EMPLOYEE ACKNOWLEDGEMENT OF RECEIPT OF TRAINING

IN UNDERSTANDING

Company Name:

GENERAL GUIDELINES FOR MACHINERY, POWER AND HAND TOOL SAFETY

I, acknowledge receipt of training with regard to the general guidelines for power and hand tool safety set forth by .
Specifically, I have read through the safety guidelines and understand that it is my responsibility to select the proper hand and power tools for the job at hand. I further understand that if I do not know how to safely handle a piece of machinery or a specific tool, I must not use it until I have been properly trained. Finally, I understand the role I play in inspecting machinery and tools for defects each time I use them, and that inspections are to be performed prior to use.

Training was received on this day of , Year

Employee's Signature Date

Trainer's Signature Date