Download Safety Training Certificate Template for Free

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© Geigle Communications, LLC. Train The Safety Trainer Workshop
For training purposes only
Sample Safety Training Certification
(Company Name)
Training Subject ______________________ Date _________ Location _______________
Trainee certification. I have received on-the-job training on those subjects listed (see other side of
this sheet):
This training has provided me adequate opportunity to ask questions and practice procedures to
determine and correct skill deficiencies. I understand that performing these procedures/practices safely
is a condition of employment. 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 (or corrective actions) up to and including termination.
Employee Name Signature Date
________________________ ____________________________ _________
________________________ ____________________________ _________
________________________ ____________________________ _________
________________________ ____________________________ _________
________________________ ____________________________ _________
________________________ ____________________________ _________
________________________ ____________________________ _________
________________________ ____________________________ _________
Trainer certification. I have conducted orientation/on-the-job training to the employees(s) listed
above. I have explained related procedures, practices and policies. Employees were each given
opportunity to ask questions and practice procedures taught under my supervision. Based on each
student's performance, I have determined that each employee trained has adequate knowledge and skills
to safely perform these procedures/practices.
________________________ ____________________________ _________
Trainer Name Signature Date
Reviewed by:
________________________ ____________________________ _________
Safety Coordinator Signature Date
Supervisor Follow-up Evaluation of Training. I observed/interviewed the above employees on
__________ date(s). All employees demonstrated adequate knowledge and skills to safely perform all
steps of the procedures/practices presented in this training session.
Safety Training Certificate Template
source: oshatrain.org
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