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The DMR 276 Form, formally known as the "Employee's Record of Hazardous Work," plays a crucial role in documenting and managing occupational safety within mining operations. It serves to record essential employee details, including their exposure to hazardous conditions like airborne pollutants and excessive noise levels. This form is essential as it aligns with the Mine Health and Safety Act, ensuring that all necessary data required for employee safety and medical surveillance is properly documented. By maintaining such detailed records, companies can ensure compliance with legal health and safety standards.
Utilizing the DMR 276 Form involves a careful process to ensure all pertinent information is accurately captured. The form is primarily filled out by the employer or designated safety personnel. It involves documenting the employee's personal information, employment dates, and specific details about potential occupational hazards they might encounter.
To properly complete the DMR 276 Form, follow these detailed steps to ensure comprehensive documentation:
The DMR 276 Form is structured to capture several critical pieces of information:
These key elements ensure the comprehensiveness of the form, safeguarding both the employee's health and the employer's compliance with legal requirements.
Primarily, the DMR 276 Form is used by mining companies and other organizations within the mining sector. It is often managed by:
These roles leverage the form to maintain a safe working environment by ensuring all employees are accounted for and properly monitored.


From a legal standpoint, the DMR 276 Form is integral to compliance with the Mine Health and Safety Act. It legally binds employers to acknowledge and document hazardous work conditions. Key legal uses include:
Failure to use the form properly may result in legal penalties or increased liabilities.
Typically, the form issuance responsibility lies with the mining company or organization’s health and safety department. In many cases:
The use of the DMR 276 Form can vary across different states due to varying local regulations governing occupational safety. Considerations include:
These differences necessitate a keen awareness of the local regulatory landscape to ensure full compliance and proper documentation across varying jurisdictions.
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Once completed, this form should be converted to a pdf document, named appropriately attached to the corresponding netDMR for submittal. To ta l S o lid s