ELECTRICAL SAFETY & TECHNICAL TRAINING 2019 TRAINING CALENDAR - EsaSafe

 
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ELECTRICAL SAFETY & TECHNICAL TRAINING 2019 TRAINING CALENDAR - EsaSafe
ELECTRICAL SAFETY &
TECHNICAL TRAINING
2019   TRAINING CALENDAR
ELECTRICAL SAFETY & TECHNICAL TRAINING 2019 TRAINING CALENDAR - EsaSafe
2019                     TRAINING CALENDAR
                                    SAFETY AND TECHNICAL TRAINING

                                                                                             90023313     Ottawa – Best Western Plus,         October 2, 2019 8:00 AM –5:00 PM
                                                                                                          1876 Robertson Rd
                                 ELECTRICAL SAFETY IN THE WORKPLACE
                                 (CSA Z462-18)                                               90023337     Sarnia – Best Western Guildwood September 25, 2019 8:00 AM –5:00 PM
                                                                                                          Inn, 1400 Venetian Blvd

                                                                                             90023318     Windsor – Holiday Inn & Suites,     January 16, 2019 8:00 AM –5:00 PM
FULL-DAY COURSE                                                                                           1855 Huron Church Rd
n Explain the intention of CSA Z462-18.

                                                                                             90023319     Windsor – Holiday Inn & Suites,     June 12, 2019 8:00 AM –5:00 PM
n Explain the importance of the Ontario Electrical Safety Report.                                        1855 Huron Church Rd
nDiscuss the 2018 revisions to CSA Z462
	
 aDescribe the scope and application of CSA Z462
 aDiscuss reference publications and definition                                                                               OVERVIEW OF ELECTRICAL
 aDiscuss safety-related work practices
 aDiscuss general requirements for electrical safety related work practices
                                                                                                                              SAFETY IN THE WORKPLACE
 aDescribe how to establish an electrically safe work condition                                                               (CSA Z462-18)
 aDescribe work involving electrical hazards
 aDescribe safety related maintenance requirements                                       THIS HALF-DAY OVERVIEW COURSE IS DESIGNED AS A “REFRESHER”
 aDescribe safety issues related to special equipment                                    OF THE FULL-DAY COURSE
                                                                                         n Identify and describe the types of electrical hazards.

                                                                                         n Describe the key elements of an electrical safety program.
90023258       Barrie – Hampton Inn & Suites,      April 26, 2019 8:00 AM –5:00 PM
               74 Bryne Dr                                                               n Apply risk assessment methods to real-life scenarios.

90023302       Barrie – Hampton Inn & Suites,      July 19, 2019 8:00 AM –5:00 PM
                                                                                         n Define new terminology in CSA Z462-18.

               74 Bryne Dr

90023309       Barrie – Hampton Inn & Suites,      November 29, 2019 8:00 AM –5:00 PM                      Barrie – Hampton Inn &
               74 Bryne Dr                                                               90023238          Suites, 74 Bryne Dr               April 5, 2019 8:00 AM –12:00 PM

               Belleville – Fairfield Inn & Suites, March 6, 2019 8:00 AM –5:00 PM                         Barrie – Hampton Inn &
90023316                                                                                 90023300                                            July 12, 2019 8:00 AM –12:00 PM
               407 North Front St                                                                          Suites, 74 Bryne Dr
               Cambridge – Cambridge                                                                       Barrie – Hampton Inn &
90023326       Hotel & Conference Centre,          April 3, 2019 8:00 AM –5:00 PM        90023307          Suites, 74 Bryne Dr               November 15, 2019 8:00 AM –12:00 PM
               700 Hespeler Rd
                                                                                                           Mississauga – Holiday Inn &
               Cambridge – Cambridge                                                     90023293                                            November 19, 2019 8:00 AM –12:00 PM
                                                                                                           Suites, 2565 Argentia Rd
90023327       Hotel & Conference Centre,          November 6, 2019 8:00 AM –5:00 PM
               700 Hespeler Rd
               Hamilton – Admiral Inn,
90023340                                           April 10, 2019 8:00 AM –5:00 PM
               149 Dundurn St N                                                                                               CONTROL OF HAZARDOUS
90023310       Kingston – Holiday Inn Express,     September 11, 2019 8:00 AM –5:00 PM
                                                                                                                              ENERGY (LOCK-OUT AND TAG-OUT)
               11 Benson St
               London – Ramada London,
90023321                                           May 8, 2019 8:00 AM –5:00 PM
               817 Exeter Rd                                                             n   R ecognize why proper lock-out and tag-out is critical to saving lives and the
                                                                                              consequences of improper lock-out and tag-out procedures.
               London – Ramada London,
90023322                                           December 18, 2019 8:00 AM –5:00 PM         Describe the legal requirements of the Occupational Health & Safety Act and
               817 Exeter Rd                                                             n

                                                                                               Regulations for disabling hazardous energy.
90023272       Markham – Homewood Suites           April 18, 2019 8:00 AM –5:00 PM
               by Hilton, 50 Bodrington Ct
                                                                                         n     Describe the requirements of the Ontario Electrical Safety Code (OESC) for disabling
                                                                                                hazardous energy.
90023273       Markham – Homewood Suites           September 12, 2019 8:00 AM –5:00 PM   n      Identify the basics required in a proper lock-out and tag-out procedure.
               by Hilton, 50 Bodrington Ct
               Mississauga – Holiday Inn &                                                                Barrie – Hampton Inn & Suites,
90023283                                           January 17, 2019 8:00 AM –5:00 PM         90023257                                         April 5, 2019 1:00 PM –5:00 PM
               Suites, 2565 Argentia Rd                                                                   74 Bryne Dr
               Mississauga – Holiday Inn &                                                                Barrie – Hampton Inn & Suites,
90023284                                           June 6, 2019 8:00 AM –5:00 PM             90023301                                         July 12, 2019 1:00 PM –5:00 PM
               Suites, 2565 Argentia Rd                                                                   74 Bryne Dr
               Mississauga – Holiday Inn &                                                                Barrie – Hampton Inn & Suites,
90023285                                           November 7, 2019 8:00 AM –5:00 PM         90023308                                         November 15, 2019 1:00 PM –5:00 PM
               Suites, 2565 Argentia Rd                                                                   74 Bryne Dr
               Oshawa – Travelodge Oshawa,                                                   90023275     Markham– Homewood Suites            September 24, 2019 1:00 PM –5:00 PM
90023338                                           February 13, 2019 8:00 AM –5:00 PM                     by Hilton, 50 Bodrington Ct
               940 Champlain Av
ELECTRICAL SAFETY & TECHNICAL TRAINING 2019 TRAINING CALENDAR - EsaSafe
2019                     TRAINING CALENDAR
                                        SAFETY AND TECHNICAL TRAINING

                                      ELECTRICAL SAFETY AWARENESS I                                                                           INTRODUCTION TO CONDUCTORS

n   L earn how you can provide an electrically safe living and work environment                       n   R eview the Ontario Electrical Safety Code (OESC) rules relating to conductors.
    for you, your family, friends and co-workers.                                                      n    Identify the rules that apply to selection, rating and installation of conductors.
n   B asic electrical terminology and definitions.                                                    n     Describe how to use various tables and diagrams in the OESC to correctly
n   L earn to identify and avoid common electrical hazards.                                                  choose and configure conductors for various installation types.
n   H ow electrical shocks cause injuries and death.
    L earn the legal requirements for inspection and equipment approvals.                                                 – Homewood Suites
                                                                                                       90023278 Markham
n

                                                                                                                by Hilton, 50 Bodrington Ct                   November 28, 2019 8:00 AM –12:00 PM
                  Markham – Homewood Suites November 28, 2019 1:00 PM –5:00 PM                                               – Holiday Inn &
90023279          by Hilton, 50 Bodrington Ct                                                          90023291 Mississauga
                                                                                                                Suites, 2565 Argentia Rd                      June 11, 2019 8:00 AM –12:00 PM

                                       ELECTRICAL SAFETY FOR                                                                                   MAINTENANCE OF ELECTRICAL
                                       MAINTENANCE STAFF                                                                                       SYSTEMS – INTRODUCTION (Z463)

n    E stablish an awareness of the fundamentals of electricity and basic electrical terms.           n    escribe how an electrical maintenance program contributes to workplace safety.
                                                                                                           D
n    R ecognize the dangers of electricity.                                                           n   Describe various strategies and their appropriate use.
n    D iscuss the physiological effects of electricity on the body.                                   n    Describe guidelines for general maintenance practices to reduce hazards and risk.
n   Explain the importance of working safely, including processes used to be safe in the workplace.   n     Identify the principles for establishing an effective electrical maintenance program.
n    D escribe the consequences of not working safely.
                                                                                                                         Mississauga – Holiday Inn &
                                                                                                       90023286                                              October 15, 2019 8:00 AM –5:00 PM
                  Barrie – Hampton Inn &                                                                                 Suites, 2565 Argentia Rd
    90023296                                         May 10, 2019 8:00 AM –12:00 PM
                  Suites, 74 Bryne Dr
                  Barrie – Hampton Inn &
    90023304                                         October 25, 2019 8:00 AM –12:00 PM
                  Suites, 74 Bryne Dr
                  Cambridge – Cambridge                                                                                                        POWERLINE SAFETY AWARENESS
    90023328      Hotel & Conference Centre,         May 15, 2019 8:00 AM –12:00 PM
                  700 Hespeler Rd
                  Markham – Homewood Suites September 24, 2019 8:00 AM –12:00 PM                           Identify powerlines and hazards.
    90023274      by Hilton, 50 Bodrington Ct
                                                                                                       n

                                                                                                       n   I dentify safe practices for working around powerlines when operating:
                                                                                                            aHigh reach equipment
                                                                                                            aLoading and unloading of material
                                      GROUNDING AND BONDING                                                 aProper use of ladders
                                                                                                       n   Describe the requirements of the Occupational Health and Safety Act.
                                                                                                       n    escribe what to do in the event that a worker or equipment comes into contact
                                                                                                           D
n  iscuss the requirements of Section 10 Grounding and Bonding of the Ontario
  D                                                                                                        with powerlines.
  Electrical Safety Code (OESC).
n D escribe the principles of grounding and bonding.                                                                    Cambridge – Cambridge
n D escribe specific grounding and bonding requirements.                                              90023329          Hotel & Conference Centre,          May 15, 2019 1:00 PM –5:00 PM
n D
                                                                                                                         700 Hespeler Rd
    iscuss grounding requirements of Section 36 High Voltage Installations.
n R eview Supplemental and Amendatory Sections and Rules.                                                               Mississauga – Holiday Inn &
                                                                                                       90023288                                              May 30, 2019 8:00 AM –12:00 PM
                                                                                                                         Suites, 2565 Argentia Rd
                  Barrie – Hampton Inn & Suites,
90023305                                                October 25, 2019 1:00 PM –5:00 PM
                  74 Bryne Dr
                  London – Ramada London,
90023323                                               June 5, 2019 1:00 PM –5:00 PM                                       O
                                                                                                                            NLINE TRAINING REGISTRATION
                  817 Exeter Rd
                  Markham – Hampton Inn &                                                                                  COMING NOVEMBER 2018!
90023277                                               October 24, 2019 1:00 PM –5:00 PM
                  Suites, 52 Bodrington Ct
                  Mississauga – Holiday Inn &                                                                  Save Time! Access your Training information Online 24/7.
90023292                                                June 11, 2019 1:00 PM –5:00 PM
                  Suites, 2565 Argentia Rd
                                                                                                               View ESA’s Training Schedule, Register for Courses, Print Your Training
                  Mississauga – Holiday Inn &                                                                  Certificates and much more.
90023290                                               September 17, 2019 1:00 PM –5:00 PM
                  Suites, 2565 Argentia Rd
                  St Catharines – Best Western St                                                              Further details will be provided soon. Watch the Safety & Technical Training
90023336          Catharines Hotel & Conference         May 29, 2019 1:00 PM –5:00 PM                          section of www.esasafe.com for updates.
                  Centre, 2 North Service Rd
SAFETY IN A HIGH VOLTAGE
                                      PRE-MASTER ELECTRICIAN COURSE
                                                                                                                                      ENVIRONMENT

