Get Dol Msha 5000-23 2021-2026

The DoL MSHA 5000-23 form is crucial for documenting training received by miners, ensuring compliance with safety regulations. This guide provides a simple, clear approach to completing the form online, making the process efficient and accessible for all users.

Follow the steps to successfully complete the DoL MSHA 5000-23 form.

1. Press the ‘Get Form’ button to access the DoL MSHA 5000-23 form online, opening it in your preferred editing interface.
2. In the 'Serial Number' field, optionally enter an identification number to track training; this is not a federal requirement.
3. Fill in the 'Print Full Name of Person Trained' section with the complete name of the individual who received training (first, middle, last).
4. In the 'Check Type of Approved Training Received' section, select the appropriate box(es) to indicate what type of training was completed. If 'New Task' is selected, provide additional details in the specified area.
5. Mark the 'Check Type of Operation and Related Industry' section by selecting the correct boxes for the type of commodity (coal, metal, nonmetal) and operation (surface, underground).
6. Enter the 'Date Training Requirements Completed'. If training is complete, simply write the date. If not, check the corresponding box and move to Item 5.
7. Use Item 5 to check the subjects completed if the training is only partially done. Select the relevant subjects that were covered.
8. In Item 6, authorize the training by having the person responsible for the training sign their name. This person should represent the mine operator or a designated individual.
9. Provide the 'Mine Name, ID, and Location of Training'. If applicable, include the name and address of the institution conducting the training.
10. Finally, the individual trained should optionally sign and date the form in Item 8, confirming participation and acknowledgment of the training received.
11. Complete the process by saving the form, downloading it, or sharing it as necessary.

Start filling out the DoL MSHA 5000-23 form online to ensure compliance and record training efficiently.