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OUTREACH TRAINING
PROGRAM
GUIDELINES
GENERAL INDUSTRY
SAFETY AND HEALTH
U.S. Department of Labor
Occupational Safety and Health Administration (OSHA)
Directorate of Training and Education
2020 S. Arlington Heights Road
Arlington Heights, Illinois 60005 |
February 2009
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| TABLE OF
CONTENTS |
Background
The
General Industry Outreach Training Program
Outreach
Training Program Guidelines
Outreach
Training Tips
Designated
Training Topics: 10-hour General Industry Training Outreach Program
Designated
Training Topics: 30-hour General Industry Training Outreach Program
Further
Assistance
Program
Administration
Obtaining
Student Course Completion Cards
Other
Key Points on Submitting Course Documentation
Records
Trainers Must Retain for Five Years
Where
to Send Documentation
ID
Number Information
Information
on Student Course Completion Cards
Replacing
Lost or Damaged Trainer or Student Cards
OSHA
Outreach Training Program Report
Attachment
A - OSHA Training Institute Education Centers (OTIECs)
Attachment
B - OSHA Outreach Training Program Fact Sheet
Attachment
C - E-mail or Fax Procedures for Outreach Trainers with ID Numbers
GENERAL INDUSTRY
OUTREACH TRAINING PROGRAM |
BACKGROUND
The Occupational Safety and Health Administration's (OSHA) Outreach
Training Program is a voluntary program to train workers in the basics of
safety and health hazard recognition and prevention. OSHA authorizes
trainers who complete construction and general industry train-the-trainer
courses to conduct occupational safety and health classes for workers.
OSHA has promoted workplace safety and health by authorizing trainers
since 1971.
The Outreach Training Program has grown rapidly in recent years. From
fiscal year (FY) 2004 through FY2008, 2.3 million workers have received
outreach training; the number of workers trained more than doubled. In
2008, OSHA distributed nearly 680,000 student cards to trainers who held
over 43,000 classes – an average of almost 850 classes per week. The
number of students completing 30-hour construction training tripled from
2005 to 2008; however, 10-hour classes still comprise over 80% of the
overall program. Construction outreach training comprises 80% of outreach
training. On any day, approximately 2,700 workers attend OSHA outreach
training.
Text Version of Chart: OSHA Outreach Training Program
Type: Vertical Bar Graph
Graph Elements: 34 - Two bars for each year from 1992 to 2008 representing
the number of students trained for Construction and General Industry
Construction: Students trained
from 1992 to 2008
- 1992 - 20,903
- 1993 - 33,133
- 1994 - 40,690
- 1995 - 63,742
- 1996 - 66,818
- 1997 - 74,537
- 1998 - 107,760
- 1999 - 129,909
- 2000 - 149,026
- 2001 - 169,560
- 2002 - 203,776
- 2003 - 217,691
- 2004 - 242,421
- 2005 - 296,096
- 2006 - 349,309
- 2007 - 413,576
- 2008 - 542,354
|
General Industry: Students
trained from 1992 to 2008
- 1992 - 3,060
- 1993 - 7,426
- 1994 - 10,390
- 1995 - 20,489
- 1996 - 26,687
- 1997 - 30,850
- 1998 - 43,448
- 1999 - 45,937
- 2000 - 51,496
- 2001 - 55,272
- 2002 - 50,627
- 2003 - 63,094
- 2004 - 62,941
- 2005 - 79,931
- 2006 - 91,796
- 2007 - 106,164
- 2008 - 133,176
|
This growth is as a result of wide industry
acceptance. Many employers use the Outreach Training Program to provide
training for their employees. Groups who have integrated the program into
their overall safety and health training plans include the building
trades, general contractors, employer associations, insurance companies,
and manufacturing firms. The endorsement of outreach training to serve as
a foundation of occupational safety and health training within an
organization has often resulted in the requirement of the training as a
condition of employment for these workers or members.
Recent State laws enacted in Massachusetts, Rhode Island, Connecticut, New
Hampshire, Missouri and New York require 10-hour construction training for
workers on various sized publicly funded construction projects.
THE GENERAL INDUSTRY OUTREACH
TRAINING PROGRAM
General industry outreach trainers are authorized to conduct 10- and
30-hour general industry outreach courses and receive OSHA course
completion cards to issue to their students. To become an authorized
trainer, you must complete Course #501, Trainer
Course in Occupational Safety and Health Standards for General Industry.
You must pass a final test to receive your trainer authorization.
Update Requirement. To stay current on relevant
OSHA matters, General Industry outreach trainers are required to attend
Course #503, Update for General Industry Outreach
Trainers, every four years to remain authorized. The OSHA course
#501 may also be used to maintain a trainer’s authorized status. If a
trainer's authorization status has expired, the trainer has a three month
grace period after their expiration date to take the update course. After
the three month grace period, a trainer's authorization status may only
reinstate by retaking the OSHA #501 course.
The trainer courses are primarily offered at the OSHA Training Institute
Education Centers (OTIECs), see Attachment
A. These courses may also be available at the OSHA Training Institute.
OUTREACH TRAINING PROGRAM GUIDELINES
This section contains information on the rules and
procedures for conducting an outreach training course. Trainers are
responsible for understanding these requirements when planning and
conducting their outreach classes.
Training Topics. See the Designated
Training Topics sections for what must be cover in a 10- and 30-hour
general industry class. The objective of all OSHA Construction Outreach
Training Program training is to provide workers with information on
recognizing and preventing hazards on a general industry site. If you have
a question concerning whether your outreach training meets the needs of
specific OSHA standards or requirements, contact your OSHA regional or
local office (see Further
Assistance). CPR and First Aid can be added to your training, but you
can't count this time as part of your 10- or 30-hour class.
Topic Length. OSHA has assigned minimum lengths
of one hour to the required course topics; see the Designated
Training Topics. One-half hour is the minimum a trainer may spend on
any topic. OSHA recommends spending an hour on each elective or optional
topic. In In the 10-hour class, a trainer may not cover any topic for more
than four hours. In the 30-hour class, a trainer may not spend more than
six hours on any topic.
Training Materials. Trainers compile materials
for their training from a variety of sources, including products OSHA has
available under “Teaching Aids” at the OSHA
Outreach
Training Program web site. Trainers are provided a CD-ROM in their
trainer course. The CD-ROM contains 10-hour PowerPoint presentations and
lesson plans that may be used in full or in part in conducting an outreach
class. Course materials provided in the train-the-trainer classes are not
designed for outreach students. Trainers should provide their students
with reference materials, at least a fact sheet, on each topic covered,
which highlights the key training points. See Further
Assistance for additional information.
Class Time. Breaks and lunch periods are not
counted as class time. Instructional times must be at least 10- or
30-hours, as applicable.
Classes Over a Period of Time. Trainers may
break classes into segments. Each segment must be at least one hour and
the entire course must be completed within six months.
Guest Trainers. Authorized trainers may use
others who have topic expertise to help conduct classes. The authorized
outreach trainer must design and coordinate the course, teach more contact
hours than anyone else, attend all sessions to answer questions, ensure
topics are adequately covered, and document students’ attendance.
Records. Trainers must retain outreach class
files for five years. The file for each class must include:
- Student sign-in sheets for each class day
- Student addresses
- Copy of the documentation sent in to request cards, including a list
of the topics taught and the amount of time spent on each
- Records which indicate the card number dispensed to each student.
One way to accomplish this is to make a copy of all the cards you
issue.
OSHA reserves the right to request copies of class
records for verification purposes.
Class Size. If a planned training class will
exceed 50 students, contact your Outreach Training Program Coordinator (Attachment
B) prior to the class to receive permission to hold the class and
receive student cards. The coordinator will need to know:
- How students will be able to ask questions when the class is not in
session. Methods include e-mail, answering questions after class, and
a Q & A session.
- What materials, in general, you are providing to the students. At a
minimum, trainers must provide students with a fact sheet on each
topic covered.
- That you will take attendance at the beginning and end of each class
day. Only those students who are on all attendance sheets may receive
cards. Trainers must retain these sign-in sheets in their class files.
OSHA recommends using more than one trainer,
holding the 10-hour course over more than one day, and breaking the class
into work groups. Small classes encourage student involvement through
discussion and group participation and through sharing of knowledge and
experiences.
Training Delivery. Outreach training must be
done in-person, unless you receive an exemption.
Online Training. OSHA has specific online
training guidelines. OSHA has only accepted a few online programs. If
you’re considering developing online training, contact the OSHA
Outreach Training Program coordinator. The online guidelines include
the following:
- Testing and reporting test scores for each topic and a final test
- Removal of anyone scoring less than 70% after three tries on any
program topic
- Mandatory page views of each content page
- Easy trainer availability built into the system
- Printable online materials for each topic
- The course must be interactive
- Tracking students’ time in the course (including a timing-out
mechanism)
- Providing required reports and evaluations
Video Conferencing. If
you’re considering using video conferencing, contact your Outreach
Training Program Coordinator (see Attachment
B) prior to the video conference to receive permission. The guidelines
for video conferencing are as follows:
- The trainer can ensure the full attendance of all students
- Off-site locations have a training monitor
- There is a setup to answer students questions quickly and
effectively
- Explain what materials you will provide to the students – at a
minimum they must receive a fact sheet on each topic covered
Combining 10-hour Construction
and General Industry Classes. Trainers may not combine a 10-hour
Construction and a 10-hour General Industry class in less than 20 hours in
order to receive both types of student cards.
10 + 20 Hours = 30. If a student you trained in
the 10-hour course wants to take the 30-hour course at a later time, you
may provide 20 more training hours and receive a 30-hour card for the
student. The limitations are as follows:
- The same trainer must do all the training
- All the training must be completed, from start to finish, within six
months
- You must return the 10-hour cards to receive the 30-hour cards.
Advertising. When
advertising outreach training, trainers must take the proper care to
correctly describe their outreach trainer designation and outreach
courses. Trainer authorization is limited to conducting the 10- and
30-hour General Industry outreach training courses.
Follow these restrictions when advertising your General Industry Outreach
Training Program courses.
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Neither the
trainer, the students, nor the curriculum is certified or approved.
The trainer is authorized and the students receive course completion
cards.
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|
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“OSHA”
may be used in advertising, but not in a manner which would imply
that the trainer is an OSHA employee or that the course is being
conducted by OSHA.
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Authorized
outreach trainers cannot conduct the #501 course. Don’t refer to
any outreach course as a #501 course. The #501 course is the trainer
course that is conducted by OTI and the OTIECs.
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Don’t use
the logo that is on the outreach cards or the front cover of this
guide.
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Do not
combine the use of “OSHA” and “Train-the-Trainer” in your
advertising. Students who complete outreach training are not
entitled to receive cards for students they may train. |
|
If OSHA notifies a trainer that their advertising appears false or
misleading and it is not promptly corrected, the trainer will be removed
from the Outreach Training Program and will no longer be able to receive
student completion cards.
Monitoring. OSHA periodically conducts training
observations of outreach classes. The purpose is to:
- Observe training
- Obtain feedback from the trainer and the students on the training
- Ensure awareness of the Outreach Training Program guidelines and the
materials and assistance that are available to help trainers
Through these visits, OSHA aims to help trainers,
improve the Outreach Training Program, and ensure consistent program
implementation.
To request a training observation by OSHA, send the following information
to the OSHA Outreach Training Program coordinator:
- Course date
- Type of class: 10- hour or 30-hour, Construction or General Industry
- Location
- Contact information
OUTREACH
TRAINING TIPS
This section is intended to provide trainers with
suggestions on how to conduct more productive and effective outreach
training classes.
Worker Emphasis. Outreach classes are designed
to be presented to workers, therefore they must emphasize hazard
identification, avoidance, control and prevention, not OSHA standards.
Trainers must tailor their presentations to the needs and understanding of
their audience.
Importance of Safety and Health Training.
Explain early in the class that this training isn’t a bureaucratic
exercise – it may save their life and help them continue to provide for
their family.
- Highlight local stories that students will recognize
- Discuss personal experiences
- Provide information on injury and fatality statistics and OSHA Fatal
Facts. For more information, see Further
Assistance.
- Explain that safety and health training adds value to the company,
the workplace and their life. See OSHA's
$afety
Pays Program.
Site-Specific Training.
The most rewarding classes for students are the ones they can relate to
because the trainer uses examples, pictures, and real-life scenarios from
their work place, or one similar to it.
Homogenous Class. The ideal class is one where
students have similar positions and needs. Hold separate sessions for
supervisors, managers, and workers, when possible. Try to train workers
from similar groups such as trade groups, office personnel, machine
operators, and maintenance staff.
Train Workers in Their Language. Ensure that you
know your audience, including whether there are language barriers. To the
extent possible, teach non-English speaking workers separately. Use
translators, easy to understand photos, videos in their language, and
hands-on activities. Also emphasize real-life examples. OSHA
and the Outreach Training Program have Spanish-speaking trainers,
references, publications, dictionaries and e-tools. See Further
Assistance for additional details. Also, see the OSHA
Training Standards Policy Statement which reiterates OSHA's policy
that employee training be presented in a manner that employees can
understand.
Use Objectives. Describe the skills and
abilities the students should have or exhibit for each topic. Relate the
objectives to the students’ work, if possible.
Presentation Assortment. Students learn in
different manners and benefit from multiple training styles. Use different
trainers, computer presentations, videos, case studies, exercises and
graphics to make the course interesting and enjoyable. By doing so,
trainers will be employing the three levels of training techniques -
presentation (presenting the material in a variety of ways), discussion
(getting the students involved in the learning), and performance (students
practice the material they learned).
Testing. OSHA recommends using quizzes and tests
to ensure students remain focused and understand key objectives. Trainers
may set passing scores. Provide feedback to the students on the exam
questions.
Evaluations. OSHA recommends having students
complete a class evaluation. Trainers should use this feedback to
determine whether the course is accomplishing its goals and how to improve
the training.
The 10-hour General Industry Outreach Training Program is intended to
provide an entry level general industry workers broad awareness on
recognizing and preventing hazards on a general industry site. The
training covers a variety of safety and health hazards which a worker may
encounter at a general industry site. OSHA recommends this training as an
orientation to occupational safety and health. Workers must receive
additional training on hazards specific to their job. Training should
emphasize hazard identification, avoidance, control and prevention, not
OSHA standards. Learning objectives on many of these topics are on the
10-hour CD-ROM which is distributed in the train-the-trainer class, and
also available for download at the Outreach Training Program website.
Instructional time must be a minimum of 10 hours.
Break down of the topics as follows:
- Mandatory - 6 hours (left column): Six
topics to be taught, for one hour each
- Elective - 2 hours (right column top):
Choose at least two of these topics to teach, for a minimum of
one-half hour each. Must cover at least two hours.
- Optional - 2 hours (right column bottom):
Teach any other construction industry hazards or policies and/or
expand on the mandatory or elective topics, minimum of one-half hour
each.
|
10-HOUR
GENERAL INDUSTRY REQUIRED COURSE TOPICS |
| *OSHA
subpart references are provided for informational purposes; training
should emphasize hazard awareness |
| Mandatory
- 6 hours |
Elective -
2 hours |
One
Hour - Introduction to OSHA, including:
- OSH Act, General Duty Clause, Employer and Employee
Rights and Responsibilities, Whistleblower Rights,
Recordkeeping basics
- Inspections, Citations, and Penalties
- Value of Safety and Health
- OSHA Website and available resources
- OSHA 800 number
|
One
Hour
Walking and Working Surfaces, Subpart D - including fall
protection |
One
Hour
Exit Routes, Emergency Action Plans, Fire Prevention Plans,
and Fire Protection, Subpart E & L |
One
Hour
Electrical, Subpart S |
One
Hour
Personal Protective Equipment, Subpart I |
One
Hour
Hazard Communication, Subpart Z
|
|
Choose at least two
of the following elective topics: |
These topics must add
up to
at least two hours:
Minimum one-half hour each |
- Hazardous Materials, Subpart H
- Materials Handling, Subpart N
- Machine Guarding, Subpart O
- Introduction to Industrial Hygiene, Subpart Z
- Bloodborne Pathogens, Subpart Z
- Ergonomics
- Safety and Health Program
|
|
Optional
- 2 hour |
For the
remaining two class hours:
Teach any other general industry hazards or policies and/or
expand on the mandatory or elective topics
|
|
Special Industry
Recommendations:
In addition to the six mandatory hours, the groups noted below should also
teach the following:
- Medical/Health Care - 1 hour each - Introduction to Industrial
Hygiene, Bloodborne Pathogens
At least 1/2 hour each - Ergonomics and Workplace Violence
- Maintenance - Ergonomics and (if applicable) Powered Industrial
Trucks
- Utility - Ergonomics, Powered Generation, and Confined Spaces
- Office - Ergonomics
The 30-hour General Industry Outreach Training
Program is intended to provide a variety of training to people with some
safety responsibility. Workers must receive additional training on hazards
specific to their job. Training should emphasize hazard identification,
avoidance, control and prevention, not OSHA standards. Instructional time
must be a minimum of 30 hours.
Breakdown of topics as follows:
- Mandatory - 11 hours: Seven topics to be
taught, ranging from one to two hours each
- Elective - 10 hours: Choose at least five
of these topics to teach, for a minimum of one-half hour each
- Optional - 9 hours: Teach any other
general industry hazards or policies and/or expand on the mandatory or
elective topics, minimum of one-half hour each
| 30- HOUR MANDATORY COURSE
TOPICS |
Introduction to OSHA - at least Two Hours
- OSH Act, General Duty Clause, Employer and Employee Rights and
Responsibilities, Whistleblower Rights, Recordkeeping basics
- Inspections, Citations, and Penalties
- General Safety and Health Provisions, Competent Person, Subpart C
- Value of Safety and Health
- OSHA Website, OSHA 800 number and available resources
Walking and Working Surfaces -
including fall protection, Subpart D - at least One Hour
Exit Routes, Emergency Action Plans, Fire Prevention
Plans, and Fire Protection, Subparts E & L - at least Two Hours
Electrical, Subpart S - at least Two Hours
Personal Protective Equipment (PPE), Subpart I -
at least One Hour
Materials Handling, Subpart N - at least Two
Hours
Hazard Communication, Subpart Z - at least One
Hour
30-HOUR ELECTIVE COURSE TOPICS
Choose at least 5 of the following topics - Must add up to at least 10
hours
- Hazardous Material (Flammable and Combustible Liquids, Spray
Finishing, Compressed Gases, Dipping and Coating Operations), Subpart
H
- Permit-Required Confined Spaces, Subpart J
- Lockout/Tagout, Subpart J
- Machine Guarding, Subpart O
- Welding, Cutting, and Brazing, Subpart Q
- Introduction to Industrial Hygiene, Subpart Z
- Bloodborne Pathogens, Subpart Z
- Ergonomics
- Fall Protection
- Safety and Health Programs
- Powered Industrial Vehicles
FURTHER ASSISTANCE
This section provides resource information that
trainers can use to help them to prepare and conduct outreach training
courses
Main OSHA Web Sites
- OSHA Home Page
-
OSHA
Outreach Training Program Page. The site includes:
- Teaching Aids, including the 10-hour PowerPoint provided in the
trainer class
- Program Guidelines
- How to get OSHA student course completion cards
- Frequently Asked Questions (FAQs)
- Special Announcements
OSHA Teaching / Materials
Assistance Web Sites
General Industry and Training
Web Sites
- Safety
and Health Topics Index
-
Industry-Specific
Resources
- Agriculture and Forestry - Agricultural Operations, Grain
Handling, Logging
- Health Care – Dentistry, Health Care Facilities, Nursing
Homes, Hospitals
- Manufacturing - Apparel & Footwear, Battery Manufacturing,
Chemical Manufacturing, Concrete and Concrete Products, Fireworks,
Food Processing, Lead Smelters, Lubricant Manufacturing, Meat
Packing, Metal Manufacturing, Plastics, Poultry Processing,
Preserved Fruits & Vegetables, Printing, Pulp, Paper, and
Paperboard Mills, Semiconductors, Textiles, Wood Products
- Retail and Wholesale - Retail Sale, Lumber and Building
Materials, Restaurants, Fireworks
- Services - Automotive, Diving, Dry Cleaning, Fireworks Display,
Labs, Landscaping/Tree Service
- Transportation and Warehousing - Airlines, Beverage Delivery,
Taxi Drivers, Trucking, Warehousing and Storage
- Utilities - Electric Power Generation, Transmission, and
Distribution Industry
-
Health
Care Industry Quick Start. Forms, publications, resources, and
sample programs.
-
Alliance
Program Participants Developed Products
-
Printing
Industry Health and Safety
-
OSHA
Small Business Page
-
OSHA
eTools – Web-based training tools, includes Hospital and Powered
Industrial Trucks
- Spanish
PowerPoint Presentations
- NIOSH
Safety and Health Topics
-
General
Safety and Health References - Other Internet Sites
-
General
Safety and Health References
OSHA
Publications. OSHA has many helpful publications, forms, posters, and
fact sheets. Publications are available in HTML and PDF formats.
Publications may also be available from the nearest OSHA Area or Regional
Office. A few significant publications are noted below.
- All About OSHA,
OSHA 3302.
- OSHA Publications and
Audiovisual Programs, OSHA 2019.
- Training Requirements in
OSHA Standards and Training Guidelines, OSHA 2254.
- OSHA Handbook for Small
Businesses, OSHA 2209. Assists small business employers
in implementing OSHA’s recommended safety and health program
management guidelines.
OSHA
Quick Cards. Students will benefit from these cards, many of which are
available in both English and Spanish. These are straightforward reference
materials which focus on specific safety and health topics.
U.S.
Government Bookstores. These bookstores offer OSHA standards and
publications.
How to Find Outreach Trainers and Training
- Outreach
Trainer Website
OSHA encourages all authorized outreach trainers to add their trainer
profile and training schedules to the website. The site allows
individuals and organizations to search by type of training or
geographically for trainers and training to assist them in meeting
their training needs. OSHA is referencing the website to persons
looking for outreach training.
- Active Outreach Trainer Lists.
OSHA distributes lists of active trainers (two or more classes
conducted within a year), by state, to persons looking for 10- or
30-hour outreach training and to trainers who need assistance in
conducting their training. To obtain a state list(s): Contact: Email,
(847) 759-7780, fax (847) 297-6636 or see Attachment
B.
Provide:
- State(s) you are looking for
- Whether you want the list(s) for Construction or General
Industry
- Your e-mail, fax number or mailing address
OSHA Technical Support.
- For support related to enforcement and the OSHA standards, contact
the Regional Office or the Area Office near you. These offices also
provide publications and other helpful references. At the
Regional
Office, ask for technical support.
- OSHA also has
Compliance
Assistance Specialists in each Area Office in states under federal
jurisdiction. They’re available for seminars, workshops, and
speaking events.
Outreach Training Program Contacts
- OSHA Outreach Training Program Coordinator. For online training
information and help on matters that are not found in this guide or at
the OSHA web site, including annual PowerPoint charts on OSHA's Most
Frequently Cited Serious Violations in Construction or General
Industry, contact: Don
Guerra, (847) 759-7735
- OSHA and OSHA Training Institute Education Centers. For matters
relating to general program administration, contact your
representative from the organization responsible for your training.
The contact list is at Attachment
B.
- Resource Center Loan Program. For further information on borrowing
videos through this program, contact the OSHA librarian by
Email
or (847) 759-7736.
PROGRAM
ADMINISTRATION
This section contains information on outreach cards.
The section informs trainers how to receive student completion cards for
the training they have conducted.
Obtaining Student Course
Completion Cards
After conducting an outreach class, follow the instructions below to
document your class to receive OSHA student course completion cards. Your
responsible training office may also issue specific instructions.
New trainers, and trainers who have updated their
trainer status. To receive student completion cards for training
you have conducted, send these items:
- OSHA Outreach Training Program Report. Use our format or create your
own. This includes trainer and course information. Provide an address
that goes directly to you, because we can’t replace card packages
that are not received.
- A copy of your OSHA General Industry trainer card
- A list of the students who completed the training. Use the area on
the back to list your students, or send a separate list. The list must
be legible. Only send one list, not all of the sign-in sheets.
- Topic Outline. List the topics taught and the amount of time spent
on each. Complete the topic outline on the bottom of the report
(10-hour) or on the back (30-hour) or send a separate outline.
Existing Trainers. If you
have previously received student completion cards, you have been issued an
ID number. Use this ID to document your training. Send these items:
- OSHA Outreach Training Program Report. Use our format or create your
own. This includes trainer and course information. Provide an address
that goes directly to you, because we can’t replace card packages
that are not received
- A list of the students who completed the training. Use the area on
the back to list your students, or send a separate list. The list must
be legible. Only send one list, not all of the sign-in sheets.
- Topic Outline. List the topics taught and the amount of time spent
on each. Complete the topic outline on the bottom of the report
(10-hour) or on the back (30-hour) or send a separate outline.
Other
Key Points on Submitting Course Documentation
- Trainers must sign the statement of certification attesting that
they have conducted the training in accordance with the guidelines and
have submitted accurate documentation.
- Trainers must document training within six months of class
completion
- Trainers must report classes separately. Each class should be
reported individually and contain each of the items indicated above.
- Existing trainers with ID numbers may e-mail or fax their course
documentation. See Attachment
C.
Records
Trainers Must Retain for Five Years
- Student sign-in sheets for each class day
- Student addresses
- Copy of the documentation sent in to request cards, including a list
of the topics taught and the amount of time spent on each
- Records which indicate the card number dispensed to each student.
One way to do this is to make a copy of the cards you issue.
Where
to Send Documentation
See Attachment B for the
training organization responsible for processing your requests for student
cards. This is where you will send your course documentation. If you are
unsure, the name of your responsible training office is typed in on the
front of your trainer card, below OSHA U.S.
Department of Labor.
ID Number Information
- All trainers who have received student cards will get an ID number.
Trainers receive an ID number in their card package AFTER submitting
their first card request. The trainer ID is provided on the letter or
the preprinted Outreach Training Program Report that are returned with
your student cards. Some responsible training offices issue an ID upon
course registration or completion.
- A trainer who has received Construction and General Industry
training from different organizations will have two ID numbers and
will request cards from two different organizations.
- If you misplaced your ID number, note on the report that you were
issued one but misplaced it.
Information
on Student Course Completion Cards
- For legibility, trainers complete student cards by printing or
typing
- Student’s name
- Course end date
- Trainer’s name (the trainer may also sign the card)
- Trainers may not alter the cards or use white out on the cards. If
you misprint or mistype the cards, you may return the cards to your
responsible training organization and receive replacements.
- Student course completion cards don’t expire. However, employers
and other organizations may have different requirements than OSHA on
this. Some states have enacted laws mandating the training. OSHA
recommends Outreach Training Program courses as an orientation to
occupational safety and health for workers. Participation is
voluntary. Workers must receive additional training on specific
hazards of their job.
- Trainers may provide training certificates to students. This often
helps them verify that they took the training prior to receiving their
card. Advertising restrictions also apply here.
- Trainers can use the back of the cards for other identification or
training information. This may be helpful and appropriate if your
outreach class is targeted to a specific industry or audience.
- The cards may be laminated.
- Use Avery 5371 label style to print on the cards. Practice by using
a copy of the card sheet. Feed one sheet at a time.
- Processing card requests takes two to four weeks. Please wait this
amount of time before inquiring about the status of a request.
Replacing
Lost, Damaged, or Misprinted Cards
Extra Cards. Trainers are sent a few extra
cards for each class completed in case of card errors and to allow them
to replace lost student cards for students they have trained.
Trainers are not to use these extra cards for any other purpose.
Trainer Cards: Contact your responsible
training organization (Attachment
B) where you took your trainer course if you need your trainer card
replaced.
Student Cards:
- OSHA rarely replace a batch of cards from an entire class.
- Use the extra cards provided to you for replacements, after you
make the proper verification.
- If you don’t have an extra card, contact your responsible
organization (Attachment
B) for a replacement. Provide them the student’s name, your
name, the training date, and the type of class (10 or 30-hour,
construction or general industry).
- If the training took place more than five years ago, no
replacement cards will be issued.
- Trainers must maintain records which indicated the card number
dispensed to each student.
Misprinted Cards: Return all misprinted cards
for replacements. Do not attempt to correct and use misprinted cards.
OSHA
OUTREACH TRAINING PROGRAM REPORT
|
Statement of
Certification.I certify that I have
conducted this outreach training class in accordance with the OSHA
Outreach Training Program guidelines. I have maintained the training
records as required by these guidelines and I will provide these
records to the OSHA Directorate of Training and Education (or their
designee) upon request. I understand that I will be subject to
immediate dismissal from the OSHA Outreach Training Program if
information provided herein is not true and correct. I further
understand that providing false information herein may subject me to
civil and criminal penalties under Federal law, including 18 U.S.C.
1001 and section 17(g) of the Occupational Safety and Health Act, 29
U.S.C.666(g), which provides criminal penalties for making false
statements or representations in any document filed pursuant to that
Act. I hereby attest that the information on this form is true and
correct.
|
____________________________________________
Trainer Signature
| _______________________________
Date
|
□ If
submitting this application by electronic means, by checking the box
to the left or affixing a signature, I attest that all information
provided in this submission is true and accurate.
|
|
Course
Conducted:
□ 10-Hour Construction
□ 10-Hour General Industry
□ 30-Hour Construction
□ 30-Hour General Industry |
|
|
|
|
| |
Course
Information (check all that apply):
| □ Spanish |
□ Youth (age 18 or less) |
| □ Language other than
Spanish |
□ Training conducted
outside US |
□ OSHA
Alliance or Partnership related (specify below)
|
|
State where training held (or country if outside
of US): _______________________________
Course End Date: _____ / _____ / ________
(Requests cannot be older than 6 months)
Number of Students: __________ (Enter names on
back or on separate sheet. More than 50 requires prior permission)
Primary Trainer Course Information
Your Responsible Training Office (which OSHA Education Center, or OSHA) ___________________________________
| ____________ |
____________________________ |
___________ |
__ /__ /____ |
| ID Number* (see note
below) |
Name |
Course
(#500/#501/#502/#503) |
Expiration Date |
*ID number – only applies to trainers
who have received student cards |
Address: Use an address
that will get directly to you; if you have an ID and
your address is unchanged, don’t complete this)
□ Check if this is a new address
Company / Dept.
__________________________________________________________
Address
_________________________________________________________________
________________________________________________________________________
City/State/Zip
____________________________________________________________
Phone No: (_____) - _____ - _______ ext. ______ E-mail:
______________________________________
|
Documentation
must include:
(1) Outreach Training Program Report
(2) Copy of trainer card if this is your first class or you updated
your trainer status
(3) Student names
(4) Topic list and the time spent on each
|
Important
notes:
* See Attachment B
for where to send card request
* Trainers' course records must include sign-in sheets collected for
each day
* Maintain records which indicate the card number dispensed to each
student
* Print or type trainer’s name on card to ensure legible
* Send separate documentation for each class |
|
| 10
- Hour Topics (for 30-hour class, see below or include a
separate topic list) |
| |
CONSTRUCTION |
HOURS
- Indicate the amount of time spent on each of the topics in
the class
_____ Required Introduction to OSHA
_____ Required OSHA Focus Four
Hazards - including: Fall Protection, Electrical, Struck By,
Caught in/between
_____ Required Personal Protective
and Lifesaving Equipment
_____ Required Health Hazards in
Construction - including: Hazard Communication and Silica
|
Elective
Topics:
_____ Materials Handling, Storage, Use and Disposal
_____ Tools - Hand and Power
_____ Scaffolds
_____ Cranes, Derricks, Hoists, Elevators, and Conveyors
_____ Excavations
_____ Stairways and Ladders
|
Optional: Other
OSHA Construction hazards or policies
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________ |
| GENERAL
INDUSTRY |
HOURS
- Indicate the amount of time spent on each of the topics
in the class
_____ Required Introduction to OSHA
_____ Required Walking and Working
Surfaces
_____ Required Exit Routes,
Emergency Action Plans, Fire Prevention Plans and Fire
Protection
_____ Required Electrical
_____ Required Personal Protective
Equipment
_____ Required Hazard Communication
|
| |
Elective
Topics:
_____ Hazardous Materials (Flammable and Combustible Liquids)
_____ Material Handling
_____ Machine Guarding
_____ Introduction to Industrial Hygiene
_____ Bloodborne Pathogens
_____ Ergonomics
_____ Safety and Health Programs
_____ Fall Protection |
Other OSHA General
Industry hazards or policies
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________ |
|
| 30
- Hour Topics (for 10-hour class, see above or include a separate
topic list) |
| |
CONSTRUCTION |
HOURS
- Indicate the amount of time spent on each of the topics in
the class
_____ Required Introduction to OSHA
_____ Required OSHA Focus Four
Hazards - including: Fall Protection, Electrical, Struck By,
Caught in/between
_____ Required Personal Protective
and Lifesaving Equipment
_____ Required Health Hazards in
Construction - including: Hazard Communication and Silica
_____ Required Stairways and Ladders
|
Elective
Topics:
_____ Fire Protection and Prevention
_____ Materials Handling, Storage, Use and Disposal
_____ Tools - Hand and Power
_____ Welding and Cutting
_____ Scaffolds
_____ Cranes, Derricks, Hoists, Elevators, and Conveyors
_____ Motor Vehicles, Mechanized Equipment and Marine
Operations; Rollover Protective Structures and Overhead
Protection; and Signs, Signals and Barricades
_____ Excavations
_____ Concrete and Masonry Construction
_____ Steel Erection
_____ Safety and Health Programs
_____ Confined Space Entry
_____ Powered Industrial Vehicles
_____ Ergonomics
|
Optional:
Other OSHA Construction hazards or policies
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________ |
| GENERAL
INDUSTRY |
HOURS
- Indicate the amount of time spent on each of the topics
in the class
_____ Required Introduction to OSHA
_____ Required Walking and Working
Surfaces
_____ Required Exit Routes,
Emergency Action Plans, Fire Prevention Plans and Fire
Protection
_____ Required Electrical
_____ Required Personal Protective
Equipment
_____ Required Materials Handling
_____ Required Hazard Communication
|
| |
Elective
Topics:
_____ Hazardous Materials (Flammable and Combustible Liquids)
_____ Permit-Required Confined Spaces
_____ Lockout/Tagout
_____ Machine Guarding
_____ Welding, Cutting, and Brazing
_____ Introduction to Industrial Hygiene
_____ Bloodborne Pathogens
_____ Ergonomics
_____ Fall Protection
_____ Safety and Health Programs
_____ Powered Industrial Vehicles |
Other OSHA General
Industry hazards or policies
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________ |
|
Student Names
| 1___________________________________ |
11
___________________________________ |
| 2___________________________________ |
12
___________________________________ |
| 3___________________________________ |
13
___________________________________ |
| 4___________________________________ |
14
___________________________________ |
| 5___________________________________ |
15
___________________________________ |
| 6___________________________________ |
16
___________________________________ |
| 7___________________________________ |
17
___________________________________ |
| 8___________________________________ |
18
___________________________________ |
| 9___________________________________ |
19
___________________________________ |
| 10__________________________________ |
20
___________________________________ |
| |
<<<Continue
on another page if more students |
OSHA has authorized these educational institutions to
conduct selected OSHA courses, including:
Course #500 Trainer Course in Occupational Safety and Health Standards
for the Construction Industry
Course #501 Trainer Course in Occupational Safety and Health Standards
for the General Industry
Course #502 Update for Construction Industry Outreach Trainers
Course #503 Update for General Industry Outreach Trainers
Course #510 Occupational Safety and Health Standards for Construction
Course #511 Occupational Safety and Health Standards for General
Industry
| OTI Education Centers |
Lead Center:
City/State |
Phone |
|
Keene State College
|
Manchester,
NH |
800-449-6742 |
Rochester Institute of
Technology
|
Rochester,
NY |
866-385-7470x2919 |
| Atlantic OSHA Training
Center |
New
Brunswick, NJ |
732-235-9450
|
(Univ. of
Medicine & Dentistry of NJ, State University of New York at
Buffalo, Universidad Metropolitana, San Juan, PR)
|
| National Resource Center
for OSHA Training |
Morgantown,
WV |
800-626-4748 |
(West
Virginia University, National Labor College, Center to Protect
Workers’ Rights)
|
| Mid-Atlantic OTI
Education Center |
Plymouth
Meeting, PA |
800-875-4770 |
(ECRI
Institute, Chesapeake Region Safety Council, Mid-Atlantic
Construction Safety Council, John Hopkins University and Health
System)
|
Georgia Tech Research
Institute
|
Atlanta,
GA |
404-385-3500 |
University of South
Florida
|
Tampa, FL |
866-697-0975 |
Eastern Kentucky
University
|
Richmond,
KY |
877-358-6742
|
| Southeastern OTI
Education Center |
Raleigh,
NC |
800-227-0264 |
(North
Caroline Sate University, University of Tennessee
|
University of Alabama
|
Tuscaloose,
AL |
877-508-7246
|
| Great Lakes OSHA
Training Consortium |
Cincinnati,
OH |
800-207-9399 |
(Univ. of
Cincinnati, Eastern Michigan University, United Auto Workers)
|
| The National Safety
Education Center |
Chicago
area, IL |
800-656-5317 |
(Northern
Illinois University, Construction Safety Council, National Safety
Council)
|
| Mid-America OSHA
Training Institute |
Springboro,
OH |
866-444-4412 |
(Ohio
Valley Construction Education Foundation, Sinclair Community
College)
|
| Heartland Safety and
Health OTI Education Center |
Bloomington,
IN |
866-563-4820 |
(Indiana
University, University of Wisconsin-Whitewater
|
Texas Engineering
Extension Service, Texas A & M University
|
Mesquite,
TX |
800-723-3811 |
The University of Texas
at Arlington
|
Houston,
TX |
866-906-9190
|
Metropolitan Community
Colleges
|
Kansas
City, MO |
800-841-7158
|
| Midwest OSHA Education
Centers |
Cedar
Rapids, IA |
800-464-6874 |
(Kirkwood
Community College, St. Louis University, Safety and Health Council
of Greater Omaha)
|
Red Rocks Community
College
|
Lakewood,
CO |
800-933-8394 |
| Mountain West OSHA
Training & Outreach Center |
Salt Lake
City, UT |
801-581-4055 |
(University
of Utah, Salt Lake City Community College, Uintah Basin Applied
Technology College)
|
University of California
- San Diego
|
San
Diego, CA |
800-358-9206
|
California State
University Dominguez Hills
|
Carson,
CA |
888-4LA-OSHA
|
Chabot-Las Positas
Community College District
|
Pleasanton,
CA |
866-936-OSHA
|
College of Southern
Nevada
|
Las
Vegas, NV |
877-651-OSHA
|
| University of Washington |
Seattle,
WA |
800-326-7568 |
Where to send documentation:
- If an OSHA Education Center conducted or sponsored your training,
see the following pages on where and how (mail, e-mail, fax) to submit
requests.
- If you are unsure of your responsible training organization:
- It is typed in on the front of the trainer card, below OSHA, U.S.
Department of Labor.
- See the chart below which lists where each of the OSHA Training
Institute Education Centers conducts its training
- Trainers taking their Construction and General Industry trainer
courses from different organizations will send their student card
requests to different organizations
- For persons who took their training at the OSHA Training Institute (OTI)
send your requests to:
OSHA Construction (or General Industry) Outreach Training Program
2020 S. Arlington Heights Road
Arlington Heights, IL 60005
Fax: (847) 297-6636
Email
What to send in:
- OSHA Outreach Training Program report
- Copy of trainer card if this is your first request or you have
updated your trainer status
- Student names
- Course topic list and the time spent on each
What to retain in your records
(for five years):
- Student sign-in sheets for each class day
- Student addresses
- Copy of the documentation submitted for card request (be sure this
included the topic outline)
- Records which indicate the card number dispensed to each student
Requests are reviewed to ensure:
- Trainer is currently authorized
- Complies with guidelines (topics, time, etc.)
- Documentation is complete
Questions:
- For OSHA, see above
- For OSHA Training Institute Education Centers, see the list below
Where – Specifics
The following list is organized by OSHA Regions 1-10. Here are the
Regional Office locations in each of the regions.
1 – Boston
6 - Dallas |
2 – New York
7 – Kansas City |
3 – Philadelphia
8 – Denver |
4 – Atlanta
9 – San Francisco |
5 – Chicago
10 – Seattle |
| Region 1 – Northeast,
including NH, ME, RI, MA, CT, VT |
If
you took the training from
- OTI Education Center, Manchester, NH
- Keene State College, Keene, NH
- Associated Builders and Contractors, Rock Hill, CT
- Survival System USA, Groton, CT
- Associated General Contractors of Mass., Wellesley, MA
- Safety Council of Western Massachusetts, Springfield, MA
- Williams College, Williamstown, MA
- New England Institute of Technology, Warwick, RI
- Central Maine Community College (CMCC), Auburn, ME
- Maine Dept. of Transportation Safety & Performance, Fairfield,
ME
- Associated General Contractors of Maine, Augusta, ME
- Associated General Contractors of Vermont, Montpelier, VT
- Champlain College Conference & Event Center, Burlington, VT |
Send
your card requests to
OSHA Training Institute Education Center
Keene State College
175 Ammon Drive
Manchester, NH 03103-3308
For questions: (800) 449-6742 or
(603) 465-0050
Fax: (603) 645-0080
Leslie
Singleton - Outreach Coordinator
Outreach
Information and Course Schedule |
| Region 2 – Northeast,
including NJ, NY, and Puerto Rico |
If
you took the training from
- Univ. of Medicine and Dentistry of NJ, New Brunswick, NJ
- State Univ. of New York at Buffalo, Toxicology Research Center,
Buffalo, NY
- Universidad Metropolitana, San Juan, PR |
Send
your card requests to
UMDNJ- School of Public Health
Attn: Janet Crooks, Registrar
Atlantic OSHA Training Center
Office of Public Health Practice
683 Hoes Lane West, 1st Floor
Piscataway, NJ, 08854
- Fax: (732) 235-9460
- Email
|
For questions:
Koshy Koshy,
(732) 235-9459
Janet
Crooks, (732) 235-9455 |
| Region 2 – New York |
If
you took the training from
- Rochester Institute of Technology OSHA Education Center,
Rochester, NY
- Rochester Builder’s Exchange, Rochester, NY
- General Building Contractors’ Safety Training Facility in
Spencerport, NY and Albany, NY
- Total Safety Consulting, Long Island City, NY
- Oneida Indian Nation Building Annex, Oneida, NY |
Send
your card requests to
Rochester Institute of Technology OSHA Education
Center
Attn: Donna Winter
31 Lomb Memorial Dr.
Rochester, NY 14623-5603
- Fax: (585) 475-6292
- Email
|
For questions:
Donna Winter (866) 385-7470 ext. 2919 |
| Region 3 – East and
Building Trades, including WV, MD, PA, VA, DC |
If
you took training from
Center to Protect Workers' Rights/BCTD
- Building and Construction Trades Unions
- Building and Construction Trades Councils
- Building and Construction Trades Contractors
West Virginia University
- Morgantown, WV, Charleston, WV, Huntington, WV
- Operating Engineers, Beckley, WV
- Contractors Association, Parkersburg, WV, Pittsburg, PA, Richmond,
VA
- And others served with on-site training
National Labor College
- College Park, MD; Philadelphia, PA; Silver Springs, MD; Washington
DC; Wilkes-Barre, PA; Harrisburg, PA; Richmond, VA; Roanoke, VA
- And others served with special programs or on-site training
Indiana University of Pennsylvania (former OTI Education Center)
- Indiana University Training Center, Indiana & Monroeville, PA
- High Training Center, Lancaster, PA
- Wilkes University, Wilkes Barre, PA
- Graduate Business Center, West Chester University, West Chester,
PA
- Montgomery County Public Safety Training Campus Fire Academy,
Conshohocken, PA (Philadelphia)
- Dixon Center, Harrisburg, PA
- New Castle School of Trades, New Castle, PA
- Bedford County Workforce Development and CE Center, Everett, PA
- Lucerne County Community College, Nantycoke, PA |
Send
your card requests to
Center to Protect Workers' Rights
815 16th Street NW
Washington, DC 20006
- Fax: (202) 756-4675
- Email
- Questions: Janice Wheeler
(202) 756-4636
|
West Virginia University
Safety & Health Extension
P.O. Box 6615 - 130 Tower Lane
Morgantown, WV 26506
- Fax: (304) 293-5905
- Email
- Questions: Tom Stockdale
(800) 626-4748
|
| Region 3 – Mid Atlantic
- including WV, MD, PA, VA, DE, DC |
If
you took the training from:
- ECRI Institute, Plymouth Meeting, PA
- High Training Center, Lancaster, PA
- Hanover Wellness Center, Hanover, PA
- Montgomery County Public Safety Training Campus Fire Academy,
Conshohocken, PA
- Associated Builders and Contractors Eastern Pennsylvania
Chapter, Inc. (ABC), Allentown, PA
- Priscilla Pane-Hurd Pavilion at St. Luke’s Hospital &
Health Network, Bethlehem, PA
- Health and Technology Center at Good Shepherd Rehabilitation
Network, Allentown, PA
- Lackawanna County Center for Public Safety, Jessup, PA
- Chesapeake Region Safety Council, Baltimore, MD
- Chesapeake College, Wye Mills, MD
- Howard Johnson Plaza, Ocean City, MD
- Johns Hopkins Medical Institutions
- The Johns Hopkins Bayview Campus
- The Johns Hopkins University Homewood campus
- Johns Hopkins at Mt.Washington
- Johns Hopkins Howard County General Hospital
- Johns Hopkins University Montgomery County campus
- The Johns Hopkins University Columbia Campus
|
Send
your card requests to
ECRI Institute - Center for Education and Training
5200 Butler Pike
Plymouth Meeting, PA 19462
- Fax: (610) 834-0240
- Email
- Questions:
Luke A. Petosa
(610) 825-6000 ext. 5330
(800) 640-7421
|
|
| Region 4 – South,
including GA, NC, SC, MS, KY, AL, FL, TN |
If
you took the training from
- Georgia Tech / Georgia Institute of Technology, Atlanta, GA
- Georgia Tech OTI Education Center in these cities:
GA – Atlanta, Savannah
FL - Orlando, Ft. Lauderdale, Destin, Jacksonville
NC – Raleigh
AL – Birmingham, Huntsville
SC - Charleston
MS - Biloxi
TN – Nashville, Knoxville, Memphis |
Send
your card requests to
Georgia Tech OTI Education Center
ATTN: Diane Knobloch
430 Tenth Street, NW
Atlanta, GA 30332-0837
For questions:
Diane Knobloch (404) 407-7024
Myrtle Turner (404) 407-8066 |
| Region 4 – Florida |
If
you took the training from
University of South Florida, Tampa, FL
Host Training Sites:
- Associated Builders and Contractors, Orlando, FL
- Caribbean Legal and Professional Institute, Kingston, Jamaica
- Indian River Community College, Fort Pierce, FL
- Florida International College, Fort Myers, FL
- Florida Safety Council, Orlando, FL
- North East Florida Safety Council, Jacksonville, FL
- Safety Council of Palm Beach County, West Palm Beach, FL
- Safety Management Internatl Co., Couva, Trinidad, West Indies
- Suncoast Safety Council, Clearwater, FL
- Suncoast Safety Council, St Petersburg, FL
- Sunshine Safety Council, Daytona, FL |
Send
your card requests to
University of South Florida OTI Education Center
ATTN: Diane Ray
13201 Bruce B. Downs Blvd., MDC 56
Tampa, FL 33612-3805
- Fax: (813) 974-9972
- Email
|
For questions:
Diane Ray (813) 974-7782 |
| Region 4 – Kentucky |
If
you took the training from
- Eastern Kentucky University, Richmond, KY
- McCulley, Eastham & Associates, Inc., Greenup, KY
- Corbin Center for Technology and Community Activities, Corbin, KY |
Send
your card requests to
Bobby Spurlock
Eastern Kentucky University
OSHA Training Institute Education Center
Workforce Education
521 Lancaster Ave, Perkins 202
Richmond, KY 40475-3100
- Email
- For questions: (859) 622-6216
|
|
| Region 4 – South,
including AL, MS, TN, FL |
If
you took the training from
The University of Alabama, Tuscaloosa, AL or Host Training Site:
- The University of Alabama Birmingham, Birmingham, AL
- The University of Alabama Huntsville, Huntsville, AL
- Other host locations |
Send
your card requests to
The University of Alabama
CCS-DEIP
ATTN: June Vance
Box 870388
624 Paul Bryant Drive
Tuscaloosa, AL 35487
- Fax: (205) 348-3049
- Email
- For questions: June Vance
(877) 508-7246 or (205) 348-4585
|
|
| Region 4 – Southeast,
including NC, TN, GA, SC, MS, KY, AL, FL |
If
you took the training from
- Southeastern OTI Education Center, North Carolina State
University, Raleigh, NC and other host sites
- Southeastern OTI Education Center, University of Tennessee,
Nashville, TN, Knoxville, TN, and other host sites |
Send
your card requests to
Southeastern OTI Education Center
NC State University
Campus Box 7902
Raleigh, NC 27695-7902
- Fax: (919) 515-8585
- Email
- For questions:
Wendy Laing (919) 515-9430 or
Anna Mangum (919) 515-1080
|
|
| Region 5 – Midwest,
especially IL and WI, IN |
If
you took the training from
- NIU-DeKalb, IL
- NIU-Naperville, IL
- NIU Education Center, Hoffman Estates, IL
- NIU Rockford Center, Rockford, IL
- National Safety Council, Itasca, IL
- Construction Safety Council, Hillside, IL
- Richland Community College, Decatur, IL
- Northeast Wisconsin Technical College, Green Bay, WI
- Fox Valley Technical College, Appleton, WI
- Dawson Technical Institute, Chicago, IL
- University of Southern Indiana, Evansville, IN
- And other safety councils, organizations, and companies served
with on-site contract training. |
Send
your card requests to
The National Safety Education Center
College of Engineering & Engineering Technology
Northern Illinois University
590 Garden Road, EB 318
DeKalb, IL 60115
For questions:
(815) 753-6902 or (800) 656-5317, or Email |
| Region 5 – Midwest,
including OH, MI, MN, IN, WI |
If
you took the training from
- University of Cincinnati, Cincinnati, OH
- Eastern Michigan University, Ypsilanti, MI
- Eastern Michigan University, Livonia, MI
- Eastern Michigan University-Web Based Training
- South Central Tech, Mankato, MN
- M-TEC, Kalamazoo, MI
- University of Findlay, Findlay, OH
- University of Minnesota, Minneapolis, MN
- Hennepin Technical College, Eden Prairie, MN
- Safety Alliance, LLC, Springboro, OH
- Varga-Wilson, Consulting, Columbus, OH
- Purdue University North Central, Indianapolis IN |
Send
your card requests to
Great Lakes Regional OTI Education Center
ATTN: Marianne Kautz
Genome Research Institute
University of Cincinnati
2180 E. Galbraith, 3rd Floor
Cincinnati, OH 45237-1625
For questions:
Marianne Kautz
(800) 207-9399 or (513) 558-1730 |
| Region 5 – Ohio |
If
you took the training from
Mid-America OSHA Education Center, Springboro, OH |
Send
your card requests to
Mid-America OSHA Education Center
ATTN: Susan White
33 Greenwood Lane
Springboro, OH 45066
For questions:
(937) 521-1570 or (866) 444-4412 |
| Region 5 – IN and WI |
If
you took the training from
- Heartland OTI Education Center, Bloomington, Indianapolis, New
Albany, IN
- Heartland OTI Education Center, Milwaukee, Oshkosh, Whitewater,
WI
|
Send
your card requests to
Heartland OSHA Training Institute Education
Center
Outreach Trainer Card Requests
ATTN: Cheryl Holmes
Indiana University
Poplars, Room 629
400 E. 7th Street
Bloomington, IN 47405
For questions:
(866) 563-4820 |
| Region 6 – South, TX,
and NM, LA, OK, AR |
If
you took the training from
- TEEX – North Texas Regional Training Center, Mesquite, TX
- TEEX – Houston Regional Training Center, Houston, TX
- TEEX – South Central TX Reg’l Training Center, San Antonio, TX
- TEEX – Corpus Christi Regional Training Center, Corpus Christi,
TX
- TEEX – South Presa Training Center, San Antonio, TX
- TEEX – Marine Safety Center, Galveston, TX
- State of New Mexico Occup. Health & Safety Bureau, Santa Fe,
NM
- Safety Counseling Inc., Albuquerque, NM
- Safety Matters, Albuquerque, NM
- Acadian Integrated Solutions, Maurice, LA
- U.S. Army Safety Center, Ft. Rucker, AL
- U.S. Air Force Safety Center, Albuquerque, NM
- Francis Tuttle Tech. Center, Oklahoma City, OK
- NATCO Training Center, Midland, TX
- Pioneer Tech. Center, Ponca City, OK
- National Park Community College, Hot Springs, AR
- Texas State Tech. College, Harlingen, TX
- TAMU – Corpus Christi, TX
- KTech, Inc., Albuquerque, NM
- Eastern New Mexico University, Roswell, NM
- CEHMM, Carlsbad, NM
- Permian Basin Regional Training Center, Carlsbad, NM
- United Space Alliance, Houston, TX
- San Juan College, Farmington, NM
- Arkansas Construction Education Foundation, Little Rock, AR
- Bossier Parish Community College, Shreveport, LA
- Alford Safety Services, Houma, LA
- Del Mar College, Corpus Christi, TX
- David Carrasco Job Corp Center, El Paso, TX
- New Mexico State University, Las Cruces, NM |
Send
your card requests to
OTI Southwest Education Center
Texas Engineering Extension Service
ATTN: Registrar
15515 IH 20 at Lumley
Mesquite, TX 75181
- Fax: (972) 222-2978
- Email
|
For questions:
Therese Paterka or Pam Pendleton
(972) 222-1300 or (800) 723-3811 |
| Region 6 – South, TX,
and NM, LA, OK, AR |
If
you took the training from
- University of Texas at Arlington
- Louisiana Technical College Region 8
- City of Houston E. B. Cape Training Center
- Austin Community College
- Rose State College
- North West Arkansas Community College |
Send
your card requests to
Region VI OSHA Education Center
The University of Texas at Arlington
ATTN: Star Connell
Box 19197
140 West Mitchell
Arlington, Texas 76019-0197
For questions: Star Connell
(817) 272-2581 or (866)906-9190 |
| Region 7 – Missouri |
If
you took the training from
- Metropolitan Community College, Kansas City, MO
- Maple Woods Community College, Kansas City, MO
- Business & Technology Center, Kansas City, MO |
Send
your card requests to
Region VII OTI Education Center
Metropolitan Community Colleges
ATTN: Dick Day, Program Manager
1775 Universal Avenue
Kansas City, MO 64120
For questions:
Dick Day
(816) 482-5282 |
| Region 7 – Midwest,
including MO, IA, NE |
If
you took the training from
- Saint Louis University, St. Louis, MO
- Saint Louis University, Springfield, MO
- Kirkwood Community College, Cedar Rapids, IA
- National Safety Council, Omaha, NE |
Send
your card requests to
Kirkwood Community College
Midwest OSHA Education Center
ATTN: Marsha Willox
6301 Kirkwood Blvd. SW
Cedar Rapids, IA 52406
For questions:
-- Marsha Willox (319)398-5893
-- Edgar Thornton (319)398-1029 |
| Region 8 – Mountain,
Colorado, and also UT, MT |
If
you took the training from
- Rocky Mountain Education Center, Lakewood, CO
- Red Rocks Community College, Lakewood, CO
- Ogden Weber Applied Technology College, Salt Lake City, UT
- Montana Dept of Labor and Industry Occupational Safety &
Health Bureau, Missoula, MT |
Send
your card requests to
Rocky Mountain Education Center
ATTN: Jeannine Kreller
13300 W. 6th Ave, Box 41
Lakewood, CO 80228-1255
- Fax: (303) 914-8997
- Email
|
For questions:
Jeannine Kreller (800) 933-8394 |
| Region 8 – Utah |
If
you took the training from
- Mountain West OSHA Training and Outreach Center, Salt Lake City,
UT
- Salt Lake Community College, Salt Lake City, UT
- Uintah Basin Applied Technology College, Vernal, UT |
Send
your card requests to
Mountain West OSHA Training and Outreach Center
University of Utah
ATTN: Registrar
391 Chipeta Way, Suite C
Salt Lake City, UT 84108
- Fax: (801) 585-5275
- Email
|
For questions:
-- Connie
Crandall (801) 581-7182
-- Luz
Dominguez (801) 581-7909 |
| Region 9 – West, CA,
and also NV, HI, and AZ |
If
you took the training from
University of California, San Diego
OSHA Training Institute in Region IX
- Arizona
- California
- Hawaii
- Nevada
|
|
Send
your card requests to
UCSD OSHA Training Institute
ATTN: Outreach Training Coordinator
11770 Bernardo Plaza Court, Suite 270
San Diego, CA 92128
For questions:
Email
(858) 485-5371 |
| Region 9 – West, CA,
also NV, AZ and Guam |
If
you took the training from
- Cal State University at Dominguez Hills, Carson, CA
WESTEC (former OTI Education Center)
