You are here

Non-Fatal Accident Report Form

Online form to be used to report NON-FATAL mine site accidents to the Oklahoma Department of Mines.

:
IF ACCIDENT OCCURRED UNDERGROUND, PLEASE PROVIDE THE FOLLOWING INFORMATION: PLEASE NOTE THAT ALL UNDERGROUND ACCIDENT REPORTS MUST BE COMPLETED AND SUBMITTED TO THE OKLAHOMA DEPARTMENT OF MINES WITHIN TEN (10) DAYS OF THE ACCIDENT.
Describe injuries.
Give full particulars and recommendations against repetition
PLEASE COMPLETE THIS FORM BY PROVIDING THE FOLLOWING INFORMATION:
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.