OSH Manager Certificate

Occupational Safety and Health Manager Certificate Occupational Safety and Health Manager Certificate Application Form

Requirements for Certificate of Completion

  • To earn the Occupational Safety and Health for Managers and Supervisors certificate, the individual will have to successfully complete 8 required courses and 2 elective courses.
  • All of the required courses must be completed through CSUDH OTI Education Center.
  • All courses must be completed within a 5 year period.
  • Courses taken through other official OSHA Training Institute Education Centers can be used to fulfill up to four courses required for the certificate of completion.

Student Information


[Name as it should appear on the printed Certificate]

[Include Street Address, City, State and Zip Code]

Certificate Courses (check all that apply)

Required (8 Courses)









Electives (3 Courses)








Student Signature