MSHA FORM 5000-3 Certificate of Physical Qualification for Mine Rescue Wo
Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements
MSHA Form 5000-3 Intro Screen
49.17/ MSHA Form 5000-3
OMB: 1219-0144
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1219-0144 can be found here: