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Certificate of Physical Qualification for Mine Rescue Work
Mine Rescue Teams; Arrangements for Emergency Medical Assistance; and Arrangements for Transportation for Injured Persons Requires availability of mine rescue teams; alternate mine rescue capability for small and remote mines and mines with special mining conditions; inspection and maintenance records of mine rescue equipment and apparatus; physical requirements for team members and alternates; and experience and training requirements for team members and alternates.
Form #:   5000-3
Agency:  Department of Labor
Bureau:  Mine Safety and Health Administration
  TYPE PAGES SIZE (KB) CAPABILITY WHAT'S
NEEDED
pdf Both Form and Instructions 0 73 [3] Fillable + Printable Adobe Reader Download  

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