • Open Pit
  • Administration

• Equipment Involved/Location/Area of Violation

• Condition or Practice

• 30 CFR Standard

• Gravity

  No Likelihood

  Unlikely

  Reasonably Likely

  Highly Likely

  Occurred

• Severity

  No Lost Workdays

  Lost Workdays/Restricted Duty

  Permanently Disabling

  Fatal

• Significant & Substantial

  Yes

  No

• Number of persons potentially affected

• Negligence

  No Negligence

  Low Negligence

  Moderate Negligence

  High Negligence

  Reckless Disregard

• Citation Photo

  Media

• Termination Due Date

  Date

• Action to terminate

• Was the issue corrected?

  Yes

  No

  N/A

• What is the recommended corrective action?

• Who is responsible for the corrective action?

• What was done to correct the issue? (who, what, when, where)

• Termination Photo

  Media

• Inspector Signature

  Sign