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r v <br /> GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: 1 ` �1�� �WLCC� CESr�� - 2l - (� <br /> (PRINT) LAST FIRST All DATE-OF-HIRE <br /> COMPANY ASSIGNED: A olb,v J�L TYPE OF WORK: TWU(,L, 'lj Y2 Z vE ?- . <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ..,{{ CHECK HERE `` COMMENTS: <br /> gl COMPANY SAFETY POLICIES/PROGRAMS �I-4o PY (( \-or' 4.RIa3 <br /> '�\SAFETY RULES,GENERAL AND JOB SPECIFIC <br /> �I SAFETY RULES ENFORECEMENT PROCEDURES (�`9c Iy�CT^ �Pq7�a�11 �� 01�• <br /> --WHEN,WHERE AND HOW TO REPORT INJURIES J-h�+�YM.� Wk\SyNO tl+`w lai• �u'Sp��(o-{• dL �' <br /> AK WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS11Ak3.(YYK.( <br /> REVIEW OF FIRE/EMERGENCY EVACUATION PLAN R�'SAW�O� P.L IMP.IC�fn A2��i M?W-L <br /> LOCATION AND USE OF FIRE EXTINGUISHERS 'u--d N0� �� /0.f Ob J�1-e"y O. QQ�"�{.y v*et'r,>L, , <br /> SAFE WORK CLOTHING � -ScLfcoa9 Q'6"' f��L Its.9 �'F3�Yx f %'o $x' �, . <br /> HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. �Q�•rQ tr V_,R ,rr�-! <br /> {,HAZARD COMMUNICATION PROGRAM: koulL ( rZP� p�*_�A'71.D '' ^^ - �'�pQ <br /> MSDS,IIPP,HAZCOM `15OJ L�MJrf''M1�FK�VI Q'S t-A 94A- Xk <br /> SPECIFIC HAZARDS TO JOB ASSIGNMENT � �,..-A- osl CP.`�w-I,Ld'L I Sl�1Jl�.�a.✓�t� Y],�,,•,��-�A <br /> ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT l.Ch <br /> J <br /> PROPER LIFTING PROCEDURES(VIDEO) v o anc- kit,:% ;u 1 (pia P --50 - <br /> ❑ HEAT STRESS AND HEATSTROKE PREVENTION 1.C\- r 12,940 <br /> le QstJl. ��k!v <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 I' EMS HAVE BEEN DISCUSSED WITH ME,1 HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND AVE MY QUESTIONS ANSWERED TO MY SATISFACTION:n <br /> EMPLOYEE: .3 2�� DATE: �r 21 <br /> (SIG ATURE) <br /> SUPERVISOR: /j, Z� DATE: 7 - 21 <br /> r <br /> GNAT <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doe / <br />