employment history Worker’s Position Mine name / employer Years at job Tick type of operation Start End Quarry Surface year year Have you worked in any of the environments / operations listed below? If YES enter the duration in years (MM if NO enter N/A. / YYYY), Coal mine, surface Coal mine, underground Have you ever worked for more than 1 year in any other dusty job? Worked with asbestos, vermiculite or talc Tunnelling, drilling, sand blasting Road construction, jack hammer, masonry saw In foundry, pottery, or abrasive manufacturing Welding, cutting, or grinding metals Other dusty job (please specify)
Worker’s employment history Position Mine name / employer Years at job Tick type of operation Start year End year Quarry Surface Have you worked in any of the environments / operations listed below? If YES enter the duration in years (MM / YYYY), if NO enter N/A. Coal mine, surface Coal mine, underground Have you ever worked for more than 1 year in any other dusty job? Worked with asbestos, vermiculite or talc Tunnelling, drilling, sand blasting Road construction, jack hammer, masonry saw In foundry, pottery, or abrasive manufacturing Welding, cutting, or grinding metals Other dusty job (please specify)