Form 5000-50 MSHA State Grant Program Performance Report

Mine Safety and Health Administration Grant Performance Reports

MSHA Form 5000-50 State Grant Technical Accomplishment Form.xlsx

MSHA Performance Report Narratives and MSHA Form 5000-50, MSHA State Grant Program Performance Report

OMB: 1219-0154

Document [xlsx]
Download: xlsx | pdf
































OMB No.
Exp. Date:
MSHA Form No. 5000-50


MSHA STATE GRANT PROGRAM
TECHNICAL PROGRESS REPORT








































STATE:












































































Fiscal Year:











































1st QTR (OCT-DEC)
2nd QTR (JAN-MAR)
3rd QTR (APR-JUN)
4th QTR (JUL-SEP)
ANNUAL TOTALS (OCT-SEP)



METRIC
DESCRIPTION
Projected Goal
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
% Met








































1
Number of trainers trained






0




0




0




0
0 0 0 0 0
0%

2
Number of individuals provided with new miner training in Parts 46 and 48






0




0




0




0
0 0 0 0 0
0%

3
Number of individuals provided with annual refresher training in Parts 46 and 48






0




0




0




0
0 0 0 0 0
0%















































































4
Number of individuals trained in Parts 46 and 48 from mines with 5 or less miners






0




0




0




0
0 0 0 0 0
0%







































































Number Trained with 5
or Fewer
0










































5
Number trained as responsible persons






0




0




0




0
0 0 0 0 0
0%

6
Number trained in Part 49 mine rescue






0




0




0




0
0 0 0 0 0
0%















































































7
Cost ($) of equipment and supplies in support of mine rescue






$-




$-




$-




$-
$- $- $- $- $-



8
Amount ($) expended in support of mine rescue events






$-




$-




$-




$-
$- $- $- $- $-









































































Total Mine Rescue Related Expenses $-

















































































9
Cost of CPDM equipment and maintenance






0




0




0




0
0 0 0 0 0










































10
Number trained in certification or qualification programs






0




0




0




0
0 0 0 0 0
0%















































































11
Number tested in certification or qualification programs






0




0




0




0
0 0 0 0 0
0%







































































Number Tested 0










































12
List of training materials created, to include target audience, goals and objectives


Comments:
Comments:
Comments:
Comments:
Comments:










































13
OTHER TRAINING (NOT REPORTED ABOVE)











































1st QTR (OCT-DEC)




2nd QTR (JAN-MAR)




3rd QTR (APR-JUN)




4th QTR (JUL-SEP)




ANNUAL TOTALS (OCT-SEP)





METRIC
DESCRIPTION
Projected Goal
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
% Met








































1








0




0




0




0
0 0 0 0 0



2








0




0




0




0
0 0 0 0 0



3








0




0




0




0
0 0 0 0 0



4








0




0




0




0
0 0 0 0 0












































COMMENTS


Comments:
Comments:
Comments:
Comments:
Comments:












































TOTALS


1st QTR (OCT-DEC)
2nd QTR (JAN-MAR)
3rd QTR (APR-JUN)
4th QTR (JUL-SEP)
ANNUAL TOTALS (OCT-SEP)








COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL
COAL MNM CON OTHER TOTAL








0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0









































Public reporting burden for this form is estimated to average 2.5 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the form. This collection of information is required to retain benefits. You are not required to respond to this collection of information unless it displays a valid OMB control number. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: to USDOL-Mine Safety and Health Administration, 201 12th Street South, Suite 4E401, Arlington, VA 22202-5452, Paperwork Reduction Project (1219-XXXX).

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