Workplace Safety Training Waiver Form

Workplace Safety Training Waiver Form
Please read and complete this waiver form before participating in the training.
Full Name
First NameLast Name
Date of Training
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I acknowledge that I have received and understand the safety training provided.
I agree to follow all safety procedures and guidelines during my work.
Emergency Contact Name
First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature
Clear
Should be Empty: