Get Professional Safety Experience Form

Completing the Professional Safety Experience Form online is a crucial step for individuals seeking professional safety experience credit. This guide offers clear, step-by-step instructions to assist you in effectively filling out the form to ensure your application is thorough and accurate.

Follow the steps to complete the Professional Safety Experience Form.

1. Press the ‘Get Form’ button to access the Professional Safety Experience Form and open it in your chosen editing environment.
2. Begin by entering your applicant information. Fill in your first name, middle initial, last name, and any applicable maiden or other legal names. Provide your Social Security number.
3. In the position section, indicate the dates you were employed in the position using the MM/YY format. Input your position title and total months in the position.
4. Answer whether the primary function of this position involved safety practice. Indicate if the position was full-time or part-time, and specify the average number of hours worked per week.
5. Detail the portion of your job duties that were safety-related and confirm if safety-related duties comprised at least 900 hours per year.
6. When filling out the employer section, provide the employer's name, address, major product or service, supervisor's name, and their contact information.
7. For the professional safety experience summary, indicate the percentage of your time devoted to each area listed and ensure they total 100%. Include hazard identification, control, evaluation, and more.
8. Continue to the details for the top three job activities. List the activities where you spent the most time, including descriptions and examples of work products for each.
9. Once all sections of the form are completed and reviewed for accuracy, save the changes you have made. You can then choose to download, print, or share the form if needed.

Start completing the Professional Safety Experience Form online today to advance your career in safety.