Name(Required) First Last After taking the written test, complete this page with your trainer. Check the box as you review each item with your trainer.Checklist OSHA 1926 Subpart CC is available at all times on site. Written test completed and reviewed with trainer. Proper signals have been taught and tested. Lift plan preparation and execution. Employee Responsibility & Consent • I have received signal person training as outlined above and agree to abide by the requirements, rules, and regulations contained therein. • I agree to prepare and/or review the lift plan before executing a lift as required by the OSHA and Hogan & Associates. I understand that failure to do so may result in disciplinary action up to and including termination of employment.Trainee E-Signature(Required) Checking this box, along with my typed name above, constitutes my legal e-signature verifying the above actions have taken place to my satisfaction, and that I understand and accept the Employee Responsibilities listed above. Date(Required) MM slash DD slash YYYY Trainer (Qualified Person) E-Signature I verify the above actions have taken place to my satisfaction, and that I have reviewed the Employee Responsibilities listed above and am satisfied the trainee understands them.Name(Required) First Last Date(Required) MM slash DD slash YYYY
