Hazard Training Please use the form belowor call us at 810-327-6251 with any questions or concerns. Hazard Training Mid Michigan Materials Location Visiting* Betchel: MSHA Pit #20-02675 Burgess: MSHA Pit #20-03516 Wilson: MSHA Pit #20-00784 Vella MSHA Pit #20-00872 Date* MM slash DD slash YYYY Visitor* First Last Company Visitor Signature*Trainer I certify the above training has been completed.Duration of Training 5 minutes.Person Responsible for Health and Safety Training I certify the above training has been completed.PhoneThis field is for validation purposes and should be left unchanged. Δ
