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Synergy Health <br /> DOCUMENTATION OF TRAINING <br /> Date Training Initiated: 7/30/13 <br /> Facility: 6110 or, ❑Field/Sales Employee <br /> Type of Training: (Check all that apply and list Trainee Name(s)below) <br /> ❑Individual ®Group/Class ®Self-Review ®On-the-Job ❑Seminar/Webinar <br /> Purpose: ❑ Initial/New Hire (Check below) New/Revised Documents: <br /> ® Annual Retraining (Check below) ❑ Documents listed below <br /> ❑ Training Certification ❑ Matrix attached <br /> Area: <br /> ❑ Other[List topic(s)below] Training Matrix revised date: <br /> ❑ GMP Training SOP/Form Rev SOP/Form Rev <br /> ❑ QSM 2.2/Quality Policy <br /> ❑ EMS 2.0/Environmental Policy SOP/Form Rev SOP/Form Rev <br /> ® Safety Training, General <br /> ❑ Bloodborne Pathogens(Attach Form 5224) SOP/Form Rev SOP/Form Rev <br /> ® Haz/Chem Training per SOP 905 <br /> ❑ Lockout/Tagout Training per SOP 910 SOP/Form Rev SOP/Form Rev <br /> ❑Customer Complaints/MDR Awareness Training <br /> ❑ Barrier Testing(Attach Form 5225) SOP/Form Rev SOP/Form Rev <br /> ❑ Powered Industrial Truck(Forklift)Training <br /> ❑ Compliance Policy HR Policy 031 SOP/Form Rev SOP/Form Rev <br /> ❑ Code of Ethics <br /> ❑Annual Emergency Evacuation Drill SOP/Form Rev SOP/Form Rev <br /> ® Other: Topics cover sheet attached OSM Rev QSM Rev <br /> EMS Rev EMS Rev <br /> LIST OF TRAINEES <br /> PRINTED NAME TRAINEE'S SIGNATURE DATE COMPLETED DEPARTMENT <br /> Har reet Bhullar 4/22/14 21 <br /> Jason Webster 4/22/14 22 <br /> Jennifer Garza 4/22/14 31 <br /> Sandra Martinez / 4/22/14 31 <br /> Rosa Ayala 4/22/14 31 <br /> ,J N 13 2014 <br /> LEAVE THIS SECTION BLANK IF TRAINING WAS CONDUCT BY S F-REVIEREPARTMEN-t <br /> Trainer's Signature: « '� Date: v a it y <br /> Assistant Plant <br /> Printed Name: Deniz Garrett/ Brian Hanson Title: Manager/Maintenance Engineer <br /> Interpreters Signature (if required): Date: <br /> Printed Name: Title: <br /> Form 5223 Rev.Level J Iss.Date:04/18/13 <br /> DCA 6878 <br />