Health & Safety Training Needs Assessment Form
Health & Safety Training Needs Assessment Form
Employee Information
Employee Name: ____________________________________________
Department: ________________________________________________
Job Title: ____________________________________________________
Date of Last Training: ________________________________________
Training History
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List the current training programs in place: |
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Fire Safety Awareness
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______________________________________________________________________________
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______________________________________________________________________________
Employee Participation Rates:
Program: Fire Safety Awareness Rate: 75%
Program: _____________________ Rate: ____
Risk Assessment
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List recent workplace incidents and identified high-risk areas: |
Incident: Minor hand injury in manufacturing Number of Occurrences: 2 incidents
Incident: _________________________________ Number of Occurrences: __________
Incident: _________________________________ Number of Occurrences: __________
Training Needs Analysis
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Skills and Knowledge Gaps Identified: |
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Lack of knowledge in machine safety protocols
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____________________________________________________
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____________________________________________________
|
Proposed Training Programs: |
-
____________________________________________________
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____________________________________________________
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____________________________________________________
Feedback
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Comments/Suggestions (if any): |
__________________________________________________________________________________
Approved by:
[Your Name]
[Job Title]
[Date]
