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GENERAL SA��FETY ORIENTATION CHECKLIST <br /> NAME: (/ ACaG1 16 <br /> z4.t2�� /\ (7ZS' r� <br /> (PRINT) LAST FIRST M7 DATE-OF-HIRE <br /> COMPANY ASSIGNED: 4/0941 ,N TYPE OF WORK: 45�ez ICz-e✓ <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE J,.COMMENTS: <br /> /COMPANY SAFETY POLICIESIPROGRAMS i'/ 11 eaTS <br /> N-W.9 <br /> [9/SAFETY RULES,GENERAL AND JOB SPECIFIC A/O `�Ccfweu6- NO 11 'w <br /> (y SAFETY RULES ENFORECEMENT PROCEDURES eV4/acAb At"S 7Q✓O1�fK a14pl <br /> / I ' <br /> WHEN,WHERE AND HOW TO REPORT INJURIES ,J�4na-e a 4-y S'4�e✓1'ffOf� <br /> M� HEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS K [�4 e✓��s0 <br /> Re <br /> REVIEW OF FIREfEMERGENCY EVACUATION PLAN Retic <br /> ������////LOCATION AND USE OF FIRE EXTINGUISHERS SS / <br /> AFE WORK CLOTHING Al oee4.I'pe- 54 QS <br /> HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. C��k w 6 ('k W tz <br /> �] HAZARD COMMUNICATION PROGRAM: /�� �L'S4�w /my- Hwzc^� <br /> I�SDS,IIPP,HAZCOM I�7sds sl(eaI-S aeQ I�. .?W e y w1ce, <br /> B7 SPECIFIC HAZARDS TO JOB ASS IGNMENTe�A� <br /> VW ASSIGNMENTIUSEICARE OF PERSONAL PROTECTIVE EQUIPMENT�I17��3Q s V sl I/4vol Lra.�, GbctS <br /> ROPER LIFTING PROCEDURES(VIDEO) L &cx <br /> HEAT STRESS AND HEAT STROKE PREVENTION D�'jn.� 1pf$ p� waAerr Afa, C4 <br /> Co faovkQrs, w�e� caro/ <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 ITEMS HAVE BEEN DISCUSSED WITH ME,I HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND HAVE MY QUESTIONS ERED TO MY SATISFACTION: <br /> EMPLOYEE: DATE: 7 2 S <br /> (SIGNA <br /> SUPERVISOR: DATE: <br /> A E) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doe <br />