Safety Tailgate Topic Weekly Training Confirmation (QR)

Safety Tailgate Topic Training Completion Confirmation
By completing this form, I acknowledge and certify that I received training on the Safety Topic selected below. This acknowledgement confirms that my supervisor conducted the weekly CSG Safety Tailgate Training session, reviewed the topic with all team members in attendance, and provided the opportunity for questions and discussion to ensure understanding of the material presented.

Al completar este formulario, reconozco y certifico que recibí capacitación sobre el tema de seguridad seleccionado a continuación. Este reconocimiento confirma que mi supervisor llevó a cabo la sesión semanal de capacitación de Safety Tailgate, revisó el tema con todos los miembros del equipo presentes y brindó la oportunidad de hacer preguntas y participar en la discusión para asegurar la comprensión del material presentado.
Please complete all required fields below.
Employee Number (EE#)
Employee First and Last Name

First NameLast Name
Select the Safety Tailgate Topic Covered during the training session
Click Here To View Tailgate Topic 1
Employee Acknowledgement

By signing below, I, {employeeFirst} ({employeeNumber}), acknowledge and certify that I was trained on the CSG Safety Tailgate Topic of {selectThe} on {dateOf}. I understand that the safety topic of {selectThe}, related safety procedures, policies, and company expectations were reviewed and discussed during the session. I further acknowledge that I was provided the opportunity to ask questions regarding the material presented and understand my responsibility to comply with all applicable safety requirements related to this topic. I certify that the information provided on this form is accurate and complete.
Employee Signature
Date of Training

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Safety Tailgate Topic Training Completion Confirmation

Please complete all required fields below.