Laserfiche WebLink
GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: - -" <br /> (PRIM) IAT FIR-gr MJ E <br /> C\, DAT -OF-HIRE <br /> COMPANY ASSIGNED: ,�1 = TYPE OF WORK: `� , <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> 0CHECK HERE COMMENTS: <br /> V�� �OOMPANY SAFETY POLICIES/PROGRAMS <br /> J <br /> (.,'S�AFETY RULES,GENERAL AND JOB SPECIFIC <br /> . <br /> LySSAFETY RULES ENFORECEMENT PROCEDURES <br /> LP' wHEN,WHERE AND HOW TO REPORT INJURIES <br /> G'"EN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS <br /> ,, <br /> EVIEW OF FIRE/EMERGENCY EVACUATION PLAN <br /> Cl/ /n-SLP <br /> LOCATION AND USE OF FIRE EXTINGUISHERS <br /> [-JgYE WORK CLOTHING <br /> . ' oeS <br /> 9-111HOUSEKEEPING RULES,I.E. SPILL CLEANUPS,ETC. <br /> Itl <br /> HAZARD COMMUNICATION PROGRAM: <br /> MSSDS,IIPP,HAZCOM <br /> ['SPECIFIC HAZARDS TO JOB ASSIGNMENT I © <br /> M'ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT <br /> ROPE LIFTING PROCEDURES(VIDEO) <br /> .�. <br /> F.AT STRESS AND HEAT STROKE PREVENTION <br /> IMPORTANT.• IF THIS EMPLOYEE IS TRANSFERRED TO ANOTHER JOB ASSIGNMENT,IT IS MANDATORY THAT <br /> A NEW SAFETY ORIENTATION CHECKLIST FORM IS FILLED OUT. <br /> THE ABOVE ITEM HAVE=1 �) <br /> WITH ME, I HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND H V MWERED TO MY SATISFACTION: <br /> EMPLOYEE: DATE: — <br /> SUPERVISOR• DATE: 7 d-/W <br /> ( IGNATURF;) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />