Current through Register No. 13, March 27, 2025
Individuals seeking certification to disturb asbestos at
an asbestos disposal site (ADS) for the first time, individuals seeking
re-certification to disturb asbestos at an ADS more than one year after their
most recent certification has expired, and individuals seeking re-certification
to disturb asbestos at an ADS after their most recent certification has been
revoked shall comply with the following:
(a) The individual seeking certification
shall apply in writing to the department on an "Application for Asbestos
Disposal Worker/Worker-in-Training Certification" form obtained from the
department;
(b) The application
shall include the following:
(1) The
applicant's name, mailing address, daytime telephone number, fax number, email
address, business name or place of employment if any, and date of
birth;
(2) The name, address, and
daytime telephone number of each entity or individual licensed, or to be
licensed pursuant to Env-A 1811, with whom the applicant is currently employed
or otherwise associated for the performance of work involving the disturbance
of asbestos at asbestos disposal sites;
(3) A list of all state or federal
enforcement actions, both past and pending, against the applicant with regard
to environmental, health or safety activities, and the current status of each
such enforcement action;
(4)
Identification of all certifications and licenses, both past and present,
issued to the applicant pursuant to He-P 5000 or Env-A 1800, and the current
status of each;
(5) Whether the
applicant is seeking certification as an experienced worker or a
worker-in-training, based on the criteria provided in Env-A
1812.08(b);
(6) One 2-inch by
2-inch, current, clear, non-mutilated, and unstapled color photograph of the
applicant's face, with the name of the applicant legibly printed on the back
side; and
(7) Written documentation
showing that the applicant meets the certification requirements specified in
Env-A 1812.08, including:
a.A record, signed
by the work supervisor(s) or training provider(s), showing that the applicant
attended and completed basic training in accordance with Env-A 1813;
b.A statement by the applicant attesting that
he or she has read and comprehends all information as required by Env-A
1812.08(a)(2);
c.A test score
report issued by the department showing the date and results of an examination
taken by the applicant in accordance with Env-A 1813.03(c); and
d.A work experience record, signed by the
work supervisor(s), documenting the number of hours the applicant has engaged
successfully in the disturbance of asbestos at asbestos disposal sites pursuant
to the requirements in Env-A 1812.08(b).
(c) The application shall be dated and signed
as specified in Env-A 1810.06.
(d)
An application fee of $50 shall accompany each application. Payment shall be in
the form of cash, company check, certified check, or money order. A company
check, certified check or money order shall be made payable to "Treasurer,
State of New Hampshire".
