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GENERAL SAFETY ORIENTATI HECKLIST <br /> NAME: <br /> I05 F tS ' � � 07— /S /D <br /> (PRIN'fJ ��• � "ICJ! DATE-0F=HfX6 <br /> L <br /> COMPANY ASSIGNED: �R.0 I i TYPE OF WORK: <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> CHECK HERE COMMENTS: <br /> COMPANY SAFI:'TY POI.ICIFS/I'ROGRAMS Rcaa �aVo t-cOK{ {1 <br /> M4Lpt . <br /> I�SAF61'Y RULES,GENERAL AND JOI3 SPFCII c _�SWe d (A ni L hn.0 SlaaJ J �� <br /> 91SAFETY RULE'S FNFORFCEM1:Nf PROCEDURES $fou)1 11G1 460.0 Ch WrK S <br /> 9 WHEN,WHERE,AND HOW TO REPORT INJURIFS RcRlh AntA incl"S . <br /> CO WHEN,WHERE AND HOW TO'RFPORT UNSAFECONDITIONS <br /> (J REVIEW OP I:IRF/EMIERGIiNCY EVACUATION PLAN I,"� <br /> LK LOCATION AND USE:OP FIRE EXTINGUISHERS ��nplp ¢p��l Acd4 h.-UMr.'r <br /> CVSAFI-.WORK CLOTHING SM' 0!;y DCN'1 fcvl0Ae S. �,�, C4 EShLr -u_1�S,yL,,;��C lQ V W� <br /> I�HOUSEKFIiPING RULES,i.li.:SPil.l.CLIiANUPS,ILI'C. pTA — - 0 �r tt5&- <br /> OlIA/'.-ARDCOMMUNICA''I'IONPR(X)RAM: _Dt- -a ' o- TIeS -wed - <br /> MSUS,IIPP.IIA%COM �1(9 *A Shop/MAG&V%4'Cl ,- lo�j r.�� �• <br /> IJ(SPECIFIC HAZARDS-TO JO =ASSIGNMENI'rlljrD5- <br /> 1p^SSIGNMIENI'/USE/CARI:01:PERSONAL PR(ffTIZII'IVE EQ __UIIPMENT / <br /> VPROPFR 1.11'i'ING PROCEDUREStyp <br /> (VIDEO) a1 � fibj 41�tJ ,W 511,16 pIGSI Nn_�& <br /> p ISMPL.OYEIi CERTIFIED IN FOLLOWING LE.:CPR,ITI'C. <br /> [ADDITIONAL TRAINING REQUIRED: _ <br /> IMPORTANT.' IF THIS EMPLOYEE IS TRANSFERRED'I"O ANOTHEll JOB ASSIGNMENT,ITIS MANDATORY THAT <br /> A NEW SAFETY ORIENTATION CHECKLIST 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: IJIntA2 �. �G6pt�� DATE: 111 ti;I SOIp <br /> (SIGNATURE) <br /> SUPERVISOR: DATE:/ <br /> G 11Rli) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />