OMB control number

Ingress/Egress and Work Boot Outsole Wear Investigation at Surface mines

OMB 0920-1125 · HHS/CDC.

OMB 0920-1125

Slips and falls of a person are the second largest contributor to non-fatal injuries in the U.S. mining industry. The objective of this work is to investigate how ingress egress systems on mobile equipment and personal protective footwear (boots) used by miners may lead to slips, trips and falls at stone, sand and gravel surface mining facilities.

The latest form for Ingress/Egress and Work Boot Outsole Wear Investigation at Surface mines expires 2022-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Supporting_statement_Part_B_.docx Supporting Statement B
Appendix O_IRB (BootOutsoleWear).docx Supplementary Document
Appendix N_IRB (Ingress-EgressStudy).docx Supplementary Document
Appendix B_60dyFRN (published).pdf Supplementary Document
Appendix A_Authorizing Legislation.docx Supplementary Document
Supporting_statement_Part_A.docx Supporting Statement A
App L_Informed Consent form (Longitudinal boot outsole study) Other-WORD
App J_Talent and Consent Waiver Other-WORD
App I_Final Survey for Boot Wear Evaluation Other-WORD
App H_Survey for Recording Period for Boot Wear Evaluation (On-going) Other-WORD
App G_Preliminary Survey for Boot Wear Evaluation Other-WORD
App F_Screening Questionnaire Other-WORD
App E_Mine management interview guide Other-WORD
App D_Mobile equipment operator interview guide Other-WORD
App C_Mobile equipment operator focus group guide Other-WORD

All Historical Document Collections

201906-0920-012 Approved without change	Reinstatement with change of a previously approved collection	2019-08-02
201605-0920-011 Approved without change	New collection (Request for a new OMB Control Number)	2016-05-27

OMB Details

App C_Mobile equipment operator focus group guide

Federal Enterprise Architecture: Health - Consumer Health and Safety