SOP_NUMBER: 511.34-att-3
TITLE: Hazard Communication Training Acknowledgement Form
REFERENCE_CODE: IP01-0001
WORD_COUNT: 112
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/209320
URL: https://gps.press/sop-data/511.34-att-3/

ATTACHMENTS:
  1. Model Written Hazard Communication Program
     URL: https://gps.press/sop-data/511.34-att-1/
  2. It's The Law Poster (Attachment 2)
     URL: https://gps.press/sop-data/511.34-att-2/
  3. Hazard Communication Training Acknowledgement Form
     URL: https://gps.press/sop-data/511.34-att-3/

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FULL TEXT:
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# SOP 511.34 Attachment 3 10/30/17 WORK AREA-SPECIFIC

**HAZARD COMMUNICATION TRAINING ACKNOWLEDGEMENT FORM**


I have been made aware of and have been trained in the uses and hazards associated with the chemicals to
which I am exposed. I have been provided with the necessary personal protection equipment and have
received training on the use and maintenance of this equipment. I understand my rights under the Employee
Hazardous Chemical Protection and Right to Know Act of 1988 (The Act) and the Occupational Safety and
Health Administration(OSHA) Hazard Communication, 29 CFR 1910.1200 [HCS 1994].

DATE: _______________________

NAME: ___________________________________

SUPERVISOR: _________________________________

**SDS REVIEW**

**I CERTIFY THAT I REVIEWED THE FOLLOWING LISTED SAFETY DATA SHEETS [SDS] WITH MY**
**IMMEDIATE SUPERVISOR ON ___________________:**

**(DATE)**

**LIST OF SDSs REVIEWED:**