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D <br /> c <br /> m <br /> O <br /> Q) <br /> Ul <br /> IAJLAJL N <br /> O <br /> Standards <br /> 03T Proficiency Exam <br /> HSSE <br /> I � <br /> j <br /> L <br /> Date: E' <br /> m <br /> Trainee; v <br /> Trainer: •co <br /> Service Center: <br /> Primary Du and Task Rating <br /> 1 Safe 1n,:ti1C�3'ork lace , '� � " <br /> • Demonstrate proper lifting technique for heavy box 1 2 p <br /> • Demonstrate proper ins ection and set uP of straight ladder and a-frame ladder <br /> • _Demonstrate location and proper operation ofeye wash 1 2 P <br /> • Demonstrate proper PPE for radiator flush service 1 2 P <br /> 2.`Trotyed our Health <br /> N <br /> • Demonstrate who to contact regarding access to Medical Records or TSCA claim 1 2 P -- C) <br /> N <br /> • Reviewed written HazCorn Program 1 2 P m <br /> w <br /> • Reviewed MSDS and demonstrate knowledge of their location, how to access,format and content 1 2 P <br /> w <br /> • <br /> Identify examples ofIIanvnables and corrosive materials 1 2 Y <br /> nZ <br /> it <br /> c D <br /> o o fT't v <br /> r � t <br /> M <br /> DTOG—HSSE I Version:dig o tr,3010 M <br />