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YW <br />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* <br />Rev. Number, <br />Department. Safety <br />nAtnMu [ .Vtidn: SharePoint <br />Contingency Plan Procedures <br />mployee <br />Employee <br />Employee <br />Trailed Date <br />Printed Name ID## <br />shift <br />Initials <br />W - <br />IL <br />z <br />Al <br />.o4- <br />77oJ, <br />�. <br />'7 <br />4' ...# <br />I certify that the personnel listed above received the training as indicated on this form. <br />Trainer/Supervisor 'dame: <br />®ate: l <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 />FORMIGMA - Training Verification Form (By Item) Rev06 Printed 12/3/2020 4.08 PM <br />M <br />