Utility Tree Worker Safety Training by akgame


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                                                                                                                                                                                 Utility Tree Worker Safety Training


                                                                                                                        Ea                                                       Please print clearly

                                                                                                                          sy t
                                                                                                                                                                                 Date: ____________ Student I.D. Number: _______________

                                                                                                                                                                                 First Name:________________________________________
                                                                                                                              o                                                  Middle Name: _____________________________________

                                                                     To ensure your enrollment                                                                                   Last Name: ________________________________________
    March 1-12                                                           in class please register                                        Phone:
                                                                                                                                                                                 Maiden Name: _____________________________________

                                                                                                                                                                                 Email Address: _____________________________________
         2010                                                                as early as possible                                        Rachel at 403-556-4677 OR               Date of Birth: (month / day / year)
                                                                                                                                         Nancy at 403-507-7956

                                                 u expl
                                                                                                                                                                                 Marital Status: o Single o Married o Other Gender: o F o M
                                                                                                                                         Gloria at 403-556-8299                  Mailing Address: ____________________________________
                                                                             Fees are due at time                                        or 1-800-661-6537 ext. 4677 /
                                                                                                                                                                                 City/Town: ________________________________________
                                                                                                                                         7956 / 8299. Visa or MasterCard only
                                                                                  of registration.                                                                               Province: ________________ Postal Code: ______________

                                                     help yo
                                                                                                                                         Fax:                                    Home Ph: _______________ Business Ph: ______________

  Utility                                                                                                                                Complete registration form and fax to
                                                                                                                                         403-556-4711. Visa or MasterCard only
                                                                                                                                                                                 Fax: ___________________

                                                                                                                                                                                 Fee enCLoSeD: (GSt exempt)

    Tree                                                                Confirmation of Registration: Once                               Mail:

                                                   ada. We
                                                                       you have been registered in a course, you                         Complete registration form and          On or before Feb 15, 2010          After Feb 15, 2010
                                                                       will receive a confirmation of registration                       address envelope to:                    IVMAA members o $ 2100 o $ 2200
                                                                      through the mail together with a map of

  Worker                                                             the college.                                                           Olds College                         Non-members         o $ 2350 o $ 2450
                                                                                                                                            Continuing Education                 Stump Treatment Certificate Tutorial:
                                                                    If you do not receive this within two weeks of                          Registrar’s Office                                       o Course Fee $25 + GST ($26.50)

                                                                   registering, please contact us at 403-507-7956
                                                                                                                                            4500 - 50 Street

  Safety                                                          or 1-800-661-6537 ext. 7956.                                                                                                       o Certification Fee $100 (GST exempt)
                                                                                                                                            Olds, Alberta T4H 1R6                Due at time of registration total Fee enclosed: $: __________
                                         n in                     Refund and Cancellation Policy: Continuing
                                                                Education courses and programs are offered on a                          In Person:

                                                              full cost recovery basis.                                                  Student Services                        MethoD oF PayMent:

                                                        Application for a course fee refund that is received                             Duncan Marshall Place Building          o Cheque (enclosed)        – payable to Olds College
                                                       at Olds College two (2) full weeks prior to the course                            Mon – Fri. 8:15 am – 4:30 pm                                       – no postdated cheques will be accepted
                                                      start date will be granted in full (less any applicable course                     Visa, MasterCard, cash,
                         -life, hands-on educ

                                                                                                                                                                                 o Visa o MasterCard
 for the IVMAA                                       specific deposits that are non-refundable), as long as the
                                                    request is accompanied by the original course receipt.                               money order or cheque                   Card Number: ______________________________________
                                                                                                                                                                                 Expiry Date: (month / year) _____________________________
                                                    Refund requests received less than two (2) full weeks prior to
                                                   the course will be subject to a 50% processing and service                                                                    Card Holder Name: __________________________________
                                                  fee, less any non-refundable deposits. Non-attendance does                                                                     Signature: ________________________________________
                                                  not constitute notice of withdrawal. No refunds will be issued
                                                  after the commencement of a course.                                         need accommodations in olds?
                                                                                                                                      Call Olds College Residence
                                                  In the event that a course is cancelled, registrants will                                                                      FOIP Statement: The personal information which you provide on this
                                                   automatically receive a full refund, unless they advise the          403-556-8330 or 1-800-661-6537 ext. 8330                 application form is being collected under the authority of the Freedom of
                                                    Registrar’s office of their desire to transfer to another course.           OR view the Town of Olds web site:               Information and Protection of Privacy legislation of the Government of the
                                                     Olds College reserves the right to cancel any course                     www.town.olds.ab.ca/accommod.html                  Province of Alberta for the purpose of registering for a Program or Course
                                                     in which the minimum student registration is not                                                                            through Continuing Education at Olds College; Conducting program/course
                                                                                                                                                                                 evaluation and research and creating a mailing list for future program, course
                                                      achieved and to make changes in course content as                                                                          opportunities. In certain instances, this information may be shared with third

                                                        circumstances may require. Every effort will be made to                                                                  party organizations who are actively involved in providing specific educational
Continuing                                               advise students by telephone or mail of cancellations                                                                   offerings. Public inquiries concerning the collection, use and disclosure of
                                                           before commencement date.                                                                                             personal information provided on this application form should be directed to the
                                ads r

E d u C at i o n                                                                                                                                                                 Olds College FOIP Coordinator.
www.oldscollege.ca/utw                                        This policy applies to all Continuing Education                                                                    If you object to information being shared with third party organizations associated with
                                                               course offerings unless otherwise noted for                                                                       Olds College courses, please check the box to the right. o
                                                                 specific courses or programs. With-drawal for

                                                                  compassionate reasons will be considered on an                  For More InForMatIon                           Aboriginal Ancestry: If you wish to declare that you are an Aboriginal
                                        ge l

                                                                   individual basis.                                                                                             person, please specify: o Status Indian/First Nations        o Metis
                                                                                                                                                                                                           o Non-Status Indian/First Nations o Inuit
                                                                                                                                Call: 1-800-661-6537 ext.4677                    Alberta Advanced Education and Technology is collecting this personal

                                                                        This brochure was published for                                 or 403-556-4677                          information pursuant to Section 33(c) of the FOIP Act as the information relates
                                                                                                                                                                                 directly to and is necessary to meet its mandate and responsibilities to measure
                                                s Co

                                                                         information purposes only. It sets forth                                                                system effectiveness and develop policies, programs and services to improve
                                                                           the program intentions of Olds College               email: coned@oldscollege.ca                      Aboriginal learner success in addition to other legislation applicable to the
                                                                             who reserves the right to cancel any                                                                educational institution.

                                                                              program or course, and to alter fees                www.oldscollege.ca/utw                         For further information or inquiries contact the FOIP Coordinator, Olds College,
                                                                                and charges as necessary.                                                                        4500 - 50th Street, Olds, AB T4H 1R6, (403) 507-7912, hczarnota@oldscollege.ca
        Utility Tree Worker Safety Training

                                                                                                                                                                                                                                                                 This entire form must be completed and signed by a representative from a Utility Company, REA

                                                                                                                                                                                                                                                                                                                                                                 this is to confirm that : ____________________________ ➨(student’s name) has performed

                                                                                                                                                                                                                                                                                                                                                                                                                                                              ➨ No. of work hours around powerlines:


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Name: _______________________________________________ ____________________________________________________________________

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Position: ________________________ Bus. Ph: _____________ ____________________________________________________________________

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Signature: ____________________________________________ ____________________________________________________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     operating a chainsaw

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     operating a lift truck
            for the Industrial Vegetation Management Association of Alberta

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     running a chipper
              Safety is vital to your job as a Utility            under the supervision of a certified Utility Tree Worker or certified   Student Supplies
              Tree Worker. This course, recognized by             Utility Tree Trimmer.
                                                                                                                                          Your must bring the following items:
               organizations and companies in your
                profession, gives you the safety skills           Utility tree trimmer Certificate

                                                                                                                                          tree Climbing equipment:
                necessary to remove or trim trees near            1200 hours experience, documented in an IVMAA Log Book,
                 energized powerlines. This course is one         performing tree work near energized powerlines under the                   100-150 feet of half-inch braided nylon climbing rope
                 of the components you must complete              supervision of a certified Utility Tree Worker or certified Utility        (3 strand is not acceptable)
                 to be certified as a Utility Tree Worker or      Tree Trimmer, including 600 hours of aerial trimming near

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               other related experience: (please provide details)
                                                                  energized powerlines under the supervision of a certified Utility          tree climbing belt and safety strap(s), CSA approved
                 Utility Tree Trimmer in Alberta.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                       tree and brush work for a total of _____ months.
                                                                  Tree Trimmer.                                                              tree spurs, CSA approved – available at Canadian Forestry
                 Location: Olds College
                                                                                                                                             Supplies, Edmonton; Century Sales, Edmonton; All Power,

                                                                                                                                                                                                                  or Vegetation Management Contracting Company. Submit completed form with registration payment.
                 Date:     March 1 - 12, 2010                     Utility Tree Workers and Utility Tree Trimmers must attend
                                                                  a Recertification course within 5 years after obtaining their              Edmonton; Arborist Supply Co. Ltd., Calgary or Vermeer
                Fees:                                                                                                                        Sales & Service, Edmonton and Calgary
                                                                  certification and every 5 years thereafter.
               IVMAA Members:
              $2100 ($2200 after Feb 15, 2010)                    This course was created and is maintained by the Industrial                chainsaw pants or chaps,
             Non-Members:                                         Vegetation Management Association of Alberta (IVMAA) in                    CSA, ULC or WCB BC approved
            $2350 ($2450 after Feb 15, 2010)                      association with the Electrical Safety Technical Service Division          gloves
                                                                  of Alberta Labour, Olds College and major utilities and their
           Course fee includes the course manual, refreshment     contractors in Alberta.                                                    CSA approved work boots
        breaks and parking fees. Course fee does not include                                                                                 – sport/street shoes are not acceptable
      the IVMAA application fee for certification which is an
     additional $105 for members and $315 for non-members.        Course agenda                                                              hard hat certified to CSA standard Z94.1-92
                                                                  The course will include:                                                   (Class E Industrial Headwear) with hearing protection
   (IVMAA fee subject to change)
                                                                                                                                             and face shield or separate eye protection
                                          CEU’s pending for ISA   n Safe work near energized lines

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Name: _______________________________________________

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Mailing Address: ________________________________________

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              City: _______________ Province: ____ Postal Code:__________
                                                                  n Electrical hazard awareness                                              calculator with basic math functions
 eligibility Criteria                                             n Safety regulations
                                                                  n Chainsaw operation                                                       optional (if possible) – topping saw (light weight) and
Enroll in this course today if you work in the vegetation
                                                                  n Introduction to arboriculture                                            bucking saw (20” bar)
management industry and are involved with the removal             n Ropes, knots and rigging

                                                                                                                                                                                                            Confirmation of Work ExpEriEnCE:
or trimming of trees near energized powerlines and wish           n Tree climbing / tree rescue
to upgrade your safety knowledge. you must have six               n Aerial trimming / bucket rescue
 months of related work experience in tree and brush              n Hazard tree removal
  work around powerlines. State where related experience          n Job planning and preparedness procedures                               Stump treatment
    was obtained on attached Confirmation of Work                 n Stump treatment (optional)
     Experience Form.
                                                                                                                                           Certificate tutorial
                                                                                                                                           During the course a Special: Stump Treatment Pesticide
                                                                  The Industrial Vegetation Management Association of Alberta,             Certificate tutorial and exam are being offered. The Stump
        Certification Qualifications                              in association with the Work and Safety Standards Division

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    representative Information:
                                                                                                                                           Treatment Pesticide Certificate is required by individuals
         After successful completion of this course               of Alberta Labour requires certified Utility Tree Trimmers and
                                                                                                                                           applying herbicides to stumps and is available only to
                                                                  Utility Tree Workers to complete a recertification course within

                                                                                                                                                                                                                                                                                                                                                                                                                                                          Company Information:
           students can apply to IVMAA for certification                                                                                   individuals with a Utility Tree Worker or Utility Tree Trimmer
                                                                  five years of obtaining their initial certification and every five
             once they have completed the following                                                                                        Certificate. The Stump Treatment tutorial and exam are an
                                                                  years thereafter.
               required hours of work experience:                                                                                          optional part of the course.

                                                                                                                                                                                                                                                                                                                                                                        Please print clearly
                                                                  Industrial Vegetation Management Association of Alberta (IVMAA)
                   Utility tree Worker Certificate                Box 156, Picture Butte, AB T0K 1G0                                       Course Materials: $25.00 plus GST ($26.50)
                    1200 hours experience, documented             Phone: (403) 738-4798                                                    Certification Fee: $100.00 (GST exempt)
                       in an IVMAA Log Book, performing           Fax: (403) 738-4523
                         tree work near energized powerlines      Email: ivmaa@telusplanet.net

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