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<br /> <br />aRAVZ:~ir:< <br />...:..:......... <br />No Likelihood () Unlikely () Reasonably Likely ~ Highly Likely () Occurred ( ) <br />Justif/icatio~n: ~~~~~ T~-r*a~- er_ ~ ~e=<~a~/n ~,C~ .c~~9 <br />~_ ,~ {.G,IG~i~tf.> ~~ ~yis~C Lrir` ~J'~t~G e~.y~ Til~~`.e_ /euslur .~ s~ c~.e two <br />'Persons affected: <br />None () Low ( ) <br />Justification: 1 <br />Moderate ~J High () Reckless Disregard ( ) <br />Area/Equipment (Orders): <br />Page l of / <br />MSHA FOrm 4000-09E, Aug. 931regiseCl +u. s. gov¢evnrze• eeien ec ovn cr. ~gg3_~oq-ete <br />DATE,(/-~/`~-fJ CIT/ORD No.~!/l~f~/y EVENT No.~/62~/3 <br />TIME 8~~~ CONTRACTOR ID No. <br />....................... <br />VIOLATYOlt <br />.......................... <br />DESCRIBE: CONDITION/PRACTICE/HAZARD/LOCATION ~/~2 e~.~~ ~~ <br />No Lost Workdays () Lost Workdays or Restricted Duty () Permanently Disabling () Fatal (-~- <br />