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GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: �/L L e.4 , ZG � IF-- . / <br /> (PRINT) LAST FIRST MI DATE-OF-HIRE <br /> COMPANY ASSIGNED: TYPE OF WORK:•�Jc-W 7a <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: <br /> IN COMPANY SAFETY POLICIESIPROGRAMS 7A Ai: CIL - <br /> ® SAFETY RULES,GENERAL AND JOB SPECIFIC n/a At L:mac„/rsy a/o <br /> SAFETY RULES ENFORECEMENT PROCEDURES :�,,...a.t�.?s✓,�i.'x� 4 C.y_i�; S <br /> WHEN,WHERE AND HOW TO REPORT INJURIES s6.OtfY JJ�y 7,s�a:c .._�T,,y.,lc J.wTuy- <br /> WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS 9c 7a,ii <br /> Is REVIEW OF FIREIEMERGENCY EVACUATION PLAN �e J-t Jf.7 M 'x - — A-e4 P <br /> IN LOCATION AND USE OF FIRE EXTINGUISHERS <br /> SAFE WORK CLOTHING <br /> ® HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. Cr,,)-AZ,� <br /> 40 HAZARD COMMUNICATION PROGRAM: fZ>Es.-CGi-4_ `7�L/,2Zco� ,A i2!5 j;li <br /> MSDS,IIPP,HAZCOM �y / N ,� ✓ 1�2 <br /> SPECIFIC HAZARDS TO JOB ASSIGNMENT41 <br /> yes/2T/'c✓C-Ie( /�c.E 2/CT�i../C <br /> ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENTIj� g <br /> 11 PROPER LIFTING PROCEDURES(VