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GENERAL SAFETY lO�RIENTATION CHECKLIST <br /> NAME: � ak-e-AYI.t \�DO.P�.\a -' It — � o <br /> (PRIM) LAST FIRST �r�r MI DATE-OF-111RE <br /> COMPANY ASSIGNED: A r K TYPE OF WORK: <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> drll� CIIECK IIF.RE COMMENTS:` <br /> OMPANY SAFETY POI.ICIES/PROGRAMS -6& `5i <br /> SAFETY RULES,GENERAL AND JOB SPECIFIC <br /> SAFETY RULES ENFORE:CEMENF PROCEDURES <br /> \o/WHFN,WHERE AND HOW-TO REPORT INJURIES <br /> yJ�/WHEN,WI WRE AND HOW'I'O'REPOR'FUNSAI:E CONDITIONS <br /> � INVIEW OF PIRE/EMERGENCY LVACUA I'ION PIAN <br /> ,►QLOCATION AND USE 01:FIRE EXTINGUISHERS <br /> / <br /> SAFEWORK CLOTI HNG <br /> HOUSEKF:IiPING RULES,LIE.:SPILI.CLEANUPS,1:1 C. <br /> \PKIIAZARD COMMUNICATION PROGRAMS <br /> MSD ,IIPP,IIA%COM Y kA 1011,,7-CO m <br /> N/SPL'CIFIC[WARDS TO JOB ASSIGNMEN"I' ,l '�?\[\iA c) <br /> B ASSIGNMENT'/USE/CARE OI'PERSONAL PROT'ECT'IVE EQUIPMEiN'1 P.J�-�C.b VL'3"._ <br /> V"PRO� <br /> PER LII•'I'ING PROCEDURES(VIDEO) ,�`1 f E� <br /> t/EMPI. YEE CERTIFIED IN FOLLOW ING LE.:CPR,ETC. �`�"��N=0 <br /> ADDITIONAL TRAINING REQUIREDC '-IoAm' \ <br /> IMPORTANT: 11='FI IiS EMPLOYEE IS'I'ItANSF'I:RRI:D'FO ANO'I'Ii1:R JOIT ASSIGNMENT',I'I'IS MANDA'T'ORY Tf1AT <br /> A NEW SAF[:FY ORIENTATION CHECKLIS'i'FORM IS 191.LLD OUT'. <br /> THE ABOVE ITEMS HAVE, BEEN DISCUSSED WITH ME, 1 HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND HAVE MY QUESTIONS ANSWERED TO MY SATISFACTION: <br /> EMPLOYEE: � e>�� CM1Q>n,.t,>.�a DATE: _ ��— <br /> (SIGNATURE) <br /> SUPERVISOR: 2e DATE: 01 'V <br /> /(SIGNA'I'URli) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CI-IECKLIST.doc <br />