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SAFETY TRAINING LOG <br />I certify that the employee listed below received Safety Training in the subject(s) as indicated. <br />Department 1R� ` Date of Training e) I <br />ltb <br />IL <br />Subjects(s) <br />Title(s) of Film(s), video(s) or siide ptes.ntat.ou(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. ��,M aP��i�J <br />fA IN �AMS�ctt � <br />Instructor's Na (Please Print) <br />Signator <br />Date <br />(In ructor) <br />Employee Name ,em...P6.n Employee Signatur <br />