Thank you for using our new Mine Safety Course registration system. In order to properly fill out the registration form you will need to provide the following information:

Sponsor Company Name
Name of your Office Contact / person responsible for training
Daytime Phone Number
Street and/or Mailing Address
Zip Code
County
Valid Email Address
Copy of Training Plan

We will also need to know what type of operation you have (Surface Mine, Independent Operator, other) and how many people will be in the class.

You will need to tell us what topics you want us to teach. Topics are shown on page sixteen of the Mine Safety News newsletter.

Important Note: If any companies will be taking class with you, you will need to provide the following information about them as well:

Company Name
Name of your Office Contact
Daytime Phone Number
Street and/or Mailing Address
Zip Code
County
Copy of Training Plan

We will also need to know what type of operation they have (Surface Mine, Independent Operator, other) and how many people will be in the class from each other company.

To meet MSHA's record keeping requirements, provide the student's full name, including full middle name, and Jr., Sr., III, as applicable.

Should you have any suggestions or comments contact David Vriezen at 608-261-2503 or Joe Hertel at 608-266-5649.

Thanks again for using our on-line registration system.

Click here to go to MSHA's sample Part 46 Training Plan.

Click here to return to the Mine Safety Home Page.