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Driver had reaction to spray used at home. We called MSHA 800 phone number, were told to complete this form. Driver is fine, was back at work following day.

EE HAD COMPLAINED OF HEARTBURN BUT DECLARED IT WOULD PASS. COWORKER SAW HIM EXIT THE LOADER AND HEAD TOWARD HIS CAR. COWORKER RETURNED ABOUT 3 MINUTES LATER, AND FOUND EE FACE DOWN ON THE GROU ND. TWO PEOPLE PERFORMED CPR UNTI EMS ARRIVED.