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									Compliance and Enforcement

	Forms and Online Filing

		
		These are the most frequently requested MSHA forms. You can complete some forms online, while you can download and print all others.
**End of Year Data mailers containing Part 50 data, please utilize Mine Data Retrieval System to review injuries, employment/hours and coal production information submitted to MSHA.**
**MSHA 7000-2, Quarterly Mine Employment and Coal Production Report (30 U.S.C. Subsection 813; 30 CFR Part 50) Filing Dates:**
**1st Quarter (January-March): Due by April 15**
**2nd Quarter (April-June): Due by July 15**
**3rd Quarter (July-September): Due by October 15**
**4th Quarter (October-December): Due by January 15**
****NOTICE****
**New to MSHA EGov Forms and Online Filing?**
To submit MSHA forms online you must be registered with **MSHA EGov** and **Login.gov**. To create accounts and submit MSHA forms online follow below steps:
Create **MSHA EGov** Account: **MSHA EGov Account**.
Create a **Login.gov** Account: **Login.gov Account**. For additional **Login.gov** assistance: **Login.gov help** or **Login.gov contact**.**Note: Your Login.gov account email address must be the same email address registered with MSHA EGov.**
After registering with **MSHA EGov** and **Login.gov** navigate to **Forms Online Filing**
On the Forms & Online Filing webpage, locate desired form, select online filing option (red computer icon) in the form row, select Login.gov button, enter your Login.gov credentials (email address, password, and two-factor authentication). Complete the form and submit to MSHA.
**Note: Ensure you are using one of the supported web browsers, either Microsoft EDGE or Google Chrome. Firefox, Safari, and Internet Explorer are not supported browsers for MSHA EGov online filing.  If you are having an issue opening the PDF file, please right click the PDF icon and select “save link as” to download the file.**
For assistance with online filing, contact the MSHA Help Desk at 1-877-778-6055 or by email at **desk.help@dol.gov**.
Search by Form Name or ID


Show Forms for:
        

- Any -Independent ContractorsMine OperatorsMine Rescue Team MembersMinersMiners' RepresentativeMSHA-approved Instructors

  

  Forms & Online Filing
Form Identifier
                Name
                Description
                Online Filing
                Download
                More InfoN/A
Electronic Mine Operator Dust Data Card
30 CFR Sections 70.210(a) and (c) and 71.207(a) and (c) require each Coal Mine Dust Personal Sampler Unit (CMDPSU) sample to be transmitted to MSHA with a completed Dust Data Card.  MSHA requires a Dust Data Card for every CMDPSU sample.


More InfoN/A
Electronic Training Plan Advisor
Provides guidance in developing federally required training plans for Part 46 and Part 48 mines.


More InfoN/A
Manage/Update Diesel Inventory
Manage and update a mine’s diesel equipment inventory. You can also view the diesel inventory of any mine here.


More InfoN/A
Report Commencement/Closure of Operation – Metal and Nonmetal Mines
The owner, operator, or person in charge of any metal and nonmetal mine shall notify MSHA before starting operations of the approximate or actual date mine operation will commence. When a mine is closed, the person in charge shall indicate whether the closure is temporary or permanent.


More InfoN/A
Hazardous Condition Complaint
Notify MSHA of a hazardous condition at a mine. Complaints can be filed anonymously using this system. Disponsible en español.


More Info7000-52
Contractor ID Request
All independent contractors may apply for MSHA contractor identification numbers. This information is used to assist MSHA in obtaining MSHA identification numbers for independent contractors.


More Info7000-51
Mine ID Request
All mines are required to apply for an MSHA mine identification number. An MSHA Mine ID is required for each mine site and must be issued before any operations may begin at the mine site.


More Info7000-2
Quarterly Mine Employment and Coal Production Report
Mine operators and independent contractors are required to report employment and production information to MSHA using this form for each quarter of operation and at each mine at which activity is performed.


More Info7000-1
Mine Accident, Injury and Illness Report
If an accident, injury or illness occurs at or in conjunction with activity at a mine, mine operators and independent contractors are required to report the circumstances of the incident to MSHA using this form.


More Info5000-46
Request an MSHA Individual Identification Number (MIIN)
MSHA personnel, mine operators, independent contractors, miners, state grantees, MSHA qualified and certified persons and approved instructors should apply for a MIIN. MIINs will be substituted for social security numbers, eliminating the need to provide social security numbers on documents submitted to MSHA.
Already have a MIIN? Look up your MIIN here.
Learn more about MIINs


More Info5000-41
Health Activity Certification or Hoisting Engineers Qualification Request
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. MSHA uses the form information to issue certification cards to qualified persons.


More Info5000-3
Certificate of Physical Qualification for Mine Rescue Work
Each member of a mine rescue team must be examined annually by a physician who shall certify that he or she is physically fit to perform mine rescue and recovery work. The mine operator is required to keep the completed form on file for one year.


More Info5000-23
Certificate of Training
The Certificate of Training Form allows mine operators and instructors to record and certify Part 48 mandatory training received by miners.


More Info5000-1
Certificate of Electrical/Noise Training
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.


More Info4000-9
Record of Individual Exposure to Radon Daughters
Operators are required to calculate and record individual exposures to concentrations of radon daughters. This data allows MSHA to assure compliance with underground radiation standards; form a database for epidemiological studies; and provide information on cumulative radon exposures.


More Info2000-7
Legal Identification Report
Within 30 days of the opening of a new mine or when there are any changes to the legal ownership structure for a mine, a mine operator must file a Legal Identification Report with MSHA.


More Info2000-38
Electrically Operated Equipment Field Approval Application (Coal Only)
Apply for individual field approvals by MSHA for electrically operated machines commercially built, or constructed, by the owner-coal mine operator of such machines including any associated electrical equipment, electrical components, and electrical accessories.


More Info2000-238
Representative of Miners Designation Form
This voluntary form is a written declaration of any person or organization which represents two or more miners at a coal or other mine for the purposes of the Mine Act.


More Info2000-224
Operator’s Annual Certification of Mine Rescue Teams Qualifications
This form can be used by underground coal mine operators to certify that each of a mine’s two designated mine rescue teams meets the requirements of 30CFR Part 49 Subpart B.


More Info2000-222
Self Contained Self Rescuer (SCSR) Inventory and Report
Mine operators are required to use this form to file a report of inventory of all Self-Contained Self-Rescuers (SCSRs) at a mine as well as report problems with SCSRs.


More Info

									Related Links
																	Look up previously filed forms
																	Change online filing registration information
																	Request information on your MSHA-approved qualifications and certifications, associated training and or instructor approval
																	Look up your MIIN
																	MIIN Help
																	Online Filing Frequently Asked Questions
																	PC 7014 Report on 30 CFR Part 50 – Assistance with Forms 7000-1 and 7000-2 (Yellow Jacket)
																	Upload/Review/Correct CPDM Sample Files
																	Certificates of Achievement in SafetyScroll to Top

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