NEW TOOLBOX FUNCTION: MSHA REPORT

Transcription

1 NEW TOOLBOX FUNCTION: MSHA REPORT Modules Affected: Versions Affected: Human Resource Suite Safety Administration Version 7 (8.7c2.12; 9.7c2.12) The discussion of this new function is divided into the sections shown below. Background...2 Running the Report...2 Establishing Default Accident Information...6 Sample Report /15/01 1

2 Background A new function that allows you to produce the Federal MSHA Mine Accident, Injury and Illness Report has been added to the Toolbox. You run this report from the Safety Incidents option in the Safety Administration component of the Human Resource Suite. Running the Report To produce the MSHA Report, you must: Create a Safety Incident. Click the MSHA button on the final tab of the Safety Incidents option. Fill out the special data entry screen that appears. The steps below explain how to accomplish these tasks. 1. In the H/R Suite, select the Safety Administration component. 2. Select the Safety Incidents option. 3. Click on the Safety Incidents tab. Click the Add button. Fill in the information on this tab, noting that the number of characters that will print on the MSHA Report is limited for the following fields: How Did Incident Occur The report will print only the first 500 characters you enter. Witnesses/Account of Accident The report will print only the first 50 characters you enter. Save your work. 4. Click on the Employee Accident Info 1 tab. Click the Add button. Fill in the information on this tab, noting the format required for the following field: Time of Injury/Illness Enter the hour, followed by a colon, followed by the minutes, followed by AM or PM. For example, if the accident occurred at two o clock in the afternoon, you would type 2:00 PM. Save your work. 08/15/01 2

3 5. Click on the Employee Accident Info 2 tab. Fill in the information on this tab. Save your work. 6. Click on the Employee Accident Info 3 tab, shown in the next figure. Employee Accident Info 3 tab Fill in the information on this tab, noting that the number of characters that will print on the MSHA Report is limited for the following field: Employee Activity When Injured The report will print the first 45 characters you enter in each line. 7. On the Employee Accident Info 3 tab, click the MSHA button. The system displays the Enter ToolBox License Key window 08/15/01 3

4 8. Enter the authorized code in the Enter ToolBox License Key window, then click OK. Note The authorized code is provided to you when you acquire the MSHA program from SHAKER. You only need to enter this license key the first time you run the report. 9. Complete the information on the Mine Accident, Injury and Illness Report (MSHA ) screen shown below. This screen captures additional information required for the report. Note You can create a default set of information for this screen. See Establishing Default Accident Information on page 6. Mine Accident, Injury and Illness Report screen 08/15/01 4

5 Field Definitions Section A MSHA ID Number/Contractor ID Type your MSHA and Contractor ID numbers. Does Report Pertain to a Contractor Check this box if the report pertains to a contractor. Report Category Indicate the type of mining the report is for. Mine Name Section B Type the name of the mine where the accident occurred. Accident Code Select the appropriate accident code. Name of Investigator Type the name of the person investigating the accident. Date Started Indicate the date the investigation began. Steps Taken to Prevent Recurrence Section C Indicate the action the company has taken to make sure this type of accident will not happen again. Location Type (Surface Location or Underground Location) Select the correct location type. Surface Location If you have selected Surface Location at the Location Type prompt, indicate the specific location here. Underground Location If you have selected Underground Location at the Location Type prompt, indicate the specific location here. Underground Mining Method If you have selected Underground Location at the Location Type prompt, indicate the mining method here. 08/15/01 5

6 Permanent Disability Check this box if the accident resulted in permanent disability. Time Shift Started Indicate the time the injured employee s shift started. Preparer Phone Type the phone number of the person who completed this form. Equipment Information Equipment Involved/ Type/ Manufacturer/ Model Number Supply information about the equipment involved in the accident. Employee Experience Information Experience in This Job Title/ Experience at This Mine/ Total Mining Experience For each category, indicate the number of years and weeks the injured employee has worked. To generate the report, click the Print button, or click Preview to send the report to your screen. (See the Report Setup topic in the Human Resource Suite online help for information about additional print options.) Establishing Default Accident Information If you are completing a number of MSAH reports for the same accident, you do not have to complete the report selection screen each time. You can establish default accident information. 1. On the Employee Accident Info 3 tab (shown on page 3), right click on the MSHA button. The selection screen appears in Default mode. 2. Enter the information you want to use for each report, and then click OK. Note You cannot establish default information for the Permanent Disability checkbox. The system will automatically fill in the default information each time you create a new record. 08/15/01 6

