Get Dol Msha 5000-23 2013

The DoL MSHA Form 5000-23, also known as the Certificate of Training, is essential for documenting mandatory training for miners. This guide provides clear and supportive steps for filling out this form online, ensuring a smooth submission process.

Follow the steps to correctly complete the form.

1. Click ‘Get Form’ button to access the document and open it in an editable format.
2. Begin by entering the full name of the person trained in the first field. Be sure to include the first name, middle initial, and last name.
3. In the next section, select the type of approved training received. Options include annual, experienced miner, refresher, new task, or new miner. If applicable, specify additional tasks in the provided space.
4. Choose the type of operation and related industry in the following section. You can select from surface, underground, coal, metal, nonmetal, construction, or other industries.
5. Fill out the date that the training requirements were completed. If training is not completed, check the appropriate box and proceed to the next step.
6. If the training is partially completed, indicate the subjects that have been finished. Options include topics like hazard recognition, first aid, statutory rights, and more.
7. Provide a signature from the person responsible for training, certifying that the described training has been completed.
8. Finally, fill in the mine name, identification, and location of training. Additionally, include the date and signature of the person trained, confirming their completion of the training.
9. Once all fields are completed, you can save your changes, download, print, or share the form as needed.

Complete your training documentation online now.