FIELDCARD
F O R
P AR T I C I P AN T
Name and student number:
Department/unit:
Institutt for Petroleumsteknologi
Information about the fieldwork:
All activities related to UiS courses (excursions, field work
etc.)
Place: outside of UiS.
This card is valid trough:
3 years from signature date
Next of kin:
Address of next of kin:
Phone number of next of kin:
Your phone number:
I confirm that I have read the HSE procedure with attachments "Fieldwork, field courses, field
trips," and other relevant HSE documents on
http://www2.compendiapersonal.no/Kunder/uis/hms.nsf/unique/7A07BBD54B112850C1257CA70
06B9ADB or
R:\PGE_documents\Field_trips\Field_Prep_Documents_Required_As_of_March_2014.
I confirm that I will appear according to the current HMS-procedures with attachments, and that I
will act in a safe manner for myself and other people's safety is assured.
Place/date:
Signature:
Hand in the completed card to the administration at IPT!
Oppdatert 23.04.2014
The completed cards will be kept at IPT.