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SAFETY TRAINING ATTENDANCE RECORD
Training Topic: Date:
(attach a copy of the training session curriculum)
Instructor: Training Aids:
Location: Time:
Attendees – Please print and sign your name legibly. Use additional sheets if necessary.
No. Print Name Signature
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. IIPP-Appendix F Completed copies of this form should be routed to the department Safety Coordinator March 2006 and must be maintained in department files for at least three years.