OSHA 10-Hour Construction Card Completion Roster

Tracks each student's OSHA 10-Hour Construction card issuance, completion date, and card status for CTE program accountability, transcript documentation, and employer verification.

Submission Details

• Submitted By (Instructor or Coordinator Name)
• Date of Submission
• School / CTE Program Name
• Academic Year
• Class / Section Identifier (Optional)

Student Information

• Student Last Name
• Student First Name
• Student ID Number
  Enter the district-assigned student ID. Do not enter Social Security numbers.
• Grade Level
• Student Email Address (Optional)
  Used only for card delivery notification if applicable.

OSHA 10-Hour Training Details

• Training Start Date
  First day of the OSHA 10-Hour instruction for this student.
• Training Completion Date
  Date the student completed all 10 required contact hours.
• OSHA Authorized Outreach Trainer Name
  Name of the OSHA-authorized trainer who delivered the course. Must hold a current OSHA Outreach Trainer card for Construction.
• Trainer Authorization Number / Card Number (Optional)
  OSHA trainer card number for verification purposes.
• Training Delivery Format
• Did the student complete all 10 required contact hours?
• Reason for Incomplete Hours
  If the student did not complete all 10 hours, briefly explain. No card can be issued for incomplete training per OSHA Outreach Program rules.

Card Issuance and Status

• Date Card Request Submitted to OTI
  Date the authorized trainer submitted the student's completion to the OSHA Training Institute for card production.
• Card Issuance Status
• Date Card Received by Program
  Date the physical OSHA 10 card arrived at the school or program office.
• Date Card Distributed to Student
  Date the student physically received their OSHA 10-Hour wallet card.
• OSHA Card Number (if printed on card)
  Record the unique card number printed on the wallet card for verification purposes.
• Has this completion been added to the student's transcript or program record?
• Is a copy of the card retained in the program file?
  Retaining a copy supports audit trail and employer verification requests.

Instructor Review and Audit Trail

• Record Verified By (Instructor / Coordinator)
• Verification Date
• Instructor / Coordinator Signature
  Digital signature confirms the accuracy of this student's OSHA 10-Hour completion record.
• Flag This Record For
  Select any conditions that require follow-up action.
• Additional Notes
  Record any exceptions, follow-up actions, or context relevant to this student's OSHA 10 completion record.