Laserfiche WebLink
Certification of Employee <br />Safety Training <br />Employee's Full Name: U° �Wi lA w (zj 1WL4 S SN / y <br />Location of Training: /n rl)' 04_ hLQ&52jf <br />Date Training Provided: fl /10a / ,e.2 Total Time Spent Training: ht rS <br />Type of Training Provided: <br />(check all that apply) <br />❑ Classroom <br />.❑ Video <br />Written Plan, Policy, or Procedure <br />❑ Safety Newsletter for: Jan Feb Mar Apr May Jun Jul Aug' Sep ,, Oct Nov Dec <br />❑ Other <br />Title of Training: Ct 0 <br />I hereby acknowledge that the above mentioned safety training class and /or material has <br />been provided to me. If the material is written I hereby acknowledge I have received my <br />own copy, read it, and underst000 the safety material presented. <br />Employee's Signature:- &As Am, &Ma Date: <br />Instructor Certification <br />I certify that I presented, provided, and/or prepared the above noted safety material <br />and/or information to the above mentioned employee. <br />Instructor Name: J6SP,ref G4_ Signature: Ar eCc G Date: 10 <br />Please provided this completed form to your supervisor/foreman so he/she may promptly return it to the Elon Golf <br />Construction office for review, signature, and filing. <br />"SAFETY is what we do for our employees... not what we do to them!" <br />