APPLICATION FORM FOR NATIONAL SAFETY AWARDS(MINES), 1999.
[Form furnishing the particulars specified below along with crossed Indian Postal Order(s) of Rs.100/- (Rupees one hundred only) should reach the Dy. Direcotr-General of Mines Safety(Stat). Directorate-General of Mines safety, Dhanbad – 826001 not later than 30.6.2000. Postal orders should be drawn in favour of Administrative Officer/D.D.O., DGMS, payable at Dhanbad Post Office. Incomplete appliaction or application received after the last date may be rejected without specifying any reason. Contestants are hereby informed that for this contest year (1999), a mine will be eligible for at most one Prize.]
_________________________________________
__________________________________________
Telephone No.______________________________
Is to be made (IN BLOCK letters):
a) Name _____________________________________
d) Telephone Number _______________________________
e) Telex Number _____________________________________
f) FAX No. _______________________________________
[Read the instructions carefully before filling in the form and use code no. as indicated]
2.1 Type of mine :
(See instruction B)
b) Depth of the present workings (in meters) :
c) Does it have working seam(s) belonging to Degree III ? : Yes/No
d) Has any longwall face been worked for at least six months
in 1999? : Yes/No
e) Was the mine using LHD/SDL in depillaring/
development areas in 1999 ? : Yes/No
f) In case of depillaring workings, the thickness of
extraction (in metres) :
g) Gradient ( 1 in _____) :
|
Month |
Manshifts worked |
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|
1997 |
1998 |
1999 |
|
|
January February March April May June July August September October November December |
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TOTAL |
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[Manshifts worked for a month is obtained by adding the daily attendance(in all the shifts) for the whole month.]
|
M O N T H |
Production (in Tonne) & Overburden removed in(Cu.M) |
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|
1997 |
1998 |
1999 |
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|
Prod. |
OB. |
Prod. |
OB. |
Prod. |
OB. |
|
|
January February March April May June July August September October November December |
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TOTAL |
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Overburden ( in cubic metres in 1999.
Total Production Overburden removed
From From
From From fully mech. Faces manual
Belowground Opencast Where HEMM are used faces
/deep hole blasting
done
From fully mech. Faces From
Where HEMM are used / manual
Deep hole blasting done face
[Furnish details accident-wise. Only Mining Statistical accidents
to be given]
|
Sl. No. |
Date of @ accident
|
Number of persons Remarks |
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|
Killed |
Seriously injured* |
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|
Sl. No. |
Date of @ accident |
Number of persons Seriously injured* |
Nature of injury (Fracture, burn etc) |
* Definition of Serious injury should conform to the definition as per provisions of the Mines Act, 1952 as amended on 31.05.84 :
" Any injury which involves or in all probability will involves or in all
probability will involve the permanent loss of any part or section of a body or
the permanent loss of or injury to the sight or hearing or any permanent physical incapacity or the fracture of any bone or one or more joints or bones of any phalanges of hand or foot."
@ For each accident, date of accident is to be given in full, e.g. 91.12.98. Entries like "1998" or "Dec. 1998" are not allowed in this column.
DETAILS OF ENCLODED CROSSED POSTAL ORDERS
[ postal orders must be made payable to Administrative officer/D.D.O.,
DGMS, at Dhanbad Post Office]
|
Postal Order No. |
Value (Rs.) |
Date of Issue |
Name of issuing post Office with PIN code |
knowledge and belief ;
Pit Safety Committee / Committee assigned for the purpose by the
Management which has a workmen’s representative; and
_________________________________ ______________________
# Signature of Workmen’s Inspector / Signature of Mine Management
Workmen’s representative who
Scrutinised the form Date :
Name :__________________________
Date :
(in BLOCK letters)
Name : ______________________ Designation.
(in BLOCK letters).
Designation : Seal :
Seal :
#1. To be signed by Workmen’s Inspector. If no Workemen’s Inspector is appointed, the signature of Workmen representative (representative of a recognized Trade Union) is required here.
GENERAL INFORMATION
OR
Satisfying at least two of the following conditions:
belowground coal mines with difficult conditions.
B. GROUP OF MINES AND THEIR CODE NUMBERS
Type of Mine Code No.
Coal Mines - Below Ground with difficult 1
Mining conditions
Coal Mines - Below Ground(others) 2
Coal Mines - Opencast 3
Metal Mines - Mechanised Opencast 4
Metal Mines - Manual Opencast 5
Metal Mines - Below Ground 6
Oil Mines - All 7