Fillable Printable New Minor Training Certificate Template

New Minor Training Certificate Template

NEW MINER TRAINING RECORD/CERTIFICATE

Miner’s Full Name (Print)

Mine or Contractor Name ID#

Subject

30 CFR Part 46.5

Course

Length

Date Competent

Person

Location

(Name &

Address if Institution)

Miner’s

Initials

The miner received no less than 4 hours training in the following, before beginning work:

(b) (1) Introduction to work

environment, mine tour, mining

method/operation

(b)(2) Instruction on recognition and

avoidance of electrical and other hazards

(b)(3) Emergency procedures, escape,

and firefighting

(b)(4) Health and safety aspects of tasks

assigned

(b)(5) Instruction on statutory rights of

miners and their representatives

(b)(6) Authority & responsibility of

supervisors and miners’ representatives

(b)(7) Introduction to your rules and

procedures for reporting hazards

No later than 60 days:

(c)(1) Self-rescue, respiratory devices, if

used

(c)(2) First aid

No later than 90 days (balance of 24 hours including the following subjects):

False certification is punishable under section 110 (a) and (f) of the Federal Mine Safety and Health Act

I certify that the above training has been completed

(Signature of person responsible for health and safety training) (Date)