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West Virginia Office of Miners' Health Safety and Training

  Diesel Forms and Plans

The following links are intended to provide the West Virginia Mining industry and the miners of the state with downloadable versions of the common applications and documents required by WVMHS&T.  Additional documents will be added as necessary. General descriptions and instructions are listed with the form links.
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Diesel Forms

The West Virginia OMHST has developed the following forms to be used by Underground mines utilizing Diesel Equipment. These three forms are now available in Microsoft Word format and PDF format:

Application for Underground Diesel Equipment Approval Instructions: PDF

Diesel Training Plan:                      Word format        PDF Format

Diesel Inventory:                              Word format       PDF Format

Diesel Maintenance:                        Word format       PDF Format

Diesel 200-hr. Maintenance Record                         PDF Format


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Note: The information obtained from these documents is accurate to the best of our knowledge and is not a substitute for current mining laws or regulations.  The state is not liable for any damages resulting from any information that unintentionally may be inaccurate or untimely.

If you don't find the form you need, or if you have accessibility issues with our forms, please contact us by email (see the link below) and we will assist you. We have attempted to make our forms accessible as required by state and federal regulations.  

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Date this page was last updated:  03/12/2019