Health & Safety Training Needs Assessment Form
Employee Information
Employee Name: ____________________________________________
Department: ________________________________________________
Job Title: ____________________________________________________
Date of Last Training: ________________________________________
Training History
List the current training programs in place: |
Fire Safety Awareness
______________________________________________________________________________
______________________________________________________________________________
Employee Participation Rates: |
Program: Fire Safety Awareness Rate: 75%
Program: _____________________ Rate: ____
Risk Assessment
List recent workplace incidents and identified high-risk areas: |
Incident: Minor hand injury in manufacturing Number of Occurrences: 2 incidents
Incident: _________________________________ Number of Occurrences: __________
Incident: _________________________________ Number of Occurrences: __________
Training Needs Analysis
Skills and Knowledge Gaps Identified: |
Lack of knowledge in machine safety protocols
____________________________________________________
____________________________________________________
Proposed Training Programs: |
____________________________________________________
____________________________________________________
____________________________________________________
Feedback
Comments/Suggestions (if any): |
__________________________________________________________________________________
Approved by:
[Your Name]
[Job Title]
[Date]
Health & Safety Templates @ Template.net
