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.