Training Attendance Form
Training Attendance Form
Asbestos Awareness and AT&T Floor Covering Procedure(s)
Date of Training: Trainer Company:
Trainer:
(Please Print Clearly) Name ID Number Phone Number
THIS TRAINING INCLUDED Drilling Cutting & Lifting (Coring) Both
|Persons Trained |ID Number or last 4 digits of Social Security|Company |
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I do hereby certify that each person listed above has received “Asbestos Awareness” training and completed the training program entitled “Asbestos Floor Covering Work Practices”. During “hands-on” training with non-asbestos floor coverings and mastic, each person demonstrated the ability to drill holes through or cut and remove intact pieces of floor covering in accordance with established procedures; “Drilling Holes in Asbestos-Containing Floors” and/or “Lifting Pieces of Asbestos-Containing Floor Covering.” In my judgment, these individuals are qualified to safely and correctly perform the procedure(s) as trained.
Signature Date
Submit completed training form by mail or fax to:
NEA Management Center Ph: 512-250-2600
10713 RR 620 North Fax: 512-250-2940
Suite 621
Austin, Texas 78726
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