OSHA 502: Update for Construction Industry Outreach Trainers

  • I certify that I will conduct all outreach training classes in accordance with the OSHA Outreach Training Program requirements. I understand that it is my responsibility to ensure that I meet the requirements of the most recent edition of the OSHA Outreach Training Program requirements and related procedures. I will maintain the training records as required by the requirements and procedures and I will provide these records to the OSHA Directorate of Training and Education (or its designee) upon request. I understand that I will be subject to immediate dismissal from the Outreach Training Program if I provide information that is not true, complete and correct. I further understand that providing false information may subject me to civil and criminal penalties under Federal law, including 18 U.S.C. Sec. 1001 and 29 U.S.C. 666(g), which provides criminal penalties for making any false statement, representation or certification.
  • Reset signature Signature locked. Reset to sign again
  • Statement of Certification

    I certify that I have conducted this Outreach Training Program class in accordance with the OSHA Outreach Training Program Requirements and Procedures. I have maintained the training records as stated in the Requirements and I will provide these records to the OSHA Directorate of Training and Education (or its 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 all provided is true and correct.
  • Reset signature Signature locked. Reset to sign again
    Your initials above and signature below are to certify you will comply with OSHA Outreach Training Program requirements as shown above and provide a signature for the Statement of Certification for any course report submitted through the online trainer website after completing any Outreach Training class.
  • Reset signature Signature locked. Reset to sign again
  • MM slash DD slash YYYY
  • Expiration Date:

    May 5, 2027
  • Name of Course:

    OSHA 502: Update for Construction Industry Outreach Trainers

    Date of Course:

    May 2-5, 2023
  • The OSHA authorized Outreach Trainer is responsible for listing all additional or concurrent Authorizing Training Organizations (ATOs) through which the Outreach Trainer is authorized to deliver OSHA Outreach Training Program classes. Failure or refusal to list concurrent authorizations may result in corrective action, up to and including revocation of authorized trainer status, or immediate dismissal from the OSHA Outreach Training Program.