Biotech Industry Hazard Training Acknowledgement Form
Document your hazard training completion and acknowledgment of the material reviewed.
Employee full name
*
First Name
Last Name
Work email
*
example@example.com
Department
*
Job role
*
Facility or laboratory
*
Training course or module name
*
Training completion date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hazard topics covered
*
Biological agents
Chemical hazards
Laboratory procedures
Personal protective equipment
Waste handling
Emergency response
Other relevant hazard topics
I confirm that I completed the identified training, reviewed the applicable hazard information, understand that I should follow the relevant safety procedures, and will seek guidance when needed.
*
I acknowledge and agree
Employee signature
*
Submit Acknowledgement
Submit Acknowledgement
Should be Empty: