Course 700 - Introduction to Safety Management

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SAMPLE ON-THE-JOB TRAINING CERTIFICATION

Trainee certification. I have received on-the-job training from the trainer listed below on:

  • list procedure(s)__________________________________________________
  • list practice(s)____________________________________________________
  • related policies, rules, accountabilities ________________________________

Training provided me adequate opportunity to demonstrate these procedures/practices to determine and correct deficiencies. I understand that performing these procedures/practices safely is a condition of employment and I fully intend to comply with all safety and operational requirements discussed. I understand that failure to comply with these requirements may result in progressive discipline up to and including termination.

___________________________________
(Trainee)
_____________________
(Date)

Trainer certification. I conducted on-the-job training on the subjects for the trainee(s) listed above. I explained procedures/practices and policies, answered all questions, observed demonstrations, and tested each trainee individually. I have determined that the trainee(s) listed above has/have adequate knowledge, skills andability to safety perform the procedures/practices. Therefore, I certify each employee initially qualified to conduct these procedures/practices.

___________________________________
(Trainer)
_____________________
(Date)

Training Validation. I observed the above named employees performing the procedures/practices covered in training on __________ (date). Based on this observation, I believe each employee has adequate knowledge, skills, and ability to safety conduct these procedures/practices and, therefore, certify each employee fully qualified.

___________________________________
(Supervisor)
_____________________
(Date)