Free Safety Certification Assessment HR Template
Safety Certification Assessment
This document is designed to facilitate the evaluation of safety certifications and qualifications for employees or job candidates. Please complete the sections below to ensure compliance with safety standards and regulations.
Employee Information
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Employee/Candidate Name: |
John Jacobs |
|
Job Title: |
Safety Supervisor |
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Department: |
Safety and Compliance |
|
Contact Email: |
john@email.com |
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Date of Assessment: |
September 24, 2050 |
Certification Requirements
The following safety certifications and qualifications are mandatory for this role:
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CPR
-
OSHA 30-hour
-
First Aid
Certification Verification
Please provide the following details for each required certification or qualification:
|
Certification/Qualification |
Certification Number |
Expiration Date |
Issuing Organization |
|
CPR |
12-14131 |
December 31, 2050 |
Safety Institute |
Training and Education
Please furnish information regarding any additional safety-related training or education received by the employee/candidate:
|
Description of Training/Education: |
Hazardous Materials Handling |
|
Institution/Provider: |
|
|
Date Completed: |
Experience
Summarize the candidate's pertinent work experience, particularly roles that required safety training or certifications:
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Job Title: |
Safety Coordinator |
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Company/Organization: |
|
|
Dates of Employment: |
|
|
Description of Safety Responsibilities: |
Competency Assessment
Assess the candidate's competency in applying safety knowledge and skills. Utilize a scale of 1 to 5, with 1 representing the lowest and 5 the highest competency level, for each relevant area:
|
Safety Skill/Task |
Competency Rating (1-5) |
|
Emergency Response |
4 |
Recommendation
Based on the assessment, provide a recommendation or notes regarding the candidate's suitability for the role:
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Signature
By signing below, you acknowledge that you have reviewed and verified the safety certifications and qualifications of the employee/candidate:
[Signature]
[Your Name]
[MM/DD/YYYY]
Disclaimer: This document serves as a guideline for HR professionals. Ensure that all assessments and evaluations adhere to your company's policies, industry regulations, and legal requirements.
For inquiries or assistance, contact [Your Company Name] at [Your Company Email] or visit [Your Company Website].
