____________________________________________________________________________ _____________________________________________________________________________________________ ARIZONA REVISED STATUTE/RULE 11-1-151. Requires this report (or the MSHA equivalent) be submitted to the Arizona State Mine Inspector by the 15th day following the end of each calendar quarter. NUMBER OF REPORTABLE INJURIES DURING THIS QUARTER FOR EACH OPERATION Employee Number of Number of Hrs. Worked Employees Injuries First.
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How to fill out the AZ ASMI Quarterly Labor Report online
The AZ ASMI Quarterly Labor Report is a vital document required for reporting labor statistics in mining operations within Arizona. This guide will provide step-by-step instructions to help users complete this form accurately and efficiently online.
Follow the steps to complete the AZ ASMI Quarterly Labor Report online.
- Press the ‘Get Form’ button to access the report and open it in your preferred editor.
- Begin by entering your State ID number and the date in the designated fields at the top of the form.
- Fill in your company name and business mailing address, including city, state, and zip code. Ensure all information is current.
- Provide the county where your operation is located along with a contact telephone number and fax number.
- Identify the mine or plant name and the contact person(s) for your report.
- Indicate the operation status by checking the appropriate box: Closed, Open, or Other, and specify if 'Other' is selected.
- Record the location, range, township, and section of the mine or plant where your operations take place.
- Include comprehensive driving instructions to guide individuals to your operation.
- Report the number of employee injuries for each operation by filling out the corresponding fields for each quarter: First Quarter, Second Quarter, Third Quarter, and Fourth Quarter, distinguishing between mine staff and support staff.
- After completing all sections, review your entries for accuracy. Save your changes, and choose to download, print, or share the completed report as needed.
Complete your AZ ASMI Quarterly Labor Report online now to ensure compliance.
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