Occupational Safety and Health Web Training Registration

Please select the class you wish to attend. Please submit a new registration form for each class you wish to attend. You will receive a confirmation e-mail with instructions 24-36 hours prior to the day the class starts. Classes: Select One Bloodborne Pathogens Confined Space Entry Electrical Safety Fall Protection Hand & Power Tools Hazard Communication Health Hazard in Construction Industry Heat Stress Inspection Process Lockout/ Tagout Introduction to OSH / Reading CFR Machine Guarding Material Handling Noise Exposure Personal Protection Equipment Respiratory Protection Recordkeeping Scaffolds Stairways & Ladders Trenching & Excavation Walking Working Surfaces Date of Course:

Name:              Please enter your name as you would like it to appear on your certificate.

Employer:

County of Employment: - Choose One - Alamance Alexander Alleghany Anson Ashe Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Camden Carteret Caswell Catawba Chatham Cherokee Chowan Clay Cleveland Columbus Craven Cumberland Currituck Dare Davidson Davie Duplin Durham Edgecombe Forsyth Franklin Gaston Gates Graham Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hoke Hyde Iredell Jackson Johnston Jones Lee Lenoir Lincoln Macon Madison Martin McDowell Mecklenburg Mitchell Montgomery Moore Nash New Hanover Northampton Onslow Orange Pamlico Pasquotank Pender Perquimans Person Pitt Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry Swain Transylvania Tyrrell Union Vance Wake Warren Watauga Wayne Wilkes Wilson Yadkin Yancey Out of State

Phone Number:

E-mail Address:                               Each registrant must have their own email address; no duplicates will be allowed

Please select one of the following industries below that most appropriately identifies your business. General Industry (Any industry other than government or construction industry) Construction Industry (Those who work in the construction industry) Public Sector (All government)

Please be sure this form is filled out completely and correctly.
Incomplete or incorrect registrations will delay registration.