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Prerequisite Verification Form


Completing OSHA's Prerequisite Verification Form is a required step for professionals seeking to become trainers in OSHA's Outreach Training Program. This form ensures that applicants meet the necessary prerequisites, including specific training and relevant occupational safety and health experience.

The Prerequisite Verification Form requires detailed information about your employment history, with a particular focus on your occupational safety and health-related roles and responsibilities. A key requirement of the form is to clearly distinguish between your "Safety Responsibilities and Activities" and your "Overall Job Duties" for each position you report.

A complete Prerequisite Verification Form must be submitted to osha@uta.edu at least ten (10) business days prior to class. Applicants will receive notification of their approval status by five (5) business days prior to the course start date.

PREREQUISITE REQUIREMENTS

    Completion of the OSHA #510 OSHA Standards for the Construction Industry within the past seven (7) years, and five (5) years of construction industry safety and health experience. A Bachelor's degree or higher 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.

    Construction industry refers to the building or erection of something, typically a large structure such as a house, office building, single or multi-story building, bridge, dam, road, etc. Construction also includes demolition, alteration, renovation, restoration and/or repair, including painting and decorating as well as the clearing, dredging, excavating, and grading of land and other activity associated with buildings, structures, or other types of real property such as bridges, dams, and roads.

    Completion of the OSHA #511 OSHA Standards for General Industry within the past seven (7) years, and five (5) years of construction industry safety and health experience. A Bachelor's degree or higher 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.

    General industry refers to all industries not included in agriculture, construction or maritime. These places of business are typically static in nature such as retail stores, warehouses, offices, factories and manufacturing sites.

  • Completion of the OSHA #5410 OSHA Standards for the Maritime Industry within the past seven (7) years, and
  • three years maritime industry experience, and
  • two years of occupational safety and health experience (with a broad focus) in any industry. A college degree in occupational safety and health from an accredited college or university, or certification as an Associate Safety Professional (ASP), Certified Safety Professional (CSP), Certified Industrial Hygienist (CIH), Certified Marine Chemist (CMC), or Certified Safety Health Manager (CSHM).

    Current OSHA authorization as a Construction or General Industry Outreach trainer, three years of safety training experience, and one of the following: 40-hour HAZWOPER training (within the last five years), 8-hour HAZWOPER refresher training (within the last 12 months), or possession of journey-level credentials in a building trade union.

Safety Responsibilities and Activities

Definition: These are tasks and duties specifically related to maintaining and promoting occupational safety and health within the workplace.

Examples:

  • Conducting safety audits and inspections to identify potential hazards.
  • Developing and implementing safety policies and procedures.
  • Providing safety training sessions to employees.
  • Investigating workplace accidents and incidents to determine causes and preventive measures.
  • Ensuring compliance with OSHA standards and other relevant safety regulations.

Overall Job Duties

Definition: These encompass the broad scope of responsibilities associated with your position, including both occupational safety and health-related and non-safety and health-related tasks.

Examples:

  • Managing daily operations of a department or team.
  • Overseeing production processes to meet quality and efficiency targets.
  • Handling administrative tasks such as budgeting, scheduling, and reporting.
  • Supervising staff performance and conducting evaluations.
  • Coordinating with other departments to ensure seamless operations.

What percentage of this position is safety related?

When determining what percentage of a position is occupational safety and health related, it's essential to provide an accurate estimate. To determine this percentage:

  • Employment Dates: Please provide the dates you were employed at this position, including your start and end dates. This information helps us accurately verify your employment history.
  • Assess Your Time Allocation: Reflect on your daily, weekly, or monthly activities and estimate the proportion of time dedicated to safety-related tasks versus other responsibilities. No position is 100 percent safety and health.
  • Consult Job Descriptions: Review your official job descriptions or performance evaluations, which may outline the expected time or emphasis on occupational safety and health duties.
  • Seek Clarification: If unsure, discuss with your supervisor or human resources department to gain a clearer understanding of your role's breakdown.

Please note that any breaks in your employment history will not be counted towards the required five (5) years of documented safety experience.


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