Child Labor Law Hazardous Occupation
Student Learner Exemption Agreement
(This form is offered to all registered ACT students and acknowledges the student's participation in a recognized youth vocational training program. Through this program, you can perform jobs that they would typically be restricted from performing)
The following are occupations for which the exemption applies:
X - On a scaffolding, roof, superstructure, residential or non-residential building construction, or ladder above 6 feet.
X - In the operation of power-driven woodworking machine.
X - In the operation of power-driven metal forming, punching, or shearing machines.
X - Excavation operations.
X - Working on electric apparatus or wiring.
X - Operating or assisting to operate, including starting, stopping, connecting or disconnecting, feeding or any other activity involving physical contact associated with operating, tractors over 20 PTO horsepower, any trencher or earthmoving equipment, forklift, or any harvesting, planting, or plowing machinery, or any moving machinery.
In accordance with Section 450.061(2), the undersigned attest to the following:
1. The student learner is enrolled in a youth vocational training program under a recognized state or local educational authority
2. The work of the student learner in the occupation declared particularly hazardous is incidental to the training received.
3. That the work performed shall be intermittent and for short periods of time and under the direction and close supervision of a qualified and experienced person.
4. That safety instruction shall be given by the school and correlated by the employer with the on-the-job training.
5. That the student has a schedule of organized and progressive work processes to perform on the job.