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GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: kb-CS L)q l iGlwy �^ 3 — 3 - 1 d <br /> (PRIM) LAST F IRA F ' bll DATE'-OF-HIRE <br /> COMPANY ASSIGNED: )qF �y- TYPE OF WORK: JJY'w�-✓' <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMEN'1'S: <br /> r <br /> COMPANY SAFETY POLICIES/PROGRAMS <br /> SAFETY RULES,GENERAL AND JOE SPECIFIC WIl N(C ,t�FJ <br /> .(� SAFETY RULES F.NFORECEML•NT PROCEDURES �R'j , k�Z,,, 19✓4 n <br /> WHEN.WHERE AND How-TO REPORT'INJURIES P- F)C1N} It D 01'.510 <br /> WHEN.WHERE AND HOW'1'O'RJ:POR'1'UNSAF'E(:ONDI'TIONS �r.yCN (/y { J <br /> REVIEW OF FIRE/EMERGENCY EVACUATION PLAN Vy�i GW OG/IQ j.l `C( <br /> �\ LOCATION AND USE OF FIRE EXTINGUISHERS -�(� V/i 0 V 2 Z1 <br /> SAFE'WORK CLGITIING _ �.�E N 0 D Pen SOt AIA Trn k7o p <br /> -A IiOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,FIC. 'e '1't � ✓/tjp&I <br /> tHAZARD COMMUNICATION PROGRAM: Qiitit.0 t L o 'e <br /> MSUS,IIPP,I IA%COM (. ) CK/ J p Na C_ cutz_ <br /> / <br /> { <br /> SPECIFIC[WARDSTO JOE ASSIGNMENTje f rP <br /> 1 _— <br /> ASSIGNMENT/USFJCARIi OI'PERSONAL PROTEC''IVE EQUIPMENT-SA _OG+V .1S- y Q} at) 5t, q r <br /> PROPER LIFTING PROCEDURES(VIDEO) WC P t\JiyV <br /> �qq EMPLOYEE CER'T'IFIED IN FOLLOWING I.E.:CPR,ETC. �`-�[- 4 <br /> ;t,J ADDTFIONALTRAININGREQUIRED: ftkd6 45.5 MCG jAb _ <br /> IMPORTANT: IF'TI IIS EMPLOYEE IS'TRANSF'ERRLD'TO ANOTHER JOE ASSIGNMENT, ITIS MANDA"TORY THAT <br /> A NEW SAFETY ORIENTA'T'ION CHrCKI.IS'I'FORM IS FILLED OUT. <br /> THE ABOVE ITEMS HAVE, BEEN DISCUSSED WITH ME, I HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND HAVE MY QUESTIONS ANSWERED TO MY SATISFACTION: <br /> EMPLOYEE: CL t.�/1.0 , DATE: 3 <br /> (SIGNATURE) <br /> SUPERVISO DATE: <br /> (SIGNA'I'l1RI:) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />