Mining Safety Procedure Modification Request

Streamline Mining Safety Procedure Changes with MSHA Compliance

Mining operations require rigorous safety protocols that comply with Mine Safety and Health Administration (MSHA) regulations. When procedures need to be updated—whether due to new equipment, incident findings, or regulatory changes—having a structured modification request process is critical for maintaining compliance and protecting your workforce.

This Mining Safety Procedure Modification Request template helps mining operations, safety managers, and HSE teams document, review, and approve changes to safety procedures while ensuring MSHA compliance every step of the way. Built specifically for the mining industry, this form captures all the details needed to evaluate proposed changes, plan employee training rollouts, and maintain a clear audit trail.

Built for Mining Safety Professionals

Whether you're a Safety Director, Mine Manager, or HSE Coordinator, this template gives you a centralized system for managing procedure modifications. Request details include the current procedure being modified, the rationale for changes, MSHA regulation references, risk assessments, and implementation timelines. The form automatically routes submissions to safety directors for approval and creates a documented workflow that satisfies regulatory requirements.

MSHA Compliance and Training Documentation

Every modification request includes fields for MSHA compliance verification, citation of relevant regulations (Part 46, Part 48, Part 56, Part 57, etc.), and documentation of how the change aligns with federal safety standards. The form also captures training rollout plans—including affected employee groups, training methods, completion deadlines, and responsible trainers—ensuring that procedure changes are properly communicated and documented for MSHA inspections.

Automate Your Safety Workflow with Stepper

Connect this form to Stepper to automate your entire safety modification workflow. Automatically notify safety directors when new requests are submitted, send training schedules to department supervisors, update your safety management system, log changes in your compliance database, and trigger follow-up tasks for training completion verification. Keep your entire team aligned and your documentation audit-ready without manual handoffs.

Trusted by Mining Operations Worldwide

Paperform is SOC 2 Type II certified and trusted by over 500,000 teams globally. With conditional logic, file uploads for supporting documentation, and secure data handling, you can manage sensitive safety information with confidence. Whether you're running underground operations, surface mines, or processing facilities, this template helps you maintain the highest safety standards while staying compliant with MSHA requirements.