Republic Services Safety Training Certification For Temporary Workers
REPUBLIC SERVICES ONLY FORM
Must be provided to Republic Services before beginning to perform any work.
I have received the following safety training on the dates indicated below:
I have received the information in the Contingent Workforce Safe Work Practices Booklet (the Booklet) in a format and language that I understand, and I have received the other training noted above. If there is anything that I do not understand in the Booklet or training videos, I acknowledge that it is my responsibility to ask for an explanation and clarification. I understand all safety training I have received. I also understand that it is my responsibility to wear all safety equipment as required and to comply with all applicable safety training, rules and regulations.
Temporary Worker Name:
Agency Representative Name: | Agency Representative Position:
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Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Republic Services Safety Training Certification For Temporary Workers
Agree & Sign