n   T his course is designed to expand the knowledge and skills of Electricians and assist   n  iscuss the current Ontario Electrical Safety Code (OESC) requirements pertaining
                                                                                                D
     Electricians and other persons, who are qualified to be licensed (P.Eng, CET, C-Tech),     to high voltage installations.
     in preparing to write the Master Electrician Examination.                                n Describe the unique hazards associated with a high voltage environment.

                                                                                              n Discuss safety measures required when working in a high voltage environment.
n   T he course is divided into 12 Modules and references specific sections of the Ontario
     Electrical Safety Code, other pertinent legislation, electrical calculations,
     and trade and business practices.                                                                          London – Ramada London,
                                                                                              90023324                                                June 5, 2019 8:00 AM –12:00 PM
                                                                                                                817 Exeter Rd
                                               May 24, 31                                                       Markham – Hampton Inn &
                Barrie – Hampton Inn & Suites, June 7, 14, 21, 28, 2019                       90023276                                                October 24, 2019 8:00 AM –12:00 PM
90023298                                                                                                        Suites, 52 Bodrington Ct
                74 Bryne Dr
                                               8:00 AM – 5:00 PM
                                                                                                                Mississauga – Holiday Inn &
                                                                                              90023289                                                September 17, 2019 8:00 AM –12:00 PM
                                               September 6, 13, 20, 27                                          Suites, 2565 Argentia Rd
                Barrie – Hampton Inn & Suites, October 4, 18, 2019
90023303        74 Bryne Dr                                                                                     St Catharines – Best Western St
                                               8:00 AM – 5:00 PM
                                                                                              90023333          Catharines Hotel & Conference         May 29, 2019 8:00 AM –12:00 PM
                Kingston – Holiday Inn Express, September 16, 17, 18, 19, 20, 21, 2019                          Centre, 2 North Service Rd
90023311        11 Benson St                    8:00 AM – 5:00 PM
                                                   October 26
                London – Ramada London,            November 2, 9, 16, 30                                                              SOLAR PHOTOVOLTAIC SYSTEMS
90023325        817 Exeter Rd                      December 7, 2019
                                                   8:00 AM – 5:00 PM                                                                  AND ONTARIO ELECTRICAL
                                                   May 27, 28, 29, 30, 31                                                             SAFETY CODE REQUIREMENTS
                Markham – Homewood Suites
90023271                                           June 1, 2019
                by Hilton, 50 Bodrington Ct
                                                   8:00 AM – 5:00 PM                          n    iscuss scope and special terminology.
                                                                                                  D
                Markham – Homewood Suites          October 21, 22, 23, 24, 25, 26, 2019           Provide a general systems overview.
90023259                                                                                      n
                by Hilton, 50 Bodrington Ct        8:00 AM – 5:00 PM
                                                                                              n    Identify and discuss Rules regarding solar photovoltaic systems.
                Markham – Homewood Suites          November 11, 12, 13, 14, 15, 16, 2019            Identify and discuss Rules regarding inverters.
90023260        by Hilton, 50 Bodrington Ct        8:00 AM – 5:00 PM
                                                                                              n

