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Injury And Illness Prevention <br />Program (TIFF) <br />This form is to be completed by the instructor (I.e., outside vendor, division safety officer, supervisor or manager). If meeting includes several divisions, <br />then a copy of attendance recoN should be placed in each Division's safety binder. Be sure to include a copy of lesson outline, handouts, etc. <br />Forward to Division Safety Officer. Retain in safety binder for three years. <br />Date: $-3-I <br />Place: �, ,�-p — <br />Division; <br />Instructor:. �. <br />Methodology (check <br />_ Audio/Visual <br />Summary of Meeting <br />all that apply): <br />_ Demonstration Outline of Lesson �ecture <br />object &Materials U$ed): <br />attendee Names rinted <br />3. <br />4. <br />5. <br />6. <br />7. <br />8 <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />r <br />J. <br />t <br />