- WESTEC, North Kern Training Center, Shafter, CA
- Community College of Southern Nevada, Henderson, NV
- Truckee Meadows Community College, Reno, NV
- Guam Community College, Mangilao, Guam |
Send
your card requests to
CSUDH OSHA Training Institute
College of Extended and International Education
Attn: Outreach Training Coordinator
1000 E. Victoria St.
Caron, CA 90747
For questions:
(888) 4LA-OSHA |
| Region 9 – West, CA,
also NV, and AZ |
If
you took the training from
- The College of Southern Nevada, Las Vegas, NV |
Send
your card requests to
College of Southern Nevada
Attn: Abigail Rakvica
2409 Las Verdes St.
K1B
Las Vegas, NV 89102
- Fax: (702) 651-4538
- Email
|
For questions:
Email
(702) 651-4551 |
| Region 9 – West, CA,
also NV and AZ |
If
you took the training from
- Chabot-Las Positas Community College District OSHA Training
Institute |
Send
your card requests to
Chabot-Las Positas Community College District (CLPCCD)
OTI - Contract Education
5020 Franklin Drive
Pleasanton, CA 94588
- Fax: (925) 485-5211
- Email
|
For questions:
(866) 936-OSHA |
| Region 10 – West, WA,
and also OR, ID, and AK |
If
you took the training from
UW/Denali Safety Council – Anchorage, AK
UW – Boise State University - Boise, ID
UW/HVAC Metals Institute – Portland, OR
UW/Portland Community College – Portland, OR
UW/HAMMER Facility – Richland, WA
UW/EnergX Facility – Richland, WA
UW – Seattle, WA
UW – Spokane, WA
UW – Cruise to Alaska |
Send
your card requests to
Region X OSHA Training Institute Education Center
University of Washington
ATTN: Registrar
4225 Roosevelt Way NE #100
Seattle, WA 98105
For questions:
Terumi Capeling, (206) 685-3089 |
ATTACHMENT
C
E-mail or Fax PROCEDURES
FOR OUTREACH TRAINERS WITH ID NUMBERS
|
Student card requests are accepted by e-mail or fax, if a trainer has an
ID number.
*Carefully read the instructions below before using these procedures.
1. Who is eligible to send e-mails or faxes? Outreach
Trainers with ID Numbers.
- Trainers receive an ID number in their card package AFTER submitting
their first card request.
- The trainer ID is provided on the letter or the preprinted Outreach
Training Program Report that are returned with your student cards.
2. Sending Requests for Student
Cards
- E-mail
- See Attachment
B for e-mail addresses
- Subject: 10 or
30-Hour; Construction or General Industry
- Send your e-mail request based on the format which follows these
procedures. Include all of the information that is shown.
- Fax
- See Attachment
B for numbers
- Send a cover page and indicate the number of pages you’re
sending
- Subject: 10 or
30-Hour; Construction or General Industry
- Send your fax request based on the format which follows these
procedures. Include all of the information that is shown.
3. Instructions
- Use your ID Number
- For each class - send a separate e-mail or fax
- Keep a file (for five years) on each course which includes:
- Student sign-in sheets for each class day
- Student addresses
- Copy of the documentation sent in to request cards, including
the topic outline, list of the topics taught and the amount of
time spent on each
- Records which indicate the card number dispensed to each student
4. Monitoring. At times,
OSHA may ask for a copy of your class records. When OSHA conducts
monitoring visits for the OSHA Outreach Training Program, you may need to
provide these training records.
E-Mail Format -
Request for Outreach Training Cards -- For Trainers
with ID Numbers
-- Below is a sample of the e-mail format.
-- Send a separate e-mail for each class.
==================================================================================
TO: See Attachment
B for e-mail address
| SUBJECT: |
10 or
30-Hour Construction
10 or 30-Hour General Industry |
Statement of Certification. I certify that I have
conducted this outreach training class in accordance with the OSHA
Outreach Training Program guidelines. I have maintained the training
records as required by these guidelines and I will provide these records
to the OSHA Directorate of Training and Education (or their designee) upon
request. I understand that I will be subject to immediate dismissal from
the OSHA Outreach Training Program if information provided herein is not
true and correct. I further understand that providing false information
herein may subject me to civil and criminal penalties under Federal law,
including 18 U.S.C. 1001 and section 17(g) of the Occupational Safety and
Health Act, 29 U.S.C.666(g), which provides criminal penalties for making
false statements or representations in any document filed pursuant to that
Act. I hereby attest that the information on this form is true and
correct.
_____________________________________
____________________________________
Trainer Signature
Date
□ If submitting this application by electronic means, by checking
the box to the left or affixing a signature, I attest that all information
provided in this submission is true and accurate.
----------------------------------------------------------------------------------------------------------
Course Information (check
all that apply):
__ Spanish
__ Language other than English or Spanish (specify
___________________________________________ )
__ Youth (age 18 or less)
__ Training conducted outside US
__ OSHA Alliance or Partnership related (specify
___________________________________________ )
State where training held (or country if outside
of US): _______________________________
Course End Date: _____ / _____ / ________
(Requests cannot be older than 6 months)
Number of Students: ____________ (More than 50
requires prior permission)
Trainer Name:
_________________________________________
Trainer ID: _________
Your Responsible Training Organization (which OTI
Education Center, or OSHA ________________________
| |
Construction |
__ #500 __ #502 |
Expiration Date
___/___/___ |
| |
General Industry |
__ #501 __ #503 |
Expiration Date
___/___/___ |
Trainer Address / Phone / Email (Only needed if
your address has changed)
Student Names:
Topic Outline - Include a
list of the topics taught and the amount of time spent on each..
FAX - Request for Outreach
Training Cards -- For Trainers with ID Numbers
See Attachment B for fax
numbers for your responsible training organization
| Course: |
□ 10-hour Construction |
□ 10-hour General Industry |
| |
□ 30-hour Construction |
□ 30-hour General Industry |
Statement of Certification. I certify that I have
conducted this outreach training class in accordance with the OSHA
Outreach Training Program guidelines. I have maintained the training
records as required by these guidelines and I will provide these records
to the OSHA Directorate of Training and Education (or their designee) upon
request. I understand that I will be subject to immediate dismissal from
the OSHA Outreach Training Program if information provided herein is not
true and correct. I further understand that providing false information
herein may subject me to civil and criminal penalties under Federal law,
including 18 U.S.C. 1001 section 17(g) of the Occupational Safety and
Health Act, 29 U.S.C.666(g), which provides criminal penalties for making
false statements or representations in any document filed pursuant to that
Act. I hereby attest that the information on this form is true and
correct.
______________________________________
______________________________________
Trainer Signature Date
□ If submitting this application by electronic means, by checking
the box to the left or affixing a signature, I attest that all information
provided in this submission is true and accurate.
Course Information (check all that apply):
□ Spanish
□ Language other than English or Spanish
(specify:)__________________________________________
□ Youth (age 18 or less)
□ Training conducted outside US
□ OSHA Alliance or Partnership related
(specify:)__________________________________________
State in which training held (or country if
outside of US): ___________________________________
Course End Date: _____ / _____ / ________
(Requests cannot be older than 6 months)
Number of Students: ____________ (More than 50
requires prior permission)
Trainer Name:
_________________________________________
Trainer ID: ____________
Your Responsible Training Organization (which OTI Education Center, or
OSHA) ________________________
| |
Construction |
__ #500 __ #502 |
Training Date ___/___/___ |
| |
General Industry |
__ 5400 __ 5402 |
Training Date ___/___/___ |
Trainer Address / Phone / Email: (Only needed if
your address has changed)
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Topic Outline - Include a list of the topics taught
and the amount of time spent on each.
Student Names
| 1___________________________________ |
11
___________________________________ |
| 2___________________________________ |
12
___________________________________ |
| 3___________________________________ |
13
___________________________________ |
| 4___________________________________ |
14
___________________________________ |
| 5___________________________________ |
15
___________________________________ |
| 6___________________________________ |
16
___________________________________ |
| 7___________________________________ |
17
___________________________________ |
| 8___________________________________ |
18
___________________________________ |
| 9___________________________________ |
19
___________________________________ |
| 10__________________________________ |
20
___________________________________ |
| |
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