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Mine Safety and Health Administration
MSHA - Protecting Miners' Safety and Health Since 1978
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Forms
Electrical Training Certification (5000-1)
Hoisting Engineers or Health Activity Certification Qualification Request Form (5000-41)
Mine ID Request (7000-51)
Contractor ID Request (7000-52)
Legal Identity Report (2000-7)
Mine Accident, Injury and Illness Report (7000-1)
Quarterly Mine Employment and Coal Production Report (7000-2)
Notification of Representative of Miners
Record of Individual Exposure to Radon Daughters
Hazardous Condition Complaint
Mine SCSR Inventory
Diesel Inventory
Manufacturer's PAR Status Report
Report Commence/Closure operation - M/NM (30 CFR 56.1000/57.1000)
Coal Mine Respirable Dust CPDM Samples
Coal Mine Respirable Dust CPDM Samples Dashboard
Training Plans
Training Plan Advisor
MSHA Individual Identification Numbers
MSHA Individual Identification Number (MIIN) Request
Lookup MIIN
Certificate of Achievement in Safety
Certificate of Achievement in Safety Rules
Qualifications and Certifications
Individual Qualifications and Certifications
Other
Lookup Previously Filed Forms
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Contact Us
Mine Safety and Health Administration (MSHA) | 201 12th Street South Suite 401, Arlington, VA 22202-5452
www.msha.gov
| Telephone: (202) 693-9400 | Fax-on-demand: (202) 693-9401