Name(Required)

Employee Responsibility & Consent

• In my employment with Hogan & Associates Construction Inc., I have previously attended and passed a training class for Powered Industrial Trucks (Telehandler & Skid Steer Loader).

• I have watched the Powered Industrial Truck training video and taken the accompanying re-certification written test.

• I have received Powered Industrial Truck training as outlined above and agree to abide by the requirements, rules and regulations contained therein.

• I agree to use all Powered Industrial Trucks as required by the manufacturer’s guidelines, OSHA and Hogan & Associates. I understand that failure to do so may result in disciplinary action up to and including termination of employment.

Trainee Signature

Reset signature Signature locked. Reset to sign again
MM slash DD slash YYYY