Contingent Worker Training Record: Landfill Worker
REPUBLIC SERVICES ONLY FORM
Vendor Name: National Star ServicesContingent Worker Name: Assignment Start Date:
Before beginning assignment, the Contingent Worker must present a completed Safety Training Certification for Contingent Workers certifying that the Worker has received all required safety training from the Worker’s employer/Vendor. On the first day of assignment, site specific training must be conducted by a qualified Republic Services operations representative. Maintain this training record and file by respective Vendor.
Landfill Worker checklist:
Contingent Worker: I have received training on the topics listed above on the first day of my assignment. I have had the opportunity to ask questions on the contents of this training and I received answers to all my questions. I understand the training and I agree to abide by the standards presented therein and to comply with all applicable safety rules and regulations.
Trainer: I have provided training on the topics listed above on the first day of the Contingent Worker’s assignment. I have given the Contingent Worker an opportunity to ask questions and have addressed any that were asked.
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Your legal name
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If you have questions about the contents of this document, you can email the document owner.
Document Name: Contingent Worker Training Record: Landfill Worker
Agree & Sign