urgent-care/Forms/Training/FRM-004-Training-Record.md

Training Record Form

Form ID	FRM-004	Revision	1.0

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Section 1: Employee Information

Field	Entry
Employee Name
Employee ID
Department
Job Title

Section 2: Training Information

Field	Entry
Training Title
Training Date
Training Duration
Trainer Name
Trainer Qualification

Training Type

• Initial Training
• Retraining
• Refresher
• Procedure Update

Delivery Method

• Classroom
• On-the-Job
• Self-Study
• Computer-Based
• Other: ____________

Section 3: Training Content

(List topics covered or attach training materials)

Section 4: Assessment

Assessment Method

• Written Test
• Practical Demonstration
• Verbal Assessment
• Observation

Assessment Results

Metric	Result
Score (if applicable)
Pass/Fail

Section 5: Signatures

Role	Name	Signature	Date
Trainee
Trainer
Supervisor

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Form FRM-004 Rev 1.0