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XPO Training Verification Form <br /> This form is intended to record personnel that require new/updated training on the listed document(s)and as verification training is complete. <br /> Employee(s): Upon completion,enter your initials and date trained. If additional assistance is needed,please notify your supervisor. <br /> Document Name: Emergency Evacuation Plan and Procedure <br /> Rev.Number: RVO1 <br /> Department: Safety <br /> Repository Location: Sharepoint <br /> Employee Employee Employee <br /> Printed Name ID# Shift Initials Trained Date <br /> EL wo<y, IDZ4J3Pq(6n rI-o -� <br /> ' M- 6 <br /> c/O <br /> LO <br /> 0 An „L C oil � t 6 Zu <br /> Mal <br /> = -S62 � ►► - � -r <br /> 1(=6'� <br /> 1 `1ez- f?6 102-1411 A C,C - 2 <br /> }'LA'S'S 1_ t% <br /> A CA- <br /> 10 3 ovt'se 11 <br /> I certify that the personnel listed-abov receive he ing as indicated on this form. <br /> Date: � \' <br /> Trainer/Supervisor Name: <br /> The official record of training and retention of this document are addressed on the program record retention matrix. <br /> NOTE:Training verification may be distributed and received complete via email,in lieu of a signature or initials and date at the <br /> discretion of facility management.In such cases,it is not necessary to print this form. <br /> Printed 11/5/2020 1:08 PM <br /> FORM1601A-Training Verification Form(By Item)Rev06 <br />