                                                                                              n      Identify and discuss Rules regarding grounding and bonding.
                Mississauga – Holiday Inn &        May 6, 7, 8, 9, 10, 11, 2019
90023282                                                                                              Identify and discuss Rules regarding supply authority disconnects.
                Suites, 2565 Argentia Rd           8:00 AM – 5:00 PM
                                                                                              n

                                                                                              n        Identify and discuss Rules regarding electricity meters.
                Mississauga – Holiday Inn &        July 8, 9, 10, 11, 12, 13, 2019
90023280                                                                                                Identify and discuss Rules regarding AC module and micro-inverters.
                Suites, 2565 Argentia Rd           8:00 AM – 5:00 PM
                                                                                              n

                                                                                              n          Identify and discuss Rules regarding bipolar systems.
                                                   September 7, 14, 21, 28
                Mississauga – Holiday Inn &
90023281                                           October 12, 19, 2019
                Suites, 2565 Argentia Rd
                                                   8:00 AM – 5:00 PM                          90023287          Mississauga – Holiday Inn &         September 26, 2019 8:00 AM –5:00 PM
                                                                                                                Suites, 2565 Argentia Rd
                                                   February 25, 26, 27, 28
                Oshawa – Travelodge Oshawa,
90023339                                           March 1, 2, 2019
                940 Champlain Av
                                                   8:00 AM – 5:00 PM
                Ottawa – Best Western Plus,        February 4, 5, 6, 7, 8, 9, 2019
90023314        1876 Robertson Rd                  8:00 AM – 5:00 PM                                                    Register for the course by completing the Course
                Ottawa – Best Western Plus,        September 23, 24, 25, 26, 27, 28, 2019                               Registration Form on the back of this brochure or
90023315        1876 Robertson Rd                  8:00 AM – 5:00 PM                                                    contact 1-877-ESA-SAFE (372-7233).
                                                  April 26, 27, 28
                Sudbury – ESA Northern Region May 3, 4, 5, 2019
90023299        Office, 2140 Regent St S, Unit 15
                                                  8:00 AM – 5:00 PM                                                     Private on-site training courses are available for groups
                Sudbury – ESA Northern Region November 8, 9, 10,15, 16, 17, 2019                                        up to 25 participants. Ask your Client Safety Specialist
90023306        Office, 2140 Regent St S, Unit 15 8:00 AM – 5:00 PM                                                     for details or contact 1-877-854-0079.
                                                October 26
                Windsor – Holiday Inn & Suites, November 2, 9, 16, 30
90023320        1855 Huron Church Rd            December 7, 2019                                                        Participants enrolled in ESA training courses may be
                                                8:00 AM – 5:00 PM                                                       eligible to receive Continuing Education Units (CEUs).
                                                                                                                        Ask your Client Safety Specialist for details.
DISTANCE EDUCATION COURSES

                                                                                       PAYMENT:
                                                                                       Payment is required at the time of registration. If your method
                                                                                       of payment is by credit card or ESA account, please include the
OESC 2015 – ONLINE GENERAL LEVEL 1                                                     applicable credit information and fax or mail the completed
                                                                                       form to the fax number/address noted in the top left corner of
n   Describe the new and amended requirements of the General Sections of the          the form. If you are paying by cheque, please mail the completed
     2015 Ontario Electrical Safety Code effective May 5, 2016.                        form with your cheque (payable to Electrical Safety Authority) to
n   A pply knowledge of new and amended requirements to the design and                the address noted on the form.
     installation of electrical equipment to ensure compliance with the 2015 OESC.

90022213          Continuous Enrolment                                                 REGISTRATION FEES:
                                                                                       Half-day public courses:
OESC 2015 – ONLINE GENERAL LEVEL 2                                                     $164.00 + applicable taxes, per person
n   Discuss the new and amended requirements of the Supplementary and
     Amendatory Sections of the 2015 Ontario Electrical Safety Code effective          Full-day public courses: $324.00 + applicable taxes, per person
     May 5, 2016.
                                                                                       Electrical Safety in the Workplace full-day public course:
n   A pply knowledge of new and amended requirements to the design and in-
     stallation of electrical equipment to ensure compliance with the 2015 OESC.       $449.00 + applicable taxes, per person (fee includes Z462-18
                                                                                       Standard). On-site courses are available for $4,569.00 + applicable
                                                                                       taxes for up to 25 participants + the price of the Z462-18
90022214          Continuous Enrolment
                                                                                       Standard for course attendees.

OESC 2015 – ONLINE HVAC INSTALLATIONS                                                  An Overview of Electrical Safety in the Workplace half-day
n   Describe the importance of establishing safe work practices in a workplace.       public course: $289.00 + applicable taxes, per person
n   Describe the existing, new and amended Rules in the Ontario Electrical Safety     (fee includes Z462-18 Standard). On-site courses are available for
     Code that are applicable to the installation and maintenance of HVAC equipment.   $2,264.00 + applicable taxes for up to 25 participants + the
                                                                                       price of the Z462-18 Standard for course attendees.
90022215          Continuous Enrolment
                                                                                       Maintenance of Electrical Systems – Introduction (Z463)
                                                                                       full-day public course: $364.00 + applicable taxes, per
ONLINE ELECTRICAL SAFETY AWARENESS I
                                                                                       person. On-site training courses are available for $4,569.00 +
90022216          Continuous Enrolment                                                 applicable taxes, for up to 20 participants. (fee includes course
                                                                                       and Student Manual).

ONLINE ONTARIO ELECTRICAL SAFETY CODE
                                                                                       On-site training courses are available for $2,264.00 (half-day)
90023341          Continuous Enrolment                                                 and $4,569.00 (full-day) + applicable taxes, for up to 25 participants.
                                                                                       Continuous Safety Services (CSS) program members receive a
                                                                                       discount. Ask your Client Safety Specialist for details.
ONLINE MAINTENANCE OF ELECTRICAL SYSTEMS –
INTRODUCTION                                                                           Pre-Master Electrician Classroom Course: $878.00 +
90022217          Continuous Enrolment                                                 applicable taxes, per person (fee includes course, Student
                                                                                       Manual, and Master Electrician Examination Reference Material).
                                                                                       For pricing of online and self study options visit the Safety and
ONLINE PRE-MASTER ELECTRICIAN COURSE                                                   Technical section of www.esasafe.com.

90022218          Continuous Enrolment
                                                                                       Training is a non-regulatory service offered by the Electrical Safety Authority (ESA).
                                                                                       For more information visit www.esasafe.com/about-esa/non-regulatory.
SELF STUDY PRE-MASTER ELECTRICIAN COURSE
90023331          January 14 – April 8, 2019
90023332          September 9 – December 2, 2019
PART 1: EMPLOYER INFORMATION (COMPLETE THIS SECTION IF PAYMENT IS BEING MADE BY AN EMPLOYER)
                                                                            Employer Name:

                                                                            ESA Account # (if applicable):                                                    ESA ACP # (if applicable):

                                                                            Address:

                                                                            City:                                                                             Postal Code:

   Electrical Safety &                                                      Contact Name:

   Technical Training                                                       Contact Title:

                                                                            Telephone #:                                                                      Fax #:

    REGISTRATION FORM                                                       Email Address:

                                                                           PART 2: ATTENDEE INFORMATION (A REGISTRATION FORM IS REQUIRED FOR EACH ATTENDEE)
                                                                           All training correspondence is mailed to the address provided below. Therefore, for privacy purposes, personal contact information is preferred.
   Mail/Fax/Email the completed form to:
                                                                            Attendee Name:
   ELECTRICAL SAFETY AUTHORITY
   400 Sheldon Drive, Unit 1                                                ESA Training Attendee # (If you do not have an ESA Training Attendee # one will be assigned to you):

   Cambridge, Ontario N1T 2H9                                               Home Mailing Address:

   Tel.: 1-877-372-7233                                                     City:                                                                             Postal Code:
   Fax: 1-800-667-4278
   Email: esa.cambridge@electricalsafety.on.ca                              Date of Birth (yyyy/mm/dd):                                                       Email Address:

                                                                            Home Telephone #:                                                                 Cellular #:

   TRAINING REGISTRATION CANCELLATION/                                      If you are a Licensed Master Electrician please provide your ME Licence #:
   SUBSTITUTION POLICY (IF APPLICABLE) :
   Training registration cancellation requests will be                      PART 3: COURSE INFORMATION
   subject to a refund processing fee of $28.00 + HST                       Occasionally it is necessary to add or cancel a course. Please visit the “Safety & Technical Training” section
   ($31.64). Attendee substitutions will be accepted                        of www.esasafe.com for calendar information.
   until 3:00 p.m. one business day before the course.
                                                                            Course ID #:                                                                        Course Location (city):

   PRIVACY STATEMENT:                                                       Course Name:                                                                        Course Date:
   By submitting personal information to the Electrical
                                                                            Course ID #:                                                                        Course Location (city):
   Safety Authority, or its agents and service providers,
   you agree that ESA may collect, use and disclose
                                                                            Course Name:                                                                        Course Date:
   such personal information in accordance with its
   privacy policy, applicable laws or pursuant to our
   administrative agreement with the Province                              PART 4: PAYMENT INFORMATION
   of Ontario. If you provide us with the personal                         For current fees please visit the ‘Safety & Technical Training’ section of www.esasafe.com
   information on behalf of another individual, you
   represent that you have all necessary authority and/                     q ESA Account #:                                                                  q Cheque enclosed (Payable to the Electrical Safety Authority)
   or have obtained all necessary consents from such
   individual to enable us to collect, use and disclose                     q Visa           q Master Card q American Express                                 Card Number:
   such personal information for the purposes set forth
   in our Privacy Policy. A copy of our policy is located                   Name on Card:
   on our website at www.esasafe.com.
                                                                            Signature:                                                                        Expiry Date:

                                                                            Payment Amount:                             + HST (13%) = Total: $                                   (HST Registration Number: 87391-1424-RT-0001)

PART 5: CONSENT TO RELEASE STATEMENT

If an employer requires test results for their records, such information should be obtained directly from their employee. In the rare event an employer cannot obtain this information directly from their employee, the
ESA will provide a value added service of issuing a duplicate copy of the test results provided the Attendee named in Part 2 of this document signs the following “Consent to Release” statement.
The ESA’s Privacy and Access Code (the “Code”), which forms part of the Administrative Agreement between the ESA and the Ministry of Government and Consumer Services, prevents ESA from releasing an individual’s
personal information to a third party without their written consent. The Code states that personal information shall not be used or disclosed to a third party for purposes other than those for which it was collected, except
 with the consent of the individual to whom the information relates. As such, personal information, including but not limited to test results, cannot be disclosed to a third party irrespective of who pays the course fee.

Signing the “Consent to Release” statement is optional and at the Attendee’s sole discretion.

I am the individual named in Part 2 of this document and hereby consent to the release of my personal information in relation to my academic achievement on the Electrical Safety Authority (“ESA”) test for the course identified
in Part 3 of this document. The afore-mentioned information is only to be released by the ESA, to the third party identified in Part 1 of this document.

I understand by signing this Consent to Release statement that I am agreeing to the release of the afore-mentioned information to the third party named in Part 1 of this document. I understand that I may revoke this consent at any
time upon written notice to the ESA at: Electrical Safety Authority • Attention: Training Services, 400 Sheldon Drive, Unit 1, Cambridge, Ontario N1T 2H9

The ESA is committed to maintaining the accuracy, security and privacy of personal information in accordance with applicable Canadian privacy laws and ESA’s Privacy and Access Code.

Attendee Name (Please Print Clearly) :                                                                            Signature:                                                                Date:

Form 1699 (09/18)
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