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GENERAL SAFETY ORIENTATION CHECKLIST <br /> AME: S /I /X41e �Ocj J _ 03 ^02 - 101l <br /> (PRIA7) LAST FIRST ml DATE-OF-HIRE <br /> COMPANY ASSIGNED- AEt: _ TYPE OF WORK• ,)4j I)e jC <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> Ef CHECK HERE COMMENTS: <br /> a COMPANY SAFETY POLICIES/PROGRAMS rP�A o li 40 4, jj_" &�J HV t. <br /> a/sAFEFY RULES,GENERAL AND JOB SPECIFIC - f ti <br /> 91SAFETY RULES ENFORECEMENT PROCEDURES <br /> IT WHEN,WHERE AND HOW TO REPORT INJURIES <br /> EYWHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS <br /> LYR//EVIEW OF FIRE/EMERGENCY EVACUATION PLAN <br /> LOCATION AND USE OF FIRE EXTINGUISHERS <br /> (S(/SAFE WORK CLOTHING nn ss�nL�fl r D r!-*-10 <br /> 06 04S <br /> HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. <br /> UY HAZARDCOMMUNJCATION PROGRAM: <br /> —11 `Ppb wr Z I <br /> �DS,IIPP,HA7_COM .S a� <br /> /SPECIFIC HAZARDS TO JOB ASSIGNMENT � I �l/ld-2YG �� o0A <br /> 3"ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT Oe5 n+? 1 !' <br /> 6O PROPER LIFTING PROCEDURES(VIDEO) <br /> Q/'/1EAT 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 ITEMS HAVE BEEN DISCUSSED WITH ME, 1 HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND HAVE MY QUESTIONS ANSWERED TO MY SATISFACTION: <br /> EMPLOYEE: d� �� DATE: <br /> (SIGNATURE) p -7 <br /> SUPERVISOR: DATE: <br /> (SIGNATURE) <br /> N:1Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />