Training Sign-In Sheet Completed Example
Training(s) Completed: Green House Fire Evacuation Plan Instructor(s) Name & Title Printed: Dante Watkinson, Manager
Documents Reviewed at Training: Attach documents to sign-in sheet )
Green House Fire Evacuation Plan dated January 8, 2024
How training was completed (Read and sign, in-person, Zoom, etc.)
Staff’s Name and Title Pre-Printed
Date Training was Completed
Staff’s Signature
Marcus Jones, Supervisor
Marcus Jones
January 8, 2024 In-person
Chantelle Perez
January 8, 2024 In-person
Chantelle Perez, Counselor
Stephanie Diaz, Direct Care Staff Stephanie Diaz
January 8, 2024 In-person
Read and sign sick on 1/8/24, returned to work on 1/10/24
Judy Stevens, Direct Care Staff
Judy Stevens
January 10, 2024
Mike Blair, Direct Care Staff
Mike Blair
January 8, 2024
In-person
On leave 12/18/23 - 6/25/24, New fire plan dated 6/23/24, in place upon Sasha’s return. They were trained on that plan on 6/26/24.
Not trained
Sasha Demarco, Direct Care Staff
Instructor’s Signature Dante Watkinson
Instructor’s initials: DW
Instructor: initial the below boxes to confirm all tasks have been completed: DW DW DW
Attached current staff roster Attached training materials All applicable staff including relief, float, per diem staff have been trained
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