|
Mine Accident, Injury, and Illness Report MSHA Form 7000-1 Privacy Act Notice General This notice is given as required by Public Law 93-579 (Privacy Act of 1974) December 31, 1974, to the operators of mines providing personal information on injury and illness reports and accident investigations. Authority
The authority to collect this information is Section 103 of Public Law 91-173, as amended by Public Law 95-164. Purpose and use of Information
The information collected will be used to help determine the cause of accidents, injuries, illnesses and fatalities associated with metal and nonmetallic and coal mining. the information will also be used with the intent to prevent and reduce future accidents, injuries, fatalities and illnesses. Effects of Non-disclosure
You are required to furnish the information. Without it, MSHA may not be able to help prevent miners and other workers from becoming similarly hurt or ill in the future. Information Regarding Personal Identification
Under Public Law 93-579 Section 7(b) MSHA asks for the last 4 digits of the social security number under authority of Section 103 of Public Law 91-173, as amended by Public Law 95-164. This personal identification, which is not unique to any individual, helps MSHA establish the accuracy and usefulness of the information from injury and illness records. |
