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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 />Documait Nasse:; Emergency Response and Notification Chemical Spills <br />-Mix RV02 <br />Safety <br />Sharedrive <br />I cern y that the personnel listed above received the training as indicated on —iis form. <br />Trainer/Supervisor Name: l Dater <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 />FORM1801A - Training Verification Form (By item) Rev06 Printed 12/3/2020 4:47 PM <br />E. <br />010 <br />,t <br />- <br />1 4 <br />Vp <br />�: <br />f <br />57 <br />�`� <br />Al +L;- <br />9 <br />77 <br />a <br />I cern y that the personnel listed above received the training as indicated on —iis form. <br />Trainer/Supervisor Name: l Dater <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 />FORM1801A - Training Verification Form (By item) Rev06 Printed 12/3/2020 4:47 PM <br />