Mine Safety and Health Administration

Official Website: https://www.msha.gov/

Forms & Documents

Browse all Mine Safety and Health Administration forms

All 14 forms

Form Title Topics
Certificate of Electrical/Noise Training
Certificate of Physical Qualification for Mine Rescue Work
Certificate of Training
Electrically Operated Equipment Field Approval Application (Coal Only)
Health Activity Certification or Hoisting Engineers Qualification Request
Legal Identification Report
Mine Accident, Injury and Illness Report
Mine ID Request
Operator’s Annual Certification of Mine Rescue Teams Qualifications
Quarterly Mine Employment and Coal Production Report
Record of Individual Exposure to Radon Daughters
Representative of Miners Designation Form
Request an MSHA Individual Identification Number (MIIN)
Self Contained Self Rescuer (SCSR) Inventory and Report

Contact Information & Office Locations

1 contact point

Mine Safety and Health Administration

Address:
201 12th St S
Suite 401
Arlington, VA 22202-5450

Phone numbers:
  • (202) 693-9400

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails or social media links, financial details, etc.

Login or sign up to submit questions