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MSHA-Approved Instructor

Please select any of the links below to find out more about the filing requirements and procedures specific to each form.

Certificate of Electrical/Noise Training (MSHA Form 5000-1) - All instructors are required to submit to MSHA the names of persons who have satisfactorily completed required electrical training. MSHA uses the form information to issue certification cards to those persons who are qualified.

Health Activity Certification or Hoisting Engineers Qualification Request (MSHA Form 5000-41) - All instructors are required to submit to MSHA the names of persons who have satisfactorily completed required mine foreman and pre-shift examiner or hoisting certification training. The 5000-41 is a combined version of the previous 5000-4 and 5000-7 forms. MSHA uses the form information to issue certification cards to qualified persons.

Please note that the MSHA Online Forms Advisor does not address all MSHA filing requirements. There may be additional forms and filing requirements you need to fulfill. View the full list of MSHA Forms and Online Filings.