Mine Number
Team Number
A CARD - TIME
Team Clock Time (Working Time)
0 to
min.
sec.
Timekeeper's Watch Time
0 to
min. sec.
Was there a team clock failure or problem?
If answer is "yes," explain in Notes.
YES NO
Discount x Occurrences = Total
Failure to examine gauges and apparatus at not more than
20 minute intervals. One point for each minute or fraction
thereof (total discount not to exceed 5 points) . . . . . . . . . . . . .
Failure to complete the problem in the calculated time, one
point for each 5 minutes of overtime, or fraction thereof (not
to exceed 10 points) (Not Applicable for problems with set
time limits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Failure to complete the problem within the time limit:
If the problem was not complete . . . . . . . . . . . . . . . . . .
If the problem was complete and team is traveling out
of the mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If the captain stops the clock and doesn't try to finish the
problem because time is running out . . . . . . . . . . . . . . . . . . . .
x
=
x
=
x
=
x
=
x
=
Total Discounts
TIMEKEEPER
SCORECARD EXAMINERS
U.S. Department of Labor
Mine Safety and Health Administration
Coal Mine Safety and Health
2019
1
0
0
1
0
0
15
0
0
5
0
0
30
0
0
0
Apparatus Checks
Min.
Sec.
Min.
Sec.
Fresh Air Base Check:
50-Foot Check:
/
/
Min.
Sec.
Min.
Sec.
Time Elapsed:
1st Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
2nd Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
3rd Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
4th Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
5th Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
6th Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
7th Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
8th Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
9th Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
10th Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
11th Check:
Discounts:
/ /
Min.
Sec.
Min.
Sec.
Time Elapsed:
12th Check:
Discounts:
/ /
NOTES
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0