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GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: 12 AAz- J! /i4 Tj) P— ;z2a// _ <br /> (PRINT) LAST '. FIRST MI ATE-OF-HIRE <br /> A)TO ?IA A I/ TYPE OF WORK: TY1 9r-e nYlI 19F� <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: <br /> Id'COMPANY SAFETY POLICIES/PROGRAMS LOPY ,�•� �� m �� 'es <br /> SA TY RULES,GENERAL AND JOB SPECIFIC /tel n APA-t< �� ,2n I�mQo,6as <br /> SAFETY RULES ENFORECEMENT PROCEDURES TCv�ti, <br /> Enos r AJO�l <br /> EN,WHERE AND HOW TO REPORT INJURIES i r1 Far wte " r /j0 Hnu[aµ� <br /> WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS ) y d 7dy <br /> o <br /> ] /R IEW OF FIREIEMERGENCY EVACUATION PLAN <br /> LOCATION AND USE OF FIRE EXTINGUISHERS gEK C�,.Lt i0�a� �f yqn. /��-T-y�R 8 .� MO✓IM~ O d e. <br /> IQ'SA WORK CLOTHING N O $40 <br /> HO EKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. <br /> HAZARD COMMUNICATION PROGRAM: e4?-[.i be l PP <br /> 5Log 0; asnncc���a e S� <br /> MSD 11PP,HAZCOM ]� �tw �[t T- - O <br /> S IFIC HAZARDS TO JOB ASSIGNMENT <br /> ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT(��JeCr-)T�A ,tte <br /> Z PROPER LIFTING PROCEDURES(VIDEO) a 6L-vy a p`^d��" � C��.d <br /> � 'f c) <br /> 1EAT STRESS AND HEAT STROKE PREVENTION '�pyy[(vl- �1y��t�{� <br /> D Si�ytoS <br /> IMPORTANT: IF THIS EMPLOYEE IS TRA4FLLED <br /> H JOB AS IGNMENT,IT IS MANDATORY THAT <br /> A NEW SAFETY ORIENTATION CHECKLIST F . <br /> THE ABOVE ITEMS HAVE BEEN DH M , I H VE BEEN ABLE TO ASK <br /> QUESTIONS AND HAVE MY QUESED SATISFACTION: <br /> EMPLOYEE: M fDATE• //,2 7�,2 0/J(SIGN �J77SUPERVISOR: DATE: ` y ( —v <br /> -c� NATUR ) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doe <br />