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Msha 5000 23-2026
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- Click ‘Get Form’ to open the MSHA Form 5000-23 in the editor.
- 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.
- 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.
- Fill in the date of training and specify any tasks completed along with initials of the instructor for verification.
- Indicate the type of operation and related industry by selecting from Surface, Underground, or Other. Provide additional details if necessary.
- Complete section five if training requirements are not fully met by checking off subjects completed during training.
- Ensure that both signatures are provided: one from the person responsible for training and another from the individual trained.
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