Metalliferous Mines Regulations, 1961 - Directorate General of ...

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Particulars in respect of every person, killed or injured, in form IV-B are enclosed/ shall be forwarded
within a week (I)
Yours faithfully,
Signature …………………………
Designation : Owner/Agent/Manager
Date ………………………………..
INSTRUCTIONS
(I) Delete whatever is not applicable ;
(II) Under one or other of the following heads, namely :-
1. Explosion and ignition of inflammable gas :
2. Falls of ground :
(a) falls of roof;
(b) falls of side, wall or face;
(c) rockburst;
3. Haulage :
(a) above ground
(b) below ground
4. In shafts :
(a) Overwinding of cages or other means of conveyance ;
(b) Breakage of ropes, chains or drawgear;
(c) While ascending or descending by machinery;
(d) By falling;
(e) By falling objects (excluding falls of ground);
(f) Miscellaneous;
5. Explosives;
6. Machinery :
(a) Above ground;
(b) Below ground;
7. Suffocation by gases;
8. Irruption of water
9. Premature collapse of workings;
10. Outbreak of fire or spontaneous heating;
11. At railway sidings belonging to the mine;
12. Electricity; or
13. Miscellaneous :
(a) above ground
(b) below ground
(iii) In block capital.
(iv) Attach separate sheet, if necessary.
FIRST SCHEDULE
FORM IV-B
(See Regulation 9)
Particulars of Deceased/Injured person
(To be given separately in respect of every person killed or injured in an accident in the mine)