1504 Springhill Ave., Ste 2515
1504
Springhill
Ave., Ste 2515
Mobile,
AL 36604-3273
1504
Springhill
Ave., Ste 2515
Mobile,
AL 36604-3273
Mobile, AL 36604-3273
143129-310400-711050-4300
143129-310400-711050-4300
143129-310400-711050-4300
Mobile, AL
Non-Profit
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Non-Profit
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Safety and Emergency Response
Training
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2016
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USA Safety and Emergency Response Training
USA Safety and Emergency Response Training
about usa Sert
Registration
Name: _______________________________________________________________________
The University of South Alabama’s Safety and Emergency Response
Training Program offers educational programs and specialized training in
the following areas:
• Hazardous Materials
• HAZWOPER Refreshers
• Confined Space
• Incident Command
• OSHA General Industry
• Fire Extinguisher
The USA Safety and Emergency Response Training Program has a broad and diverse group of clients. Our
training programs serve the needs of industry, government, and a wide range of safety and emergency
response professionals. All USA Safety and Emergency Response Training Programs comply with
local, state, and federal regulations.
The USA Safety and Emergency Response Training staff would welcome the opportunity to visit your facility and assess your specific training needs, free of charge, and assist with designing a customized training
program for your organization.
Title:_________________________________________________________________________
Organization: _________________________________________________________________
Address (for confirmations): _____________________________________________________
City:__________________________State:___________________ Zip: __________________
Phone: (____) ____________________________ FAX: (____) __________________________
E-mail: _______________________________________________________________________
Special Needs Request: _________________________________________________________
I will attend:
Course Title:__________________________Session Date:_____________Fee: ____________
Course Title:__________________________Session Date:_____________Fee: ____________
ADDITIONAL AVAILABILITY: We can schedule additional dates to train your organization’s
PAYMENT METHOD
emergency response teams. On-site training is also available. Please contact us at (251) 405-9930 for more
information and availability.
( ) Check enclosed
TRAINING STANDARDS: When choosing a training provider, it is important to look at a program’s
( ) Bill my organization Purchase Order #: _______________ATTN: ________________________
overall training standards. All USA Emergency Response Training follows the suggested core criteria set
forth in OHSA’s 29CFR 1910.120 Appendix E, NFPA 472, “Training Curriculum Guidelines.”
In addition, all USA Safety and Emergency Response Training complies with OSHA’s permit-required confined space standard (29 CFR 1910.146) OSHA Fire Protection 1910.157
All USA Safety and Emergency Response Training complies with the U.S. Homeland Security Presidential
Directive 5 (HSPD-5), Management of Domestic Incidents, which mandates a “single, comprehensive
National Incident Management System (NIMS).”
(Payable to University of South Alabama)
Check #:_____________________
PO number required for billing option. Payment Due within 15 Days of Invoice Date.
Billing address: __________________________________________________________________
City: _________________________________State:___________ Zip:
_____________________
( ) Credit Card (circle one)
Credit Card #: ____________________________________Expiration Date (mm/yy):_______
Name on card: _______________________________________________________________
Any of the programs in this brochure can be
tailored to meet the specific training needs
of your company. In-house programs are an
efficient, economical way to train key members of your organization.
For more information, call (251) 405-9929.
Remit this completed registration form and payment to
USA Center for Continuing Education
1504 Springhill Ave., Ste 2515
PH: 251.405.9929 / FAX: 251.405.9931
2015
2016
For additional registrations, please copy this form.
NOTE: Some HazMat training requires students to participate in physical activities requiring
respiratory and cardiac fitness. All students are required to complete a medical evaluation
form and appropriate medical release forms.
USA Safety and Emergency Response Training
Registration Information
TO REGISTER:
1.
2.
BY PHONE: (251) 405-9929
BY FAX:
(251) 405-9931
3.
BY MAIL:
USA Safety and Emergency Response Training
Hazwoper Training
Hazardous Waste Operations and Emergency Response
29 CFR 1910.120
Send your completed registration form and payment information to the
University of South Alabama Center for Continuing Education
1504 Springhill Ave., Ste 2515
Mobile, Alabama, 36604
All registrations are confirmed when payment or billing information has been
received. Advanced registration is required. Registrants will be notified of course cancellations 10 days prior to the start date.
REGISTRATION FEE: See individual course descriptions for registration fees. The fee includes
all course materials, refreshments, and Continuing Education Units.
HAZARDOUS MATERIALS TECHNICIAN - 40 hours, $795 per student
2014 Course Dates:
2016
Jan.
• Feb.
Jan 6-9
11-14
• Feb17-20
22-25•• Mar.
April10-13
18-21 •• May
May 12-15
16-19 •• Jun.
June23-26
27-30
Aug. 25-28
• Sept.
Oct. •20-23
• Nov.317-20
• Dec. 8-11
August
8-1115-18
• Sept •19-22
Oct 31-Nov
• Dec 12-15
Designed for individuals who respond to the release of hazardous substances in order to aggressively
stop the release. Required for any one who must enter a “hot zone.”
WASTE SITE WORKER TECHNICIAN - 40 hours, $795 per student
LOCATION: All seminars and workshops will be held at the University of South Alabama
Springhill Ave Campus. A map and directions to the location will be included with your registration
confirmation.
Course Dates: By Request
Ideal training for workers who regularly participate in activities conducted on hazardous waste
sites and may be required to wear personal protective equipment.
MEALS: Lunch will be provided for all courses conducted through the Safety and Emergency
HAZWOPER ANNUAL REFRESHER - 8 hours, $175 per student
Response Training site. Refreshments will also be provided.
TAX DEDUCTION: An income tax deduction is normally allowed for expenses related to
Continuing Education.
REFUNDS: For a full refund, only written cancellations postmarked 10 days prior to the course
start date can be accepted. We cannot make refunds after that date. Substitutions can be made at any
time. Registrants who do not attend the course and who have not complied with this policy are responsible for the full registration fee. In the event a course is cancelled for any reason, the USA Center for
Continuing Education will provide a full refund of registration fees.
SPECIAL NEEDS: If you need any of the auxiliary aids or services identified in the Americans
with Disabilities Act, please call (251) 405-9929.
2014 Course
Course Dates:
Dates:
2016
2623 •• Apr
Mar.
• Apr.
• 15
May
21 • 12
Jun.
19 23
JanJan.
20 • 21
Feb•19Feb.
• Mar
2819
• May
25 •23
Jun
• July
• Aug
Jul. 23 • Aug. Sept
13 •13Sept.
Oct.
• Nov.
• Oct 24
19 • •Nov
1515
• Dec
8 13 • Dec. 17
Serves as an annual refresher for those who have completed Hazardous Materials Technician
training. Refreshers are available with either a classroom or a drill option.
INCIDENT COMMAND - 8 hours, $175 per student
Course Dates: By Request
Prepares those who are responsible for implementing an employer’s incident command system
and emergency response plan. Course also covers working with chemical protective clothing and
the importance of decontamination procedures.
2016
2015
* SPECIAL RATES FOR VOLUNTEER FIREFIGHTERS
Please call (251) 405-9929 for details
The University of South Alabama does not discriminate in its student and employment practices in violation of any applicable laws. The University of South
Alabama is an Equal Opportunity/Equal Access educational institution.
USA Safety and Emergency Response Training
USA Safety and Emergency Response Training
OSHA General Industry Training
Fire Extinguisher & Fire Watch
GENERAL INDUSTRY SAFETY
OSHA 10 Hour: $195 per student
Course Dates: By Request
The 10 Hour General Industry Outreach Program is intended to provide entry level workers with
general awareness on recognizing and preventing hazards on a job site. OSHA recommends
training program courses as an orientation to occupational safety and health for workers covered
by OSHA 29CFR1910.
OSHA 30 Hour: $495 per student
Course Dates: By Request
The 30 Hour General Industry Outreach Program is a comprehensive safety program designed
for anyone involved in but not limited to Health Care, Manufacturing, Warehousing, Distribution
and Retail. OSHA recommends training programs as an orientation to occupational safety and
health for workers covered by OSHA 29CFR1910.
CONFINED SPACE ENTRY - 8 hours, $175 per student
Course Dates: By Request
Designed to provide employees who must enter into, work in or exit from confined spaces with
the awareness of the increased risks of exposure to physical injury from hazards such as entrapment, engulfment and hazardous atmospheric conditions. Students will master the skills necessary to minimize these risks.
FIRE EXTINGUISHER - Please call 251-405-9929 for price
This program covers the OSHA 29 CFR 1910.157 standard "Portable Fire Extinguishers." Topic
areas will included: Fire Behavior, Fire Stages, Fire Classes, Extinguisher Types, and extinguishment.
Following the classroom session, students will take part in a practical evolution. Students will be
shown and allowed to extinguish real fires..
Course Dates: By Request
FIRE WATCH - Please call 251-405-9929 for price
This course is designed to provide training for individuals currently serving as firewatch, holewatch or safety attendant, as well as for learners interested in obtaining these skills for the first
time. Areas to be covered include where hot work is and is not permitted, the safety precautions
needed to prepare an area for hot work, the roles and responsibilities or a fire watcher, responsibilities
of others involved with hot work, and what emergency procedures need to be in place for hot work.
FIRST RESPONDER AWARENESS COURSE - 8 hours
Course Dates: By Request
For individuals who are likely to witness or discover a hazardous substance release and who will
initiate an emergency response sequence by notifying the proper authorities.
FIRST RESPONDER OPERATIONS COURSE - 16 hours
Course Dates: By Request
For those who respond to releases or potential releases of hazardous substances as part of the initial response to the site for the purposes of protecting nearby persons, property or the environment from the effects of the release.
TREATMENT, STORAGE ANDSAFETY
DISPOSAL
- 24 hours
AND EMERGENCY RESPONSE
TRAINING initial and 8 hour refreshers
SAFETY AND EMER
GENCY RESPONSE
TRAINING
Course
Dates:
By Request
NOTE: Some HazMat training requires students to participate in physical activities
requiring respiratory and cardiac fitness. All students are required to complete a medical
evaluation form and appropriate medical release forms.
SAFETY AND EMERGENCY RESPONSE TRAINING
SAFETY AND EMER GENCY RESPONSE TRAINING