Training Record Certificate Form PDF Details

In the realm of mining operations, the significance of rigorous training to ensure the health and safety of miners is paramount. A critical part of this training regimen is encapsulated through the Annual Refresher Training Record/Certificate form. This document serves not only as proof of completion but also as a detailed account of the training each miner has undergone within a given year. It includes essential information such as the miner's full name, the name of the mine or contractor, and a unique identification number. Furthermore, it specifies the subject matter covered under 30 CFR Part 46.8, ranging from instructions on changes at the mine that could impact the miner’s health or safety to health and safety subjects relevant to mining operations. The form meticulously records the length of each subject, the date of training, the name and address of the institution where it took place (if applicable), and the competent person who conducted the training. Miners acknowledge the training received with their initials, ensuring accountability and the veracity of the information recorded. Importantly, the form underscores the legal ramifications of false certification, which is punishable under section 110 (a) and (f) of the Federal Mine Safety and Health Act, thus emphasizing the critical nature of honesty and accuracy in these records. The concluding section of the form requires the signature of the person responsible for health and safety training at the mine, alongside the date, thereby finalizing the certification process. This document not only formalizes the completion of vital safety training but also represents a key component in the broader framework of safety regulations and practices essential to the mining industry.

QuestionAnswer
Form NameTraining Record Certificate Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmsha annual refresher form, training refresher annual, refresher certification, 30 cfr 46 8

Form Preview Example

ANNUAL REFRESHER TRAINING RECORD/CERTIFICATE

Miner’s Full Name (Print)

Mine or Contractor Name

 

ID#

Subject

30 CFR Part 46.8

Subject Length

Date

Competent

Person

Location

(Name & Address if

Institution)

Miner’s

Initials

The miner received no less than 8 hours of annual refresher training in the following:

Instruction on changes at the mine that could adversely affect the miner’s health or safety

Health and safety subjects relevant to mining operations at the mine

(For recommended subjects see 46.8 (c))

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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Writing part 1 of msha certificate of training forms

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