New Miner Training Record/certificate Template
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5NEW MINER TRAINING RECORD/CERTIFICATE
Miner’s Full Name (Print)
Mine or Contractor Name
ID#
Subject
Course
Date
Competent
Location
Miner’s
(Name &
30 CFR Part 46.5
Length
Person
Initials
Address if Institution)
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)
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