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SAFETY TRAINING LOG <br />I certify that the employee listed below rcceived Safety Training in the subject(s) as indicated. <br />Department Pi - Date of Training lr11'Y° <br />Subjects(s) -?DRskc SAV tC�" T�-Z^-DI,J 6 <br />Title(s) of Film(s), video(s) or slide presentation(s) shown to employee: <br />❑ Attached is an outline of the specific items discussed in this training program, along with sample <br />handouts, if any. <br />Instructor's Name (Please Print) M !6RMH-P, -,:*S <br />Signature <br />(Instruct <br />Employee Name (Pi.... Pd <br />Eo: vtoQn <br />