EMPLOYEE ACKNOWLEDGEMENT OF RECEIPT OF TRAINING

IN UNDERSTANDING

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GENERAL GUIDELINES FOR INDOOR AIR QUALITY AND VENTILATION

I, acknowledge receipt of training with regard to the general guidelines for air quality and ventilation set forth by . Specifically, I have read through the safety guidelines and understand that it is my responsibility to recognize when air quality/ventilation concerns must be addressed to protect myself and others around me. I further understand that if I do not know how to safely manage a situation where air quality hazards are present, I must not proceed until I have either been properly trained or received assistance.

Training was received on this day of , Year

Employee's Signature Date

Trainer's Signature Date