I acknowledge by signing this Authorized Evaluator / Proctor Registration Form that I understand it is mandatory that I, as an Authorized Evaluator, be competent with the specialty tasks that I will be evaluating to ensure the tasks are performed properly so as to aid in the prevention of incidents that could result in an injury to persons or damage to property or the environment. Further, any evaluation will be performed in accordance with company operating procedures or policies.
I acknowledge that I am responsible for recognizing hazards and abnormal operating conditions in any evaluation and must exercise care and good judgment. Industrial Training Services, Inc. is not liable for my actions or for my application of the qualification performance guides used in any evaluation checklist provided.
Industrial Training Services has my permission and approval to verify any of the background and credentials information provided by me and specifically I authorize the transmission of this document by ITS to others in the course of conducting such verification.
I affirm that the information I have given on this form is true and correct to the best of my knowledge.