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GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: L21-n- r <br /> LAST 2�ir 7 // <br /> 7 . /� <br /> /PRInrTJ F/RST M/ / <br /> DATE-OF-HIRE <br /> COMPANY ASSIGNED: !7=_ TYPE O-RK, ze rw/f <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> CHECK HERE <br /> /1 COMMENTS; <br /> 10 COMPANY SAFETY POLICIES/PROGRAMS �d /�40leI-� <br /> .SAFETY RULES,GENERAL AND JOB SPECIFIC /VQ /Q�( 1 p <br /> ozab <br /> SAFETY RULES ENFORECEMENT PROCEDURES /-'/7oz� / <br /> oASfI <br /> Ei-WHEN,WHERE AND HOW TO REPORT INJURIES /i//`` / r 4 fGA <br /> @ WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS QQ " Qr/TR <br /> 9 REVIEW OF FIRE/EMERGENCY EVACUATION PLAN <br /> IR LOCATION AND USE OF FIRE EXTINGUISHERS <br /> SAFE WORK CLOTHING �W SNG Q�t U2 C>p/•�/ 7Ci__ f S'liG <br /> (�.HOUSEKEEPING RULES, I E.:SPILL CLEANUPS,ETC. Go,co�Ai/✓ po��. <br /> J� HAZARD COMMUNICATION PROGRAM: / 1� ��pP <br /> MSDS,IIPP,HAZCOM � <br /> —�_— <br /> CB SPECIFIC HAZARDS TO IOB ASSIGNMENT G/1 IciC6 G(/ W G <br /> ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT64_ ,r <br /> PROPER LIFTING PROCEDURES(VIDEO) <br /> ❑ HEAT STRESS AND HEAT STROKE PREVENTION <br /> '"PORTANT.- 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: / K�tr��-- ���j/ DATE: d <br /> (SIGNATURE) <br /> VI <br /> SUPERVISOR: �2� t0 DATE: <br /> (SIGNATURE) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />