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GENERAL SAFETY ORIENTATION CHECKLIST <br /> .5ug oxNAME: 7w /-//`/o <br /> (PRIM) LAST h'IRV- Ml DATE-OF'-HIRE <br /> COMPANY ASSIGNED: AF45:7 TYPE OF WORK: Diel ✓e-2 <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> L� CHECK IIERE COMMENTS: <br /> a/COMPANY SAFETY POLICIES/PROGRAMS &82 ZtA.r.Yi.AGS7`/ <br /> azSAFETY RULES,GENERAL AND JOB SPECIFIC <br /> [E SAFETY RUl-ES ENFORIiCEMENF PROCEDURES <br /> WHEN,WHERE.AND HOW-1-0 REPORT INJURIES <br /> WHEN,WHERE AND HOW TO-REPORT UNSAFE CONDITIONS <br /> 2/RIiV1EW OF EIRE/EM[:RGENCY EVACUATION PLAN <br /> 03/1-OCATION AND USE OF FIRE EXTINGUISHERS <br /> 0 SAFE WORK CLO'1l]ING / �"�� ��Si �/�/✓'�P.f/�Ae sa c] <br /> G!rliOUSEKEIiI'IN(;RULFS,I.E.:SPILL CLEANUPS,E'I'C, <br /> 2/)IA1'.ARDCOMMUNICA'I'IONPROGRAM: _M✓-f�S / /A�l� T� <br /> MSDS,IIPP.I IA%COM �dl�J °L-&) lP� !� l <br /> SPL'CIFIC HAZARDS TO JOB ASS ICiNMEN'1' <br /> Ur/�ASSIGNMEN"UUSE/CARE OP I'LRSONAI.PRO'1'IiCI'IVIi EQUIPMEN,I* <br /> /PROPER LUTING PROCEDURES(VIDEO) ?'"'u'atj <br /> 1�GMPIAYEE CER'I'lllGD IN FOLLOWING LG.:CI'R,FITC 6-446 �/QT»p�j�– <br /> O ADDITIONAL TRAINING REQUIRED: <br /> IMPORTANT.- IF'FI IIS EMPLOYEE IS'I'ItANSI'I:RRI:D'I'O ANO'I'Iil:R JO[I ASSIGNMENT',I'I'IS MANDA'T'ORY l'I IAl' <br /> A NEW SAF[,-FY 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 /> GNATURE) <br /> SUPERVISOR: DATE: <br /> (.}t 'NA'T'URE) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />