Class Name: OSHA 500 Class Date: (month/day/yr) _____ /_________ /______ Location: (city, state) ________________________________ , _______ Indicate Payment Method: (please check) Check Enclosed_____ Please Invoice_____ Visa____ Mastercard _____ American Express_____ Discover______ Card #______________________________ CID #:_______ Exp. Date:__________ Name on Card: _______________________________ #4844 Student Name(s): ____________________________________________________________________________________________________ Company: ______________________________________________________________Email: _______________________________________ Address: ____________________________________________________ City, State, Zip: ____________________________________________ Phone #: _____________________________Fax #: _________________________________ Registration Form - Please FILL OUT the Course Info Below: You can mail this form to: MAOTIEC/Chesapeake Region Safety Council - 2555 Lord Baltimore Drive, Suite N-R, Baltimore, MD 21244 Call to register: 1-800-875-4770 Fax: 410-281-1350 Register online at www.oshamidatlantic.org Make checks payable to: Chesapeake Region Safety Council Class Time: 8:00am to 4:00pm Fee: $845 This course is designed for individuals interested in teaching the 10- and 30-hour construction safety and health Outreach Training Program to their employees and other interested groups. Using OSHA Construction Standards as a guide, special emphasis is placed on those topics required in the 10- and 30-hour programs as well as those which are most hazardous. Students are briefed on effective instructional approaches and use of visual aids and handouts. This course allows the student to become a trainer in the OSHA Outreach Training Program, to conduct both 10- and 30-hour Construction Outreach classes, and to issue cards to partici- pants after verifying course completion. Students who wish to participate as authorized Outreach trainers in the OSHA Outreach Training Program must prepare a presentation on an assigned OSHA Construction Outreach Training Program topic individually or as part of a group and successfully pass a written exam at the end of the course. Prerequisites: Students must successfully complete the OSHA #510 Occupational Safety and Health Standards for Construction and have five (5) years of safety and health work experience in the construction industry. A degree in occupational safety and health, a Certified Safety Professional (CSP) or a Certified Industrial Hygienist (CIH) designation may be substituted for two (2) years of work related experience. Students should obtain guidance on whether they meet this requirement from the OSHA Training Institute Education Center where they intend to receive the training. Authorized OSHA Outreach Training Program trainers are required to attend OSHA #502 Update for Construction Industry Outreach Trainers at least once every four (4) years to maintain their trainer status. OSHA #500 Trainer Course in Occupational Safety and Health Standards for the Construction Industry Call to register: 1-800-875-4770 Register online: www.oshamidatlantic.org Topics Include: • Safety and Health Programs • Fall Protection • Stairways/Ladders • Fire Protection • PPE • Electrical Standards • Hand & Power Tools • Concrete & Masonry • Cranes, Derricks, Hoists • Material Handling • Evacuation • Confined Spaces Locations & Dates Associated Builders & Contractors, Inc. (ABC), Central PA Chapter Physical: 898 N. Eagle Valley Road, Milesburg, PA 16853 GPS: 898 N. Eagle Valley Road, Howard, PA 16841 ● Mar. 23-26, 2020 ● Oct. 12-15, 2020 Butler Community College Public Safety Bldg., Room 206 107 College Drive, Butler, PA 16003 ● Sept. 21-24, 2020 HACC, Central Pennsylvania's Community College Senator John J. Shumaker Public Safety Center (Gate 5) One HACC Drive, Harrisburg, PA 17110 ● May 11-14, 2020 Luzerne County Community College 133 South Prospect St., Nanticoke, PA 18634 ● Oct. 26-29, 2020 Millersville University - The Ware Center 42 North Prince Street, Lancaster, PA 17603 ● June 8-11, 2020 ● Nov. 2-5, 2020 Northampton Community College - Fowler Center 511 East Third Street, Bethlehem, PA 18015 ● Jan. 21-24, 2020 ● Mar. 9-12, 2020 ● June 22-25, 2020 ● Sept. 14-17, 2020 ● Dec. 7-10, 2020 The Giant Center - Scenic Room 315 York Rd., Willow Grove, PA 19090 ● Feb. 3-6, 2020 ● May 11-14, 2020 ● July 27-30, 2020 • This course counts toward earning MAOTIEC’s Construction Safety and Health Specialist Certificate