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| DOL Home > Find It! By Form > DOL Form |
DOL Form 4000-9
Agency: |
MSHA |
Title: |
Record of Individual Exposure to Radon Daughters |
Form Description: |
Operators are required to maintain accurate records of employee exposures to potentially toxic materials or harmful physical agents. Data submitted to MSHA on Form 4000-9 establishes a means by which MSHA can: assure compliance with underground radiation standards; form a database for epidemiological studies; and provide information of cumulative radon exposures. |
OMB Control Number: |
1219-0003 |