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EMPLOYEE TRAII�TING CERTIFICATION <br />Please indicate the training you have received by placing your initials in the <br />appropriate box. <br />1) I�T�I�JRY AI��J �EENESS PR.E'FJEl�TTI®1'� PRaGRAM IN�,TIALS <br />r �� �,� <br />I have received Injury and illness Prevention Program training at this business. � � <br />Training program activities included the following: <br />e Review of the business's Injury- and Illness Prevention Program and Safety Rules <br />�} EMER�El��Y RESP(�I�SE PEAK I II�Z�`IALS <br />��� <br />I have received Emergency Response Plan training at this business. <br />Training program activities included the following: <br />Erner�eney Response procedures for the business <br />3) PERSf)TIAE PRQTECT�VE E UIPMENT INI,TIAL,S <br />`�'. � _ <br />'G <br />I have received Personal Protective Equipment Program training at this business. `'• v <br />Training program activities included the following: <br />e Review of Personal Protective Equipment Program requirements <br />4) �"A �AR� C�h�'��TN�CA'�'�CBI� PR��-SAM II��IT�ALS <br />%, i <br />I have received Hazard Communication Program training at this business. <br />Training program activities included the follouring: <br />w Review of the Hazard Communication Program <br />5) �A�AR.�3E3�i7S �Td�S�'E/C�l�'iIIITGEPdC�' PEAK I'�lZ�'IALS <br />r <br />;; ^ �! <br />I have received Hazardous ��,�aste Ha�-zdler training at this business. ��,,. � k <br />Training program activities included the following: ,• <br />Review of the Hazardous �jJaste/Contingency Plan procedures •• <br />I understand that if I have any questions about the information presented; I should contact my <br />supervisor. <br />Signature <br />Name (Print) <br />���� __ <br />Date `� <br />