Monash University – NSCA Group training Form Request made on: <insert date> Contact name: Contact details: Phone: Email: Faculty/School/Department: Venue location (Including campus address, department, building, room number): Number of group sessions required: Dates Preferred: Refer OHS calendar for NSCA reserved dates. Dates if not booked will be released one month prior. Day 1 : Monash Internal Use only Cost Centre: Day 2: Fund Code: Select the workshop sessions. Nominate the start and end time and the sequence for the day. Total workshop time must not exceed 7 hours and please ensure there is two 15 minute breaks and a half hour break scheduled. Note: Workshop sessions will commence on time. As a consideration to all participants and the facilitator, no entry will be allowed 15 minutes after the workshop scheduled start time. Day 1 Session name Duration hours Session Time * Start Essential OH &S Risk Management : Manual Handling, Equipment & processes (mandatory) + (indicate additional inclusions) Chemicals Biologicals Radiation Field trips Workplace Safety Inspections Hazard & Incident Investigation 3 hr 1.5 hr 30 mins 30 mins 30 mins 30 mins 1 hr 1 hr Please email this form to Staff.Development @monash.edu End Indicate the session sequence for the day i.e 1, 2,3 Ergonomics & manual handling Cryogenics Hazardous substances & dangerous goods awareness Break Break ½ hour break Day 2 Session name 3 hr 1 hr 2 hr 15 mins 15 mins 30 mins Duration hours Session Time * Start Essential OH &S Risk Management : Manual Handling, Equipment & processes (mandatory) + (indicate additional inclusions) Chemicals Biologicals Radiation Field trips Workplace Safety Inspections Hazard & Incident Investigation Ergonomics & manual handling Cryogenics Hazardous substances & dangerous goods awareness Break Break ½ hour break Indicate the session sequence for the day i.e 1, 2,3 End 3 1.5 hr 30 mins 30 mins 30 mins 30 mins 1 1 3 1 2 15 mins 15 mins 30 mins Attendance List: The session organiser is responsible for ensuring an attendance list for each session is provided. Participants must sign the participant list at the conclusion of the workshop to ensure that their training record is updated. NSCA Confirmation Date: Person: Please email this form to Staff.Development @monash.edu Cancellation Date: Person: Please email this form to Staff.Development @monash.edu