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MSHA inspection checklist template

MSHA inspection checklist template

Enhance your mining operations with our MSHA inspection checklist template. Identify hazards, verify safety during federal inspections, and protect your team.

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MSHA inspection checklist template

Enhance your mining operations with our MSHA inspection checklist template. Identify hazards, verify safety during federal inspections, and protect your team.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Stay ahead of MSHA (Mine Safety Health and Administration) compliance requirements with this inspection checklist. Whether you operate an underground mine requiring quarterly inspections or a surface operation with biannual reviews, the template helps you be prepared when inspectors arrive unannounced. It guides you through evaluating critical safety systems, from communication networks to explosive storage protocols, so you can address potential violations and avoid citations.

From 2022 to 2024, the MSHA noted 767 violations for inadequate fall protection. This digital checklist aids you in verifying that required safety measures are properly implemented, documented, and maintained, potentially saving lives and preventing serious injuries.

Related categories

  • Health and safety management templates
  • Mining templates
  • Risk assessment templates
  • Safety templates
Preview of the template
Page 1
General Information
Mine Name
Mine ID
Mine Type
Inspection Date
Compliance Checklist
Valid MSHA Training Records
Adequate Ventilation
Proper Guarding of Machinery
Accessible and Tested Communication Systems
Properly Maintained Firefighting Equipment
Adequate Illumination
Proper Storage of Explosives
Clearly Marked Escapeways
Documented Safety and Health Programs

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Frequently asked questions

What should I do if I find compliance issues during my MSHA self-inspection?

Document each issue with photos and detailed notes in the checklist. Assign specific corrective actions with responsible parties and deadlines. Address high-risk violations immediately, especially those involving fall protection, machinery guarding, or ventilation. Keep records of all corrections made—this documentation demonstrates your commitment to safety if MSHA inspectors find similar issues later.

How can I use this MSHA checklist to prepare for an actual inspection?

Conduct a full inspection using this checklist at least two weeks before your anticipated MSHA visit. Focus on areas with previous citations and common violation points like machinery guarding and ventilation systems. Create a corrective action plan for any issues found, with completion deadlines before the expected inspection date. Have documentation organized and readily accessible, as inspectors typically review records first.

What documentation should I have ready during an MSHA inspection?

Keep your training records, workplace examination reports, equipment maintenance logs, and safety meeting minutes organized and accessible. Have your ventilation plan, ground control plan, and emergency response procedures ready for review. This checklist helps verify that all required documentation is current and complete. Inspectors often begin by reviewing these records before conducting physical inspections.

How can I customize this MSHA checklist for our specific mining operation?

Review your mine’s past MSHA citations and add specific checkpoints addressing those areas. Incorporate your site-specific safety protocols and equipment requirements. Add sections relevant to your operation type (underground, surface, or mill). The digital format allows you to easily modify the template while maintaining compliance with core MSHA requirements, creating a truly tailored inspection tool.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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