Form Approved
OMB No. 0920-1154
Exp. Date XX/XX/20XX
NIOSH Heat Stress Training Log
Date |
Trainer code* |
# of Workers Attending |
Roles of Workers (List) |
How were workers selected for training? |
Notes (if needed to explain context of training) |
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*Codes for trainers (established by OSH managers) rather than names will be used (i.e., trainer A, B, C etc)
Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30333 ATTN: PRA (0920-1154).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Yeoman, Kristin (CDC/NIOSH/SMRD/MHB) |
| File Modified | 0000-00-00 |
| File Created | 2025-05-19 |