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Prereq Required

OSHA 500-Trainer Course in Occupational Safety and Health Standards for the Construction Industry

Already have a code? Enter it here:

The course you are requesting requires the course prerequisite to be submitted prior to order, please fill out this form first and then you will be emailed if your request is approved with final instructions on how to purchase the course.

Instructions:

    1. You must first submit your forms for your prerequisites before you can order the course

    2. If your request has been approved you will be emailed with a link and code to order the course

    3. Click on the link and it will bring you to a page to submit the course and finish ordering it.

Once we receive the form, we will process the request in 3 business days. If we need more information from you we will call you. Please make sure you have completed all fields. Please call us at 800-933-8394 or 303-914-6420 if you have any questions.


WE ARE REQUIRED BY THE OSHA OFFICE OF TRAINING AND EDUCATION TO ENFORCE THE FOLLOWING

TRAINER COURSE PREREQUISITES

It is your responsibility to ensure you meet all course prerequisites prior to enrolling in the course. Please complete all required fields in the following form and upload a copy of your appropriate certificate PRIOR TO ENROLLING IN THIS COURSE.  You will not be allowed to register for this course without preapproval.


OSHA #500 Trainer Course in Occupational Safety and Health Standards for the Construction Industry - OSHA #510Occupational Safety and Health Standards for the Construction Industry course completed within the last seven years and fiveyears of construction safety experience. A bachelor or higher college degree in occupational safety and health orindustrial hygiene by an accredited college or university, a Certified Safety Professional (CSP) or Certified IndustrialHygienist (CIH) designation in the applicable training area may be substituted for two years of experience.



Student Information
Name
Effective Immediately
All students are required to register by their Full legal name and supply a copy of their driver’s license
Upload ID
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Company Name
Address
Phone
Email

Course Information
Course Date
Course Location
I have completed the following prerequisite course
(Please attach a copy of your course completion card or certificate for each applicable course)
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2MB Max File Size
2MB Max File Size
Employment
Employer
Employer Name
Employer Name
Job Title
Contact Person
Contact Name
Phone
Email

Employer Address
Company
Dates of Employment
Must have month, day and year on both
Start Date
Start Date
End Date
End Date
Overall Job Duties for in this Position
Describe Safety Responsibilities and Activities in this Position
What Percentage of this Position is Safety Related?
Education
College Degree
PROOF REQUIRED
College/University
Date of Graduation
Name of Degree
Attach the required copy of official transcripts (Required).
2MB Max File Size
Professional Certification
PROOF REQUIRED
Attach the required copy of my current professional certification as a CSP or CIH (Required).
2MB Max File Size
Statement of Certification
Statement of Certification
Applicant Signature
Date
STOP! Before hitting the submit button please make sure that you have completed all fields on this form. Confirm that you have listed all your working experience that you would like to have considered towards your 5 years of Occupational Safety & Health work experience and that you have attached a copy of your certificate of completion. If you have made any errors and are denied, you will only be give one chance to make corrections. If you are denied twice for this course you will not be allowed to submit the form again for a calendar year.
Verification
Signature
I have previously been subject to revocation, suspension, or probation by OSHA

If yes, please attach all OSHA correspondence related to the investigation.
2MB Max File Size
43. Statement of Certification

I certify that the information I have included herein and submitted to the OTI Education Center is true and accurate. I understand that I will be subject toimmediate dismissal from the OSHA Outreach Training Program if information provided herein is not true and correct. I further understand that providingfalse 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 Safetyand 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.
Applicant Signature
Date