7 Sample Report A sample MSHA Report is shown on the next page. 08/15/01 7

8 Mine Accident, Injury and Illness Report U.S. Department of Labor Mine Safety and Health Administration Section A - Identification Data Approved For Use Through 09/30/2002 OMB Number MSHA ID Number Contractor ID Report Category X Check here if report XMetal/Nonmetal Mining Coal Mining pertains to contractor Mine Name Company Name Schenectady Mining Co. Testing Section B - Complete for Each Reportable Accident Immediately Reported to MSHA 1. Accident Code (circle applicable code - see instructions) 01 - Death X 02 - Serious Injury 03 - Entrapment 04 - Inundation 05 - Gas or Dust Ignition 06 - Mine Fire 07 - Explosives 08 - Roof Fall 09 - Outburst 10 - Impounding Dam 11 - Hoisting 12 - Offsite Injury 2. Name of Investigator 3. Date Investigation Started 4. Steps Taken to Prevent Recurrence of Accident John Jones Month 8 Day 2 Year 2001 Held safety awareness training. Section C - Complete for Each Reportable Accident, Injury or Illness 5. Circle the Codes Which Best Describe Where Accident/Injury/Illness Occurred (see instructions) (a) Surface Location 02 Surface at Underground Mine 30 Mill, Preparation Plant, etc. 03 Strip/Open Pit Mine 04 Surface Auger Operation 05 Culm Bank/Refuse Pile 06 Dredge Mining 12 Other Surface Mining 17 Independent Shops (with own MSHA ID) 99 Office Facilities (b) Underground Location 01 Vertical Shaft 02 Slope/Inclined Shaft 03 Face X 04 Intersection 05 Underground Shop/Office 06 Other (c) Underground Mining Method 01 Longwall 02 Shortwall 03 Conventional Stoping X 05 Continuous Mining 06 Hand 07 Caving 08 Other 6. Date of Accident 7. Time of Accident am 8. Time Shift Started X am 7 Month Day Year :00 X pm 7:00 AM pm 8 9. Described Fully the Conditions Contributing to the Accident/Injury/Illness, and Quantify the Damage or Impairment Employee slipped on wet floor Equipment Involved Type Manufacturer Model Number MAN none 11. Name of Witness to Accident/Injury/Illness 12. Number of Reportable Injuries or Illnesses Resulting from This Occurrence Bob Smith - Saw her slip Name of Injured/Ill Employee 14. Sex 15. Date of Birth 12 Male Month Day Year GALLIGHER, KATHLEEN E. XFemale Last Four Digits of Social 17. Regular Job Title 18. Check if this 19. Check if Injury/Illness 16 Security Number Injury/Illness resulted in permanent disability Temporary Worker resulted in death (include amputation, loss of use, 18 & permanent total disability) What Directly Inflicted Injury or Illness? 21. Nature of Injury/Illness 20 Wet floor. BROKEN BONE Part of Body Injured 23. Occupational Illness (circle applicable code - see instructions) 21 Occupational Skin Diseases or Affected Dust Diseases of the Lungs 23 Respiratory Conditions (toxic agents) 24 Poisoning (toxic materials) LEG 25 Disorders (physical agents) 26 Disorders (repeated trauma) X 29 Other Employee's Work Activity When Experience Years Weeks Injury or Illness Occurred For Official Use Only 25. Experience in This Job Title 3 5 Fitting Pipe. 26. Experience at This Mine 1 0 Degree 27. Total Mining Experience 3 5 Accident Type Section D - Return to Duty Information Answer 30 & 31 when case is closed Accident Class 28. Permanently Transferred or 29. Date Returned to Regular Job at 30. Number of 31. Number of Days Scheduled Charge Terminated (if checked, Full Capacity (or item 28) Days Away from Restricted Work complete items 29, 30, & 31) Work (if none, Activity (if none, Keyword enter 0) enter 0) Person Completing Form (name) Phil Ellison Month Date This Report Prepared (month, Day, Year) Day Title Year Safety Officer 08/01/ MSHA Form , July 91 (revised) Area Code and Telephone Number 10 0