department of athletics policies & procedures - UNC Wilmington ...

FORM B:
THE UNIVERSITY OF NORTH CAROLINA WILMINGTON
DEPARTMENT OF ATHLETIC TRAINING
ANNUAL TRAINING FOR RETURNING STAFF
OSHA CFR 29 Part 1910.1030 BLOODBORNE PATHOGENS STANDARD
YEAR: ______________
This is to certify that __________________________________
(Name)
Soc. Sec. No.: _____________________ Title: ______________________
has completed the Department of Athletic Training’s training on the OSHA
Standard on Blood borne Pathogens on the following date. This training will need
to be renewed in one year.
Signature: ____________________________ Date : ___________________
Director of Athletic Training Signature: ___________________________
This form pertains to the requirements of the OSHA Standard on Occupational Exposure to
Blood borne Pathogens as appears in the Federal Register, December 6, 1991, 29 CFR
Part 1910.1030.
168