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I am in good physical condition and have no physical problems that may be aggravated by a fall. Initial if Agreed Comments / Questions With my signature I acknowledge that I fully understand and agree to comply with the above directives and instructions EMPLOYEE SIGNATURE SUPERVISOR SIGNATURE TRAINER SIGNATURE FORM-0012 Dominion Masonry Ltd. FALL PROTECTION TRAINING RECORD Project Training Date First Name Last Name Trainer Name Definition AUT Local Government WorkSafeBC and Environment Authority. GENERAL REQUIREMENTS 1. All applicable regulations have been explained to me. 2. I understand the applicable regulations. 3. Fall Arrest Fall Restraint and Positioning system have been explained to me. requirements. ANCHORAGES 5. Fall Protection Anchorages various have been explained to me. I understand and have demonstrated proficiency of the following a* 2250 kg. Or 5000 lbs. / person anchorages. b. Choice inspection and use of my various fall protection anchorages. c* The difference between....

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How to fill out the Dominion Masonry Form-0012 online

Filling out the Dominion Masonry Form-0012 is crucial for ensuring that safety training records are accurately maintained. This guide provides a clear, step-by-step approach to completing the form online, ensuring that all necessary information is submitted correctly.

Follow the steps to fill out the form accurately.

  1. Click the ‘Get Form’ button to access the form and view it in the editor.
  2. Enter the project name where the training took place.
  3. Input the training date in the designated field.
  4. Fill in your first and last name appropriately.
  5. Enter the trainer's name responsible for the training session.
  6. Read through the General Requirements section and confirm understanding by noting any agreed statements.
  7. In the Anchorages section, indicate your proficiency by summarizing your understanding of the different fall protection systems explained to you.
  8. Move to the Safety Lines, Lanyards, and Rope Grabs section, confirming your understanding and proficiency as required.
  9. In the Safety Harnesses and Safety Belts section, acknowledge your understanding of proper fitting and use of safety equipment.
  10. Initial the appropriate box indicating agreement and understanding of the statements provided.
  11. Complete the Comments / Questions section if you have any remarks or inquiries about the training.
  12. Sign the form in the Employee Signature field, then have the Supervisor and Trainer sign where indicated.
  13. Once you have filled out all required fields, you can save changes, download the form, print it for your records, or share it as necessary.

Complete your training documentation by filling out the Dominion Masonry Form-0012 online today.

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