Record of Health and Safety Information Training

• Site conducted / Location
  Address

• Conducted on

  Date

• Delivered by

• Number of personnel present

• Document Delivered

  Media

• Are all employees present required to complete health and safety training? if no, please specify why not?

  Yes

  No

  N/A

• How would you rate the effectiveness of the current health and safety training session? 1 = Poor, 10 = excellent.

• SOP?

  Yes

  No

  N/A

• Risk Assessment?

  Yes

  No

  N/A

• Method Statement?

  Yes

  No

  N/A

• Tool Box Talk?

  Yes

  No

  N/A

• Other? - Please detail.

  Yes

  No

  N/A

• Can you provide details of the topics covered in the health and safety training session?

• How many hours of training were delivered?

• Is this refresher training or initial training?

  Refresher

  Initial

• Did all those present show a good level on interest and attention to the session?

  Yes

  No

  N/A

Names and Signatures of all person present during session

• 1. I have read/had explained to me, the above Health and Safety communication, and I fully understand the processes,
  procedures, risks and hazards involved in my workplace.
  2. I have asked any questions to clarify anything I do not understand.
  3. I acknowledge and understand that it is MY responsibility to follow all procedures in a safe and responsible manner, to
  report any issues identified to my supervisor immediately, and to cease work until the issue is rectified, and/or, I am
  authorised to continue working.
  4. Failure to comply with the processes and procedures as set down by GTR, may result in disciplinary proceedings.

• Signature

  Sign

• Signature

  Sign

• Signature

  Sign

• Signature

  Sign

• Signature

  Sign

• Signature

  Sign

• Signature

  Sign

• Signature

  Sign

• Signature

  Sign

• Signature

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• Signature

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• Signature

  Sign

• Signature

  Sign

• Signature

  Sign

• Signature

  Sign

Name and Signature of Person delivering the session

• Signature

  Sign

• Date and time

  Date
• Location
  Address