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•� Ish Uelsion <br /> GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: 1/G&e--/ al Z51 .' j9&1�4 <br /> (PRINT) LAS! FIRBT MJ DATE-OF-HIRE <br /> COMPANY ASSIGNED: 4Zf 171/1' TYPE OF WORK: <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: <br /> 91"CCOMPANY SAFETY POLICIES/PROGRAMS LG e Y' ';!t�/2a e S l o S �CyCY/If/q� <br /> 3""SAFETY RULES,GENERAL AND JOB SPECIFIC n/���).6�6 i�rY/ /JT/_� S' .lin <br /> M SAFETY RULES ENFORECEMENT PROCEDURES O IjM�p�.n/_/:� eT�PnieCss c�/kOI/2V.S <br /> � J/!4 <br /> 9{r/WHEN,WHERE AND HOW TO REPORT INJURIES J,./y�t d192 <br /> I1 WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITION> y.�fi��._ •'S .p /�� ,A� r�NySO � r �4 <br /> REVIEW OF FIRE/EMERGENCY EVACUATION PLAN <br /> CATION AND USE OF FIRE EXTINGUISHERS <br /> [LO <br /> / G5 4 C r1rr JZTO /�R/'//VL, <br /> �'SAFE WORK CLOTHING <br /> UKHOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. <br /> t HAZARD COMMUNICATION PROGRAM: <br /> MSDS,I1PP,HAZCOM <br /> SPECIFIC HAZARDS TO JOB ASSIGNMENT A7r+' G d 'S Me�wCe�/gas <br /> T � r-yl <br /> ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT G <br /> LPJ <br /> eAPROPER LIFTING PROCEDURES(VIDEO) t�Jo%a f' /C2'S Qo�/l/�f' GGf c9.I✓�31f tVC/PO <br /> CV/ <br /> EAT STRESS AND HEAT STROKE PREVENTION <br /> e�rtovscode <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 ANSWERED TO MY SATISFACTION: <br /> EMPLOYEE: DATE: <br /> (SIG <br /> SUPERVISOR: <br /> ) 1 <br /> SUPERVISOR: DATE: l <br /> ' IG <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />