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Run: OSHA 10-Hour Construction Card Completion Roster

Track OSHA 10-Hour Construction card completion, issuance, and verification in one roster. Use it to document training status, support transcripts, and answe...

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Submission Details

Submitted By (Instructor or Coordinator Name) (required)

Date of Submission (required)

School / CTE Program Name (required)

Academic Year (required)

Class / Section Identifier (Optional)

Student Information

Student Last Name (required)

Student First Name (required)

Student ID Number (required)

Enter the district-assigned student ID. Do not enter Social Security numbers.

Grade Level (required)

Student Email Address (Optional)

Used only for card delivery notification if applicable.

OSHA 10-Hour Training Details

Training Start Date (required)

First day of the OSHA 10-Hour instruction for this student.

Training Completion Date (required)

Date the student completed all 10 required contact hours.

OSHA Authorized Outreach Trainer Name (required)

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 (required)

Did the student complete all 10 required contact hours? (required)

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 (required)

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? (required)

Is a copy of the card retained in the program file? (required)

Retaining a copy supports audit trail and employer verification requests.

Instructor Review and Audit Trail

Record Verified By (Instructor / Coordinator) (required)

Verification Date (required)

Instructor / Coordinator Signature (required)

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.

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