||MSHA Form 5000-23|
||Certificate of Training|
This is a mandatory collection of information as required by 30 CFR 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 certificate. When a miner leaves the operator's employ, the miner shall be entitled to a copy of his training certificates. |
|OMB Control Number and
Completing the Form:
Please read all instructions here before using the link (below) to obtain the detailed instructions.
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.
Form fill, print and mail or fax
Detailed Instructions for completing Form 5000-23, Certificate of Training Form.
||Questions regarding this form should be directed to MSHA at|
(877) 778-6055 or MSHAhelpdesk@dol.gov
||30 CFR 48.9 and
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, Arlington, Virginia 22202-5452.|
Return to MSHA
Online Forms Advisor Main Menu