Diesel-powered equipment is widely used in underground coal mines for auxiliary transportation, material handling, and equipment relocation because of its long operating endurance, convenient refueling, and strong adaptability to complex operating conditions. However, carbon monoxide (CO) emissions from such equipment can accumulate locally under restricted ventilation, idling, and frequent start–stop operation, thereby threatening occupational health and mine safety. This review focuses on CO purification technologies for diesel-powered mining equipment. The operating characteristics and influencing factors are analyzed, and different technical routes are compared, including in-cylinder control, wet scrubbing, adsorption, non-thermal plasma (NTP), and catalytic oxidation. Recent advances in noble-metal catalysts, transition-metal and CeO₂-based reducible oxide catalysts, and single-atom catalyst (SAC) design strategies are summarized. Research progress in exhaust aftertreatment systems is also discussed. Overall, CO purification for diesel-powered mining equipment requires coordinated optimization of low-temperature activity, safety-oriented thermal management, flow resistance, and long-term operational stability. Future research should focus on structured catalytic units, durability under coupled exhaust conditions, online monitoring, and field validation to improve the compatibility of CO purification systems with underground mining conditions.