CBT Reservation Form

 

 

Contractors’ Safety Council

Of Brazosport, Inc.                                        Your Company Name:___________________________

1400 Velasco Blvd.                                       

Freeport, Texas 77541                                  Company Phone #:      ___________________________

Phone # (979) 233-1818

Fax # (979) 239-4384                                     Company Fax #:           ___________________________

www.cscbrazosport.org

Your Company Contact Person:___________________

 

    ***DATE TO ATTEND ORIENTATION: ___________

 

Choose from the following CBT Courses:

 

ASB                (Asbestos)                                                      FWH               (Fire watch)

CST                 (Confined Space)                                            JLG                 (Aerial Lift)

DOWSWP      (Dow Safe Work Permit)                               OTHER          (New CBT’s)

EQCST           (Equistar Confined Space)                             RIGGER        (Rigger)

EQLTT           (Equistar Lock Out)                                       DOWIOE                (Dow Isolation of Energy)

FKL                (Forklift)                                                         SCI                  (Scaffolding)

FLAGGER     (Flagger)                                                         VDP                (Vehicle Drivers Safety Program)

 

 

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SS NUMBER

CBT COURSES

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1.      Form must be faxed in to CSC office at least 2 hours prior to training date.

2.      By registering a participant it is understood that there will be a charge for no-shows, and Failures.

3.      All Participants must bring State or Government issued Photo ID with them to class.