Mine No 16Coal

EE, SCOOP OPERATOR ON EVENING SHIFT. WAS PERFORMING HIS REGULAR JOB AND WAS CLEANING NO.1 ENTRY WHEN A ROCK FELL FROM THE ROOF AND STRUCK HIS LEFT LEG AND ABDOMEN

THERE WAS NO DAMAGE TO EES OR EQUIPMENT. THE FALL OCCURRED IN A 3 WAU INTER SECTION MEASURING 40' IN LENGTH, VARIOUS WIDTHS, AND ABOUT 5' IN THICKNESS. A SOLID PIECE OF SANDSTONE FELL OUT BETW EEN SURFACE CRACKS. THE AREA BEING MINE WAS WITHIN 200' OF THE OUTCROP. THE 3 WAY IONTERSECTION WAS IN THE LAST OPEN XCUT.

EMPLOYEE FILED FOR OCCUP PNUEM ON 3/5/01. REC NOTICE 3/23/01. QUIT 11/6/00. CLAIM #2001040714.

EMPLOYEE FILED FOR OCCUPATIONAL PNEUMOCONIOSIS ON 10-3-00

EMPLOYEE FILED FOR OCCUPATIONAL HEARING LOSS.

EMPLOYEE FILED FOR BLACK LUNG.

FALL IS 20' LONG X 20' WIDE X 5' HIGH. THE AREA ADJACENT TO THIS ENTRY WAS SEPARATED BY A 30' BARRIER BLOCK AND HAD BEEN SECOND MINED AND MAY HAVE CONTRIBUTED TO THE FALL.

FALL IS 30' X 18' X 5'H. THE AREA ADJACENT TO THIS ENTRY WAS SEPARATED BY A 30' BARRIER BLOCK AND HAD BEEN SECOND MINED AND MAY HAVE CONTRIBUTED TO THE FALL.

EMPLOYEE WAS APPLYING STOPPING SEALANT WITH A SPRAY MACHINE WHEN APPLICATION HOSE SLIPPED THROUGH HIS HANDS AND SEALANT STRUCK HIS FACE, NOSE, LEFT EYE AND EAR.

WHILE OPERATING A S&S FEEDER, EMPLOYEE STRUCK HIS RIGHT EYE WITH A PIECE OF THE WIRE.

EE FILED FOR OCCUPATIONAL PNEUM. ON 9-12-00. RECEIVED NOTICE 2-15-01. NO CLAIM #. LAST DAY WORKED 2-18-00.