U.S. Department of Labor - Mine Safety and Health Administration Forms

The U.S. Department of Labor - Mine Safety and Health Administration (MSHA) is responsible for administering and enforcing health and safety regulations for mining operations in the United States. MSHA works to ensure that miners are protected from hazards in the workplace and that mining operations are conducted in a safe and healthy manner. They establish and enforce standards and regulations, conduct inspections, provide training and education, and investigate accidents and incidents in the mining industry. The goal of MSHA is to prevent injuries, illnesses, and fatalities in the mining industry.

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This form is used for recording and certifying the completion of training for new miners.

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