Fillable Specialist in Safety and Health General Industry Application (Metropolitan Community College)

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Specialist in Safety and Health General Industry Application (Metropolitan Community College)

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Revised 1/25/2022
Specialist in Safety and Health
General Industry Application (SSH-GI)
Great Plains OSHA Ed Center will accept ONE Certificate of Completion from a different OTIEC toward
Certification. Proof of completion must be provided with this request.
Name:
Date Requested:
Street Address:
City:
State:
Zip:
Phone:
Email:
Required:
OSHA 511 – Standards for General Industry
Electives: (Choose three)
OSHA 521 – OSHA Guide to Industrial Hygiene
OSHA 2015 – Hazardous Materials
OSHA 2045 – Machinery & Machine Guarding Standards
OSHA 2225 – Respiratory Protection
OSHA 2255 – Principles of Ergonomics
OSHA 2264 – Permit-Required Confined Space Entry
OSHA 3095 – Electrical Standards
OSHA 3115 – Fall Protection
OSHA 501 – Trainer Course for General Industry
OSHA 510 –Standards Course for Construction Industry
NOTE:
1. PAYMENT: There is a Certification Fee of $95.00. Once the application has been received, and reviewed, you
will receive a link to make payment.
2. Your certification certificate and desk plaque will list your name exactly as listed on this application and will ship
to the address listed.
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Specialist in Safety and Health General Industry Application (Metropolitan Community College)

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Completed 8 July 2022

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