30 CFR § 50.20-1
General instructions for completing MSHA Form 7000-1.
Each Form 7000-1 consists of four sheets, an original and three copies.
The original form shall be mailed to: MSHA Office of Injury and Employment Information, P.O. Box 25367, Denver Federal Center, Denver, Colo. 80225, within
ten working days after an accident, occupational injury or occupational
illness. At the same time, the first copy shall be mailed to the appropriate
local MSHA district. If the first copy does not contain a completed Section D--Return to Duty
Information--the second copy shall be retained by the operator until the
miner returns to work or a final disposition is made respecting the miner.
When the miner returns to work or a final disposition is made, the operator
shall, within five days, complete Section D and mail the second copy to the
MSHA Office of Injury and Employment Information. A third copy, containing
all the information in the first and second copies shall be retained at the
mine office closest to the mine for a period of five years.
You may also submit reports by facsimile, 888-231-5515. To file electronically
, follow the instructions on the MSHA Internet site, http://www.msha.gov. For assistance in electronic filing, contact the MSHA help desk at 877-778- 6055.
[42 FR 65535, Dec. 30, 1977; 43 FR 1617, Jan. 11, 1978; 60 FR 35692, July 11, 1995]