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Safety Training Record <br /> Date: 12 <br /> Type(s) of Training: Classroom Lecture ( Tabletop Exercise [ ) Hands On [ ] Field Exercise <br /> Instructor(s) Name-, <br /> OMItix t� <br /> Hours of Instruction: <br /> Summary of Training Topics Discussed: car L v <br /> 1 '� C� <br /> l ti t Com' O i4 <br /> WtAt `t� <, <br /> � r. <br /> Record of Attendance `x�t"�� <br /> Name (Print or Type) I Signature Date <br /> ,�� � 12 FS 1:4 <br /> U6 <br /> Attach additional records of attendance as needed <br /> Accident prevention reduces human suffering, time and monetary losses, <br /> from a practical standpoint it is good business. <br /> Rev. 416199 <br />