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Directorate General Of Mines Safety
- Protecting Miner’s Safety & Health Since 1901
Let us make the work place and environment in mines safe and secured for the miner who extract minerals for the making of a nation.
Serious Accident Complaint
  • Step 1: Contact Information
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  • Step 2: Complaint Information
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  • Step 3: Summary
OMB Control Number and Expiration Date 1219-0014; 12/31/16. Public reporting burden for this form is estimated to average 12 minutes per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the form. This collection of information is voluntary. You are not required to respond to this collection of information unless it displays a valid OMB control number. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: to the Mine Safety and Health Administration, U.S. Department of Labor, Office of Standards Regulations and Variances, 1100 Wilson Blvd., Arlington, VA 22209, Paperwork Reduction Project (1219-0014). NOTE: Do not send your completed form to this address.
Step 1: Contact Information
Note : To submit a formal Serious Accident Complaint, a valid email address is required. DGMS uses this email address to confirm your intention to "sign" the complaint electronically.
  • Step 1: Contact Information
  • >
  • Step 2: Complaint Information
  • >
  • Step 3: Summary
Step 2: Complaint Information
 
 
 
 
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  • Step 1: Contact Information
  • >
  • Step 2: Complaint Information
  • >
  • Step 3: Summary
Step 3: Summary
Contact Information
Complaint Information