Workplace Safety Training Waiver Form
Please read and complete this waiver form before participating in the training.
Full Name
First Name
Last Name
Date of Training
-
Month
-
Day
Year
Date
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 Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
Submit
Should be Empty: