Msha 5000 23-2026

1. Click ‘Get Form’ to open the MSHA Form 5000-23 in the editor.
2. Begin by entering the full name of the person trained in the designated field. Ensure accuracy as this is a critical component of the certification.
3. Select the type of approved training received by checking the appropriate box. Options include Annual, Experienced Miner, Refresher, Newly Employed, New Task, Inexperienced Miner, and Hazard Training.
4. Fill in the date of training and specify any tasks completed along with initials of the instructor for verification.
5. Indicate the type of operation and related industry by selecting from Surface, Underground, or Other. Provide additional details if necessary.
6. Complete section five if training requirements are not fully met by checking off subjects completed during training.
7. Ensure that both signatures are provided: one from the person responsible for training and another from the individual trained.

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