IBT Safety & Health Dept Worker Training Program

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Department of Transportation Hazardous Materials
Instructor Training Program Outcome Survey

If you attended the 8-hour Trainer Refresher Course, complete the form below.

1. When did you complete the Train-the-Trainer Course?

2. How many 8-hour Practical Training Courses have you taught since completing the 40-hour IBT DOT HMIT Train-the-Trainer Course?

3. How many hazmat co-workers have you trained since completing the 40-hour IBT DOT HMIT Train-the-Trainer Course?

4. Did the hazmat workers trained by you provide feedback on the usefulness of the course? Did students think that the course will be useful to them on the job site or in their daily lives?	Yes No
A If yes, please explain.


5. Please list the companies where you taught the 8-hour Practical Training Course.


6. Since completing the 40-hour Train-the-Trainer, do co-workers and supervisors come to you with hazmat related questions?	Yes No

7. Since completing the course, have you identified hazmat related hazards or violations in your workplace? lives?	Yes No
A If yes, please explain.


8. Since have received the training, have you had to respond to an incident or emergency release of hazmat? lives?	Yes No
A If yes, please explain.


9. What effect has your hazmat training had on the workplace? Has your employer changed the policies and/or procedures for handling hazmat? lives?	Yes No
A If yes, please explain.


10. Based on your experience working with and training hazmat workers, are there other topics and issues that should be included in the 8-hour Practical Training Course?