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F17: Refresher Training Initial Guidance

First Aid at Work


Refresher Training

Initial Guidance

I (Print Name) _______________________________ agree that:

This choice of course has been discussed with an appropriate member of staff who
has agreed that this course is suitable for me to attend.

An appropriate member of staff and/or tutor has discussed with me that I have the
necessary qualifications and experience to enter onto the course and that I have a
current First Aid at Work certificate that has not lapsed.

I am 16 years of age or over

The methods of final assessment have been explained to me

The tutor has explained to me the Health and Safety Procedures with particular
reference to:

• Evacuation Procedures
• The facilities available to me
• Smoking Policy
• Hygiene and Protection whilst using the resuscitation equipment

I have given a copy of my current First Aid at Work certificate to my tutor

Tick □

I have not given a copy of my current First Aid at Work certificate to my tutor*

Tick □

Name of delegate________________________________________________

Date of Birth _________________________

Signature of student _______________________________________

Signature of tutor _______________________________________

Date ___________________________

* If you have not given the tutor a copy of your old certificate MG Training UK Ltd
will need evidence of your existing qualification before issuing a new certificate. If
you do not have your old certificate a letter from the organisation who provided your
initial training is acceptable.

© MG Training UK Ltd July 2006

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