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XPO Training Verification Form <br />This form is intended to record personnel that require new/updated training on the listed document(s) and as verification training is complete. <br />Employee(s): Upon completion, enter your initials and date trained. If additional assistance is needed, please notify your supervisor. <br />Document Name: <br />Contingency Plan Procedures <br />Rev. Number=' <br />Department: <br />Safety <br />Repository Location <br />SharePoint <br />I certify that the personnel tisted above receive .the training as indic�._d on tl ;S to, n. yy <br />Trainer/Supervisor Name: p -,, ®ate: <br />The official record of training and retention of this document are addressed on the program record retention matrix. <br />NO'T'E: Training verification may be distributed and received complete via email, in lieu of a signature or initials and date at the <br />discretion of facility management. In such cases, it is not necessary to print this form. <br />FORM1601A - Training Verification Form (By Item) Rev06 Printed 12/3/2020 4:08 PM <br />