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GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: 6Q�ICh� FIRS <br /> O' Pr -y <br /> (PRIM') 'LAST T�/ MI DATE-OF-HIRE <br /> COMPANY ASSIGNED: A's / TYPE OF WORK: aT/11ek <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: <br /> ❑ COMPANY SAFETY POLICIES/PROGRAMS �{/ J}�g/j(IO�pJ <br /> Cl SAFETY RULES,GENERAL AND JOB SPECIFICm Q�lJP.v <br /> ❑ SAFETY RULES ENFORECEMENT PROCEDURES l <br /> ❑ WHEN,WHERE AND HOW TO REPORT INJURIES <br /> ❑ WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS <br /> ❑ REVIEW OF FIRE/EMERGENCY EVACUATION PLAN �O-Sf <br /> ❑ LOCATION AND USE OF FIRE EXTINGUISHERS jy, `, <br /> ❑ SAFE WORK CLOTHING p c%re-4 Sl/ SO AdQL�A P <br /> ❑ HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. <br /> ❑ HAZARD COMMUNICATION PROGRAM: �SJ� time hea 4-ktly;y <br /> MSDS,IIPP,HAZCOM ,+� <br /> ,> ❑ SPECIFIC HAZARDS TO JOB ASSIGNMENT µs(�s ; A rAL� <br /> ❑ ASSIGNMENF/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT C L At n t�„{� —� �+-�c�1 jk [ <br /> ❑ PROPER LIFTING PROCEDURES(VIDEO) C/ _w ��e4w h!:6y J",.L�J <br /> 7" <br /> ❑ HEAT STRESS AND HEAT STROKE PREVENTION ��C� <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, 1 HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND HAVE MY QUESTIONS ANSWERED TO MY SATISFACTION: <br /> EMPLOYEE: - DATE: <br /> ATURE) <br /> SUPERVISOR• <br /> DATE: <br /> (SIG ATURE) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />