The MSHA Approved Instructor application is a required federal form for those seeking certification to lead mining safety training sessions. It applies under 30 CFR, Parts 48.3h (2), 48.23h (2), and 49.8d for both surface and underground mining environments.
To complete the application, you need your full name, MIIN number (a unique identification number issued by MSHA for the application process), employer name and address, contact details, and the specific training program areas for which you seek approval. Training programs covered by the form include New Miner Training, Experienced Miner Training, Annual Refresher Training, and Task Training for surface and underground mining contexts.
The application organizes training programs by mining environment. Surface programs address open-pit, strip, and quarry operations. Underground programs cover shaft, slope, and drift mining. Candidates applying as instructors must specify which environments and program types they are qualified to teach. Those seeking approval for multiple program areas must document relevant experience across each sector.
The form collects a full record of your mining background. You disclose years of experience in coal, metal, and nonmetal mining sectors. Teaching history must cover college or university instruction, job-site safety meetings, and formal training programs. All roles in Health and Safety Subjects and related fields must be listed with their years. The MIIN number links your application to MSHA records, helping reviewers verify your reported experience. Only applicants with documented qualifications in both mining operations and safety training receive approval.
A detailed resume must accompany the completed form. The certification section warns that submitting false information carries legal consequences under federal law. MSHA uses the application to ensure that only qualified, experienced professionals lead safety training in the mining industry.
After MSHA reviews the application and resume, approved instructors receive certification for the specific program areas listed in their application. Instructors must keep their credentials current and active. Those who want to teach additional program types or new mining environments must submit a new application covering those areas. Certification requirements vary between surface and underground mining programs.
For other MSHA-related federal forms, see the MSHA Form 7000-13 and the Mining Claim Form. For workplace safety documentation, the Job Safety Analysis Form and the Construction Safety Form are also available at FormsPal.
| Question | Answer |
|---|---|
| Form Name | Application Msha Instructor Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | application approved instructor, application msha approved search, application msha approved form, application for msha instructor |