Hazmat Training Record Form
Complete this form to record details of hazardous materials training completion.
Trainee Name
*
First Name
Last Name
Employer/Department
*
Job Title or Role
*
Training Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Training Type or Module Covered
*
Trainer/Instructor Name
*
Training Delivery Method
*
Please Select
Classroom
Online
On-the-job
Other
Training Score or Competency Result
*
Refresher Training Due Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes/Comments
Submit Record
Should be Empty: