T

GONZALO FERNANDEZ BACA SANTA CRUZ

________________________________________________________________________________________________________________
Has successfully completed all assignments and final exam requirements for the following OSHAcademy Occupational Safety & Health Course conducted by

AF
OSHAcademy Authorized Training Provider (ATP), OSH Training Institute Latinoamerica.

Introduction to Safety Management

Topics covered in this awareness-level training include: Safety Management System Components, Commitment, Accountability, Employee Involvement,
Effective Communications, Hazard Identification and Control Strategies, Accident Investigation Basics, Safety Education and Training, and Principles of
Total Quality Safety Management.
R
______________________________
Steven J. Geigle, M.A., CET, CSHM 66973
700 7.4.2015
______________________________
Ing. Luis Baca Vergara
Training Director, OSHAcademy OSH Training Director
Student # Issue Date
CET #: 28-362, CSHM #: 1203 OSH Training Institute Latinoamerica
Peru Latino America
ATP #: 20111005LV
Certificates can be validated through the
OSHAcademy website. The content of this training conforms with U.S.
Department of Labor (OSHA) training standards and ANSI
www.oshatrain.org/atp-validate/ Z490.1-2009, Criteria for Accepted Practices in Safety,
Health, and Environmental Training.
 T
GONZALO FERNANDEZ BACA SANTA CRUZ
________________________________________________________________________________________________________________
Has successfully completed all assignments and final exam requirements for the following OSHAcademy Occupational Safety & Health Course conducted by

AF
OSHAcademy Authorized Training Provider (ATP), OSH Training Institute Latinoamerica.

Effective Accident Investigation

Topics covered in this awareness-level training include: Purpose of the Accident Investigation, Initiating the Investigation, Documenting the Accident
Scene, Conducting Interviews, Conducting Event Analysis, Determining Surface and Root Causes, Developing Recommendations, Selling Management
on Recommendations, and Writing the Accident Report.
R
______________________________
Steven J. Geigle, M.A., CET, CSHM 66973
702 7.4.2015
______________________________
Ing. Luis Baca Vergara
Training Director, OSHAcademy OSH Training Director
Student # Issue Date
CET #: 28-362, CSHM #: 1203 OSH Training Institute Latinoamerica
Peru Latino America
ATP #: 20111005LV
Certificates can be validated through the
OSHAcademy website. The content of this training conforms with U.S.
Department of Labor (OSHA) training standards and ANSI
www.oshatrain.org/atp-validate/ Z490.1-2009, Criteria for Accepted Practices in Safety,
Health, and Environmental Training.
 T
GONZALO FERNANDEZ BACA SANTA CRUZ
________________________________________________________________________________________________________________
Has successfully completed all assignments and final exam requirements for the following OSHAcademy Occupational Safety & Health Course conducted by

AF
OSHAcademy Authorized Training Provider (ATP), OSH Training Institute Latinoamerica.

Introduction to OSH Training

Topics covered in this awareness-level training include: Definition of Education and Training, Developing the OSH Training Program, Trainer Roles and
Responsibilities, Needs Analysis, Developing Goals and Operational Objectives, Developing Learning Activities, Conducting the Training, Documenting
the Training, Evaluating Training Presentations and Programs, and Improving the Training Program.
R
______________________________
Steven J. Geigle, M.A., CET, CSHM 66973
703 7.11.2015
______________________________
Ing. Luis Baca Vergara
Training Director, OSHAcademy OSH Training Director
Student # Issue Date
CET #: 28-362, CSHM #: 1203 OSH Training Institute Latinoamerica
Peru Latino America
ATP #: 20111005LV
Certificates can be validated through the
OSHAcademy website. The content of this training conforms with U.S.
Department of Labor (OSHA) training standards and ANSI
www.oshatrain.org/atp-validate/ Z490.1-2009, Criteria for Accepted Practices in Safety,
Health, and Environmental Training.
 T
GONZALO FERNANDEZ BACA SANTA CRUZ
________________________________________________________________________________________________________________
Has successfully completed all assignments and final exam requirements for the following OSHAcademy Occupational Safety & Health Course conducted by

AF
OSHAcademy Authorized Training Provider (ATP), OSH Training Institute Latinoamerica.

Personal Protective Equipment (PPE)

Topics covered in this awareness-level training include: OSHA General Requirements for Personal Protective Equipment (PPE); PPE Categories;
Employee-owned Equipment; PPE Training Requirements; Eye and Face Protection; Respiratory Protection; Head, Hand and Foot Protection; Electrical
Protective Equipment; Hearing Protection; and Hands-On PPE Training Techniques.
R
______________________________
Steven J. Geigle, M.A., CET, CSHM 66973
709 7.11.2015
______________________________
Ing. Luis Baca Vergara
Training Director, OSHAcademy OSH Training Director
Student # Issue Date
CET #: 28-362, CSHM #: 1203 OSH Training Institute Latinoamerica
Peru Latino America
ATP #: 20111005LV
Certificates can be validated through the
OSHAcademy website. The content of this training conforms with U.S.
Department of Labor (OSHA) training standards and ANSI
www.oshatrain.org/atp-validate/ Z490.1-2009, Criteria for Accepted Practices in Safety,
Health, and Environmental Training.
 T
GONZALO FERNANDEZ BACA SANTA CRUZ
________________________________________________________________________________________________________________
Has successfully completed all assignments and final exam requirements for the following OSHAcademy Occupational Safety & Health Course conducted by

AF
OSHAcademy Authorized Training Provider (ATP), OSH Training Institute Latinoamerica.

Introduction to Ergonomics
Topics covered in this awareness-level training include: Ergonomics Definitions, Risk Factor Areas (Person, Task, and Environmental), Impact of
Ergonomics Injuries, Controlling Risk Factors (Substitution, Elimination, Engineering Controls, Administrative Controls, and Personal Protective
Equipment), and Making System Improvements.
R
______________________________
Steven J. Geigle, M.A., CET, CSHM 66973
711 7.18.2015
______________________________
Ing. Luis Baca Vergara
Training Director, OSHAcademy OSH Training Director
Student # Issue Date
CET #: 28-362, CSHM #: 1203 OSH Training Institute Latinoamerica
Peru Latino America
ATP #: 20111005LV
Certificates can be validated through the
OSHAcademy website. The content of this training conforms with U.S.
Department of Labor (OSHA) training standards and ANSI
www.oshatrain.org/atp-validate/ Z490.1-2009, Criteria for Accepted Practices in Safety,
Health, and Environmental Training.
 T
GONZALO FERNANDEZ BACA SANTA CRUZ
________________________________________________________________________________________________________________
Has successfully completed all assignments and final exam requirements for the following OSHAcademy Occupational Safety & Health Course conducted by

AF
OSHAcademy Authorized Training Provider (ATP), OSH Training Institute Latinoamerica.

Safety Supervision and Leadership

Topics covered in this awareness-level training include: Overview of Supervisor Responsibilities, Identifying Hazards, Safety Inspections, Accident
Investigation, Job Hazard Analysis, Correcting Hazards, Providing Safety Training, Basic Safety Leadership Styles, Accountability and Administering
Discipline, and Creating an Effective Safety Culture.
R
______________________________
Steven J. Geigle, M.A., CET, CSHM 66973
712 7.18.2015
______________________________
Ing. Luis Baca Vergara
Training Director, OSHAcademy OSH Training Director
Student # Issue Date
CET #: 28-362, CSHM #: 1203 OSH Training Institute Latinoamerica
Peru Latino America
ATP #: 20111005LV
Certificates can be validated through the
OSHAcademy website. The content of this training conforms with U.S.
Department of Labor (OSHA) training standards and ANSI
www.oshatrain.org/atp-validate/ Z490.1-2009, Criteria for Accepted Practices in Safety,
Health, and Environmental Training.
 T
GONZALO FERNANDEZ BACA SANTA CRUZ
________________________________________________________________________________________________________________
Has successfully completed all assignments and final exam requirements for the following OSHAcademy Occupational Safety & Health Course conducted by

AF
OSHAcademy Authorized Training Provider (ATP), OSH Training Institute Latinoamerica.

Safety Management System Evaluation

Topics covered in this awareness-level training include: Safety Management System Concepts and Principles, Safety Management System Elements,
Baseline Surveys, Interviewing Techniques, Conducting Inspections, 5-Why Analysis, Cause and Effect (Fishbone) Diagrams, and Safety Management
System Evaluation Principles.
R
______________________________
Steven J. Geigle, M.A., CET, CSHM 66973
716 7.25.2015
______________________________
Ing. Luis Baca Vergara
Training Director, OSHAcademy OSH Training Director
Student # Issue Date
CET #: 28-362, CSHM #: 1203 OSH Training Institute Latinoamerica
Peru Latino America
ATP #: 20111005LV
Certificates can be validated through the
OSHAcademy website. The content of this training conforms with U.S.
Department of Labor (OSHA) training standards and ANSI
www.oshatrain.org/atp-validate/ Z490.1-2009, Criteria for Accepted Practices in Safety,
Health, and Environmental Training.
 T
AF
GONZALO FERNANDEZ BACA SANTA
Has successfully completed a CRUZ
36-hour course of study in the following
Professional Development Certificate Program with distinction:

Occupational Safety and Health

Supervisor
66973 7.25.2015
Steven J. Geigle, OSHAcademy Student # Issue Date Ing. Luis Baca Vergara

OSHAcademy Training Record

700 Introduction to Safety Management (6 h.)
702 Effective Accident Investigation (6 h.)
703 Introduction to OSH Training(6 h.)
709 Personal Protective Equipment (5 h.)
711 Introduction to Ergonomics (5 h.)
712 Safety Supervision and Leadership (6 h.)
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716 Safety Management System Evaluation (3 h.)
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Certificate of Completion
Professional Development Program

AF
This is to certify that

GONZALO FERNANDEZ BACA SANTA CRUZ

________________________________________________________________________________________________________________
Has demonstrated academic excellence with distinction by completing all academic requirements in this 36-hour OSHAcademy Professional
Development Certificate Program presented by OSHAcademy Authorized Training Provider (ATP), OSH Training Institute Latinoamerica.
This achievement demonstrates commitment and professionalism in the field of Occupational Safety and Health.

Occupational Safety and Health

Supervisor
R
______________________________ ______________________________
Steven J. Geigle, M.A., CET, CSHM 66973 7.25.2015 Ing. Luis Baca Vergara
Training Director, OSHAcademy OSH Training Director
Student # Issue Date
CET #: 28-362, CSHM #: 1203 OSH Training Institute Latinoamerica
Peru Latino America
ATP #: 20111005LV
Certificates can be validated through the
OSHAcademy website. The content of this training conforms with U.S.
Department of Labor (OSHA) training standards and ANSI
www.oshatrain.org/atp-validate/ Z490.1-2009, Criteria for Accepted Practices in Safety,
Health and Environmental Training.