OSHA Form 4-50.14 OTIEC Monthly Summary Report Trainer Information

OSHA Outreach Training Program and OSHA Training Institute Education Centers Program Forms

4-50.14 OTIEC Monthly Summary Report Trainer Information.xlsx

OMB: 1218-0262

Document [xlsx]
Download: xlsx | pdf

Overview

Trainer Information
Lists


Sheet 1: Trainer Information





























* REQUIRED










* Trainer Program Authorizations

OTIEC*





Mailing Address*

General Industry Construction Maritime Disaster Site

OTIEC Prefix* Name Prefix *Last Name *First Name MI Name Suffix Address1 Address2 Address3 City State ZipCode Phone *Email Address Card # Date Issued Card # Date Issued Card # Date Issued Card # Date Issued ET&Dinfo CalOSHA
see burden box below



























































































































































































































































































































































































Paperwork Reduction Act Statement














OMB Control Number: 1218-0262
Expiration Date: XXX 2023




According to the Paperwork Reduction Act of 1995, no persons are required to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estiamated to average 1 hour per response, including time for reviewing instructions, searching for existing data sources, gathering and maintaining the data need, and completing and reviewing the collection of information.The information is used to used to maintain a database of all OSHA authorized Outreach Training Program trainers. This form is completed monthly by the OTI Education Centers after completion an Outreach train the trainer course. Information provided is those students who have successfully completed the course. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Occupational Safety and Health Administration, Directorate of Standards and Guidance, 200 Constitution Avenue, NW, Room N3718, Washington, DC 20210 and reference the OMB Control Number. Note: Please do not return the completed OSHA Form to this address.


OSHA Form
(July 2017)







































































































































































































































































































































Sheet 2: Lists

OTIEC OTIEC Abbreviation OTIEC Prefix per OTIEC

OTIEC Prefix in Numeric Order

Atlantic OSHA Training Center AOTC 12

11

Arizona State University ASU 40

12

Chabot-Las Positas Community College CHABOT 32

13

California State University of Dominguez Hills CSUDH 31

14

Eastern Kentucky University EKU 16

15

Florida State College at Jacksonville FSC 37

16

Great Lakes Regional OTI Education Center GLAKE 21

17

Georgia Tech Research Institute GT 17

18

Keene State College KEENE 11

19

Metropolitan Community College MCC 27

20

Mid-America OTI Education Center MIDAM 23

21

Mid-Atlantic OSHA Training Institute MIDATL 14

23

Midwest OSHA Education Center MOEC 28

24

Mid-South OTI Education Center MSOUTH 39

25

Mountain West OSHA Education Center MTWEST 29

26

National Resource Center NRC 15

27

National Safety Education Center NSEC 24

28

Rochester Institute of Technology RIT 13

29

Rocky Mountain Education Center (Red Rocks) RM 30

30

Southeastern OTI Education Center SE 18

31

Texas Engineering Extension Service TEEX 25

32

University of Alabama UA 19

34

University of California San Diego UCSD 34

35

University of South Florida USF 20

37

University of Texas at Arlington UTA 26

38

University of Washington UW 35

39

Volunteer State Community College VOL 38

40

































































































































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