5000 23 msha-2026

1. Click ‘Get Form’ to open the 5000 23 msha in the editor.
2. Begin by entering the full name of the person trained in the designated field. Ensure you include first, middle, and last names for accuracy.
3. Select the type of approved training received by checking the appropriate box. Options include Annual, Experienced Miner Refresher, New Task, Newly Employed, Inexperienced Miner, and Hazard Training.
4. Indicate the type of operation and related industry by selecting from options such as Construction, Surface, Metal, Coal, Underground, Shaft & Slope, or Nonmetal.
5. Fill in the date when training requirements were completed. If not completed, check the corresponding box and proceed to item 5.
6. If applicable, check off subjects completed for partially completed training. This includes various safety topics like Roof/Ground Control and Hazard Recognition.
7. Certify completion of training by having the responsible person sign in the designated area.
8. Finally, enter the mine name, ID, and location of training before signing off on your own completion of training.

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