Wheelbarrow Safety Training Acknowledgment Form
Confirm your completion of wheelbarrow safety training and acknowledge key operating rules.
Worker Full Name
*
First Name
Last Name
Employee ID
*
Date of Training
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervisor/Trainer Name
*
Select your work area
*
Please Select
Warehouse
Construction Site
Landscaping
Other
I acknowledge that I have received wheelbarrow safety training and understand the following key rules (select all that apply):
*
Always inspect the wheelbarrow before use
Do not overload the wheelbarrow
Wear appropriate personal protective equipment
Maintain a clear path while transporting loads
Is the wheelbarrow assigned to you in good working condition?
*
Yes
No (please describe issue below)
If you answered 'No' above, please describe the issue. Otherwise, leave blank.
Do you have any questions or wish to report a recent incident related to wheelbarrow use?
Signature (confirming acknowledgment of training and safe practices)
*
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: