DEPARTMENT OF CIVIL ENGINEERING, McMASTER UNIVERSITY

ADL-USER APPLICATION
[To be filled by graduate students, undergraduate research students, other research students and contractually limited
employees who may use the Applied Dynamics Laboratory (ADL) testing facilities {Main floor, basement, and the
mezzanine}] - (submit to ADL-supervisor Mr. Kent Wheeler for processing)
No person shall be permitted to use the ADL testing facilities unless they are a registered ADL-USER.
ADL-USER list is maintained in the lab and is available in the civil engineering departmental WEB-CT area item ADLUser information.
This form, if approved, will register the applicant as an ADL-USER for the period indicated below.
(Please indicate the potential starting date and the ending date)
Staring Date:
Ending Date:

Decemeber 15, 2012

January 1st, 2015

Hereby, I request permission from the Department of Civil Engineering, McMaster University to use the Applied
Dynamics Laboratory (ADL) testing facilities during the period indicated above.
I hereby agree to abide by the policies, procedures, and practices of ADL.
I hereby agree that my activities at ADL shall be under the direction and supervision of research supervisor indicated
below.
Please register me as an ADL-USER for the period indicated above.
Full Name of the ADL User:

Name of the Research Supervisor:

Mark Alexander Torrie

Dr. Tait

E-mail address:

E-mail address:

torriema@mcmaster.ca
Mac. Telephone Ext.:

289-687-4591

taitm@mcmaster.ca
Telephone (Mac. Ext.):

JHE 335

Emergency Contact Telephone Number:

613-549-7304
Signature of the ADL User:

Signature of the Research Supervisor:

Date: December 14th, 2012

Date:

December 14th, 2012

Please submit this form to the ADL-Manager.

Signature of the ADL Supervisor:

Signature of the ADL Manager:

Date:

Date:

The applicant or the supervisor must file, or have already filed, a PROJECT APPLICATION- ADL-RESOURCES in
order to be able to use ADL space, equipment, and technician resources.
We prefer our users to attend Workplace Hazardous Materials Information System (WHMIS) training at least every 3
years. If you have taken such a training within the past 3 years;
Date of last WHMIS training
January
3rd,
N/A - To
Be 2012
Taken
Last Modified: December 2008