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pdfCertificate of Training | Mine Safety and Health Administration (MSHA)
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UNITED STATES
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Mine Safety and Health Administration (MSHA)
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CERTIFICATE OF TRAINING
Certificate of Training
Form ID: 5000-23
Description:
This is a mandatory collection of information as required by 30 CFR
Equipment Approval and
Certification
Resources and Tools
Alliances and MOUs
Part 48.9 and 48.29. The Certificate of Training Form 5000-23 provides a
means for mine operators to record and certify Part 48 mandatory training
received by miners. The training certificates for each miner shall be available at
the operator minesite for inspection by MSHA and for examination by the
miners, the miner's representative, and State inspection agencies. At the
completion of training, the instructor MUST give the miner a copy of the training
State Mining Agencies
certificate. When a miner leaves the operator's employ, the miner shall be
entitled to a copy of his training certificates.
Control ID: 1219-0009
Expiration Date: April 30, 2021
Filing Options:
Fill in, print and mail or fax
Filing Instructions:
Please read all instructions that are included with the form.
Form 5000-23 may be completed while on your PC screen and printed (or
printed and filled in manually). MSHA does not receive or maintain copies of
the 5000-23. DO NOT FILE THIS FORM WITH MSHA.
https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training[3/9/2021 2:11:24 PM]
Certificate of Training | Mine Safety and Health Administration (MSHA)
Contact Information:
Questions regarding this form should be directed to MSHA at (877) 778-6055
or [email protected]
Privacy Notice:
Privacy Notice
Legal Authority:
30 CFR 48.9 and 48.29.
Burden Statement:
Public reporting burden for this collection of information is estimated to average
5 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments
regarding the collection of information, including suggestions for reducing this
burden, to the Mine Safety and Health Administration, U.S. Department of
Labor, Office of Standards, Regulations and Variances, 201 12th Street South,
Suite 401 Arlington, VA 22202-5450.
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https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training[3/9/2021 2:11:24 PM]
File Type | application/pdf |
File Title | Certificate of Training | Mine Safety and Health Administration (MSHA) |
File Modified | 2021-03-09 |
File Created | 2021-03-09 |