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Run: OSHA 10 and 30-Hour Card Verification Log

Track each worker’s OSHA 10 or 30-hour Outreach card details, validity window, and verification outcome in one jobsite-ready log. Use it to confirm credentia...

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Employee Identification

Employee Full Name (required)

Employee ID / Badge Number

Optional internal identifier. Do not enter Social Security numbers.

Job Title / Trade (required)

Employer / Subcontractor Company (required)

Jobsite Name / Location (required)

OSHA Outreach Card Details

OSHA Training Level (required)

Select the level printed on the card.

Card / Certificate Number (required)

The unique identifier printed on the OSHA Outreach wallet card. Used to cross-reference with trainer records if needed.

Card Issue Date (required)

Date printed on the card. OSHA Outreach cards do not expire, but some state laws and project specifications impose a validity window (commonly 5 years).

Authorized Trainer Name (required)

Trainer ID / Trainer Card Number (required)

The OSHA-issued trainer authorization number. Required to confirm the trainer was authorized at the time of course delivery.

Training Provider / Sponsoring Organization

The OSHA-authorized sponsor organization through which the trainer delivered the course.

Photo of OSHA Card (Front and Back)

Upload a clear image of both sides of the wallet card for the audit trail. Ensure the image is legible. PII on the card is protected per your organization's data retention policy.

Replacement Window and Validity Assessment

Does this project or contract specify a card validity window? (required)

Specified Validity Window (years)

Enter the number of years the card is considered valid per project specs, state plan, or contract requirement (e.g., 5).

Is the card within the required validity window?

Is a replacement or renewal card required? (required)

A replacement card may be needed if the original is lost, damaged, or outside the project validity window.

Replacement Card Requested On

Date the employee or employer initiated a replacement card request.

Replacement / Renewal Deadline

Date by which the replacement card or re-training must be completed before the employee may continue work.

Verification Outcome

Date of Verification Check (required)

Verified By (Name) (required)

Verifier Title / Role

Verification Method Used (required)

Select all methods used to confirm card authenticity.

Verification Outcome (required)

Corrective Action / Follow-Up Notes

Describe any corrective actions taken, follow-up steps required, or additional context relevant to this verification record.

Verifier Signature (required)

Digital signature of the safety officer or supervisor completing this log entry.

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