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&R � - <br /> Lk- & <br /> GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: L-t"') 's <br /> �i / /sIg <br /> IP>U� LAST FIRST MI <br /> TB-'OF-'HIRE <br /> COMPANY <br /> COMPANY ASSIGNED: AF c TYPE OF WORK: jori V.,- <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMEN"FS: <br /> COMPANY SAFETY POLICIES/PROGRAMS <br /> -mp'nllc�s <br /> SAFETY RULES,GENERAL AND JOB SPECIFIC <br /> ,,,yyy'''SAFETY RULES ENFORECEMENT PROCEDURES ve W - e <br /> ,C),WHEN,WHERE AND HOW TO REPORT INIURIES lg vnC�,`,I d I'- <br /> \WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS J <br /> 54vnr Cha./ �lI � - d V!Q <br /> REVIEW OF FIRE/EMERGENCY EVACUATION PLAN Q.r I` - rj L k _ <br /> r��LOCATION AND USE OF FIRE EXTINGUISHERS R���-�w - P, A _S", s <br /> IXSAFE WORK CLOTHING N �' Y�S , /Kw s <br /> HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. L I!G N V - �ep 4 <br /> XHAZARD COMMUNICATION PROGRAM: -r'w <br /> //// �MSDS,IIPP,HAZCOM <br /> ,JgSPECIFIC HAZARDS TO JOB ASSIGNMENTvel C <br /> V ,--.�"' <br /> XASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT �IFSS - Vp�'ILoo—= k--r qs <br /> PROPER LIFTING PROCEDURES(VIDEO) L } U / ,/ J <br /> EMPLOYEE CERTIFIED IN FOLLOWING I.E":CPR,ETC. �,�q7 4 _ T�/_ F r k 0 <br /> ❑ ADDITIONAL TRAINING REQUIRED: -_�$• „`���,� <br /> WPORTANT.•IF THIS EMPLOYEE IS TRANSFERRED TO ANOTHER JOB ASSIGNMENT,IT IS MA NDA7"ORY 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: /�, /7 r <br /> DATE: <br /> (SIGNATURE)C / <br /> SUPERVISOR: DATE: / <br /> GNA URE <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />