Mining Fatality Record
First name
Surname
Age
Occupation
Year of death (YYYY)
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
Colliery (or usual residence)
Cause of death
Your name*
Contact e-mail
Please select all sources of information
Death certificate
Newspaper report
OPR
Fatal accident inquiry
Gravestone, MI or memorial
Other
Relevant details from source(s)