West Virginia Office of Miners' Health Safety and Training
Diesel Forms and Plans
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
Our forms require Acrobat Reader to view and download. To download a free version of the current Acrobat Reader, follow the link above.
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
Publications Page] [ Frequently
[Forms Main Page] [Miner Certification Forms] [Independent Contractor Forms]
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.
©2004 West Virginia
Office of Miners' Health Safety and Training.
An official West Virginia State Agency Web site.
Read our Privacy Notice Summary. Contact us
Date this page was last updated: 03/12/2019