Hybrid 17 Certification Record

Hybrid 17 Certification Record
Please ensure to upload photos/files of ALL your valid licenses / certifications at the link above in ONE form submission.

*If you will be the driver of any hybrid company vehicle this season (rented or owned) please fill out this separate form as soon as you can - Lasse needs this information to arrange the rental trucks in advance*

We need to have photos/files of each certification for them to be recognized. You can take photos from your phone or upload files from your computer. Thanks y'all.

Again, here's a list of certifications we keep records of:

OFA 1/TE/3
Driver's license & abstract (kept seperate)
S100
S100a (annual refresher course)
Supervising for Safety
WorksafeBC JOHSC Fundamentals
Danger Tree Assessor
BCTS EMS
Foodsafe (or equivalent)
Chainsaw Safety
Name*

First NameLast Name
Crew*
Treeplanting role*

TreeplanterJOHSC memberCrewbossChecker / Camp First AiderCookSupervisorOther
FIRST AID
OFA 1 #
OFA 1 expiry

MonthDayYear
Date
OFA TE #
OFA TE expiry

MonthDayYear
Date
OFA 3 #
OFA 3 expiry

MonthDayYear
Date
Please upload a photo of your certification(s) at the end of this form.
FIREFIGHTING
We will be organizing a pre-season S100 course around Burns Lake for those that do not have it and require it.
Will you be taking the S100 before the season?

YesNo
If you have taken the full S100 course within the past five years, you must take the S100A to keep your certification valid for this season. Please take the S100A refresher at this link:

www.s100a.com

When completed, under payment type choose Company Billing and enter "Hybrid 17 Contracting Ltd". The certification will be sent directly to Hybrid.
S100A completed?

YesNo
Please upload a photo/file of your original S100 at the end of this form, if you have it.
SUPERVISING FOR SAFETY
If you are a new crewboss or JOHSC member, we are asking that you each work through the supervising for safety modules and provide us with a certificate of completion. The link is at: http://www.supervisingforsafety.com

There is a simple login registration process to activate an account. The training does not need to be completed all at one time - it is possible to log out and come back to complete the modules at a different time. It is suggested on the site that this training takes about 7 hours to complete.

If you have done this in the past it is still valid.
Supervising for Safety*

YesNo
Please upload a photo/file of your Supervising for Safety to at the end of this form if you have it.
WORKSAFE_BC JOHSC FUNDAMENTALS
If you are on the JOHSC, we are asking that you work through the online component of the WSBC course. The link is at: http://www.worksafebc.com

There is a simple login registration process to activate an account. The training does not need to be completed all at one time - it is possible to log out and come back to complete the modules at a different time.

If you have done this in the past it is still valid.
WorksafeBC JOHSC Fundamentals*

YesNo
Please upload a photo/file of your JOHSC Fundamentals
OTHER
Danger Tree Assessor #
Danger Tree Assessor Expiry

MonthDayYear
Date
Foodsafe (or equivalent)

YesNo
Naloxone Training

YesNo
Chainsaw Safety Course

YesNo
Please list any other relevant certifications you have here:
eg. ATV formal training, small engine repair, BCFSC incident investigation
UPLOAD PHOTOS/FILES
Certification / License Upload

Cancelof
Please ensure to upload photos/files of ALL your valid licenses / certifications at the link above in ONE form submission.

We need to have photos/files of each certification for them to be recognized. You can take photos from your phone or upload files from your computer. Thanks y'all.

Again, here's a list of certifications we keep records of:

OFA 1/TE/3
Driver's license & abstract (kept seperate)
S100
S100a (annual refresher course)
Supervising for Safety
WorksafeBC JOHSC Fundamentals
Danger Tree Assessor
Foodsafe (or equivalent)
Chainsaw Safety
Signature*

Clear
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