Registration Form

SH Hazardous Energy Student Registration Form

  • COURSE DATA

  • Hazardous Energy Control (LOTO) Training

    This training is funded by a Susan Harwood Training Grant from the U.S. Department of Labor (Grant# SH-99019-SH0). All courses conducted virtually from Atlanta, Georgia.
  • Select all instructors who took part in your training course.
  • PERSONAL DATA & GEORGIA TECH DATA

  • EMPLOYER DATA

  • STUDENT GROUPS (mark “X” on appropriate line)