DoL MSHA 5000-23 1999 free printable template

Certificate of Training U.S. Department of Labor Mine Safety and Health Administration Approved OMB Number 1219-0009, Expires December 30, 2007. This certificate is required under Public Law 91-173

How to fill out DoL MSHA 5000-23

How to fill out DoL MSHA 5000-23

1. Obtain the DoL MSHA 5000-23 form from the official MSHA website or appropriate agency.
2. Fill out the employer's name and address at the top of the form.
3. Provide the name and address of the mine site where the work will occur.
4. Enter the date the work is to commence.
5. Indicate the type of work being performed (e.g., construction, maintenance).
6. List the names and social security numbers of all workers involved in the project.
7. Include the number of hours each worker is expected to work.
8. Sign and date the form, certifying that the information is accurate.
9. Submit the completed form to the appropriate MSHA district office.

Who needs DoL MSHA 5000-23?

1. Employees working at coal or non-coal mines.
2. Contractors and subcontractors performing work at mining operations.
3. Mine operators who are required to report certain information to the MSHA.
4. Government agencies involved in compliance and oversight of mining operations.

People Also Ask about

What is MSHA 24?

Mine Safety & Health (MSHA) 24-Hour Training for. New Metal / Non-Metal Surface Miners. Training Quick Links. Click on the following classes for more information. AHA / Red Cross.

How long does MSHA certificate last?

Part 46 certification must be renewed every year with an 8 hour Annual Refresher training. There is a small amount of wiggle room. The training does not expire after exactly 365 days. You are compliant until the end of the calendar month one year after your last Annual Refresher training.

What does MSHA stand for?

MSHA stands for the Mine Safety and Health Administration. MSHA is an agency in the Department of Labor and was created when Congress passed the Federal Mine Safety and Health Act of 1977.

What is the difference between Part 46 and Part 48 MSHA?

There are two types of training requirements in 30 CFR, Part 46 and Part 48. Part 48 covers all underground mines, surface coal mines, and some surface metal/nonmetal mines. Part 46 on the other hand covers very specific types of mines. NOTE: If you are a contractor at a Part 46 mine you may also be under Part 48.

Is MSHA part of DOL?

The U.S. Department of Labor's Mine Safety and Health Administration (MSHA) helps to reduce deaths, injuries, and illnesses in the nation's mines with a variety of activities and programs.

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What is DoL MSHA 5000-23?

DoL MSHA 5000-23 is the official form used to report accidents, injuries, and fatalities that occur in mining operations to the Mine Safety and Health Administration (MSHA) of the U.S. Department of Labor.

Who is required to file DoL MSHA 5000-23?

All operators of coal and metal/non-metal mines are required to file DoL MSHA 5000-23 for any reportable accidents, injuries, or fatalities that occur at their mining sites.

How to fill out DoL MSHA 5000-23?

To fill out DoL MSHA 5000-23, operators must provide detailed information about the incident, including the date, time, location, and nature of the event, as well as information about the individuals involved and any contributing factors.

What is the purpose of DoL MSHA 5000-23?

The purpose of DoL MSHA 5000-23 is to ensure that all incidents in mining operations are properly documented and reported to promote safety and regulatory compliance within the industry.

What information must be reported on DoL MSHA 5000-23?

The information that must be reported includes the date and time of the incident, names of those involved, type of event (injury, accident, or fatality), location, description of the incident, and any contributing factors or conditions that contributed to the occurrence.