Free Workplace Safety Sign-Off Slip Template

Workplace Safety Sign-Off Slip

Please complete this Safety Sign-Off Slip to acknowledge your understanding and commitment to our workplace safety procedures. Your signature is a vital part of maintaining a safe and compliant work environment.

Employee Information

Name:

[Name]

Job Title:

[Job Title]

Department:

[Department]

Safety Training Acknowledgment

Training Attended:

[Fire Safety and Evacuation Procedures]

Acknowledgment:

I confirm that I have attended the above training and understand the safety practices relevant to my role.

Signature:

[Signature]

Policy and Procedure Compliance

Policies Reviewed:

[ Workplace Hazard Assessment Policy]

Compliance Commitment:

I agree to adhere to all the safety policies and procedures as outlined by the company.

Signature:

[Signature]

Equipment and Environment Safety

Equipment Handled:

[CNC Milling Machine and Hydraulic Press

Environmental Safety:

I acknowledge my responsibility in maintaining a safe work environment and proper use of all equipment.

Signature:

[Signature]

Your acknowledgment and commitment to these safety standards are essential in fostering a culture of safety at our workplace. 

Thank you for your diligence and cooperation.


Health & Safety Templates @ Template.net