Safety Training for Lifting
Please complete this form to document your participation in lifting safety training.
Participant Full Name
*
First Name
Last Name
Date of Training
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Have you received prior lifting safety training?
*
Yes
No
Rate your confidence in safe lifting techniques
*
1
2
3
4
5
Additional Comments or Questions
Signature
*
Submit
Should be Empty: