MSHA Form 5000-1 Certificate of Electrical Training
Certificate of Electrical Training and Applications for Mine Safety and Health Administration Approved Tests and State Tests Administered as Part of a Mine Safety and Health Admin. Approved Program
EGov5000-1 Screen Shots
Certificate of Electrical Training (instructors and contractors)
OMB: 1219-0001
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1219-0001 can be found here: