If injuries are listed above, indicate procedure number for applicable equipment, process, or machinery: Comments: Appendix C – Authorized Employee Training Record This is to certify that the undersigned received training in accordance with 29 CFR 1910.147(c)(7) and the provisions of <Company Name>’s Lockout/Tagout Program. Print Name Sign Name Print Instructor’s Name
If injuries are listed above, indicate procedure number for applicable equipment, process, or machinery: Comments: Appendix C – Authorized Employee Training Record This is to certify that the undersigned received training in accordance with 29 CFR 1910.147(c)(7) and the provisions of <Company Name>’s Lockout/Tagout Program. Print Name Sign Name Print Instructor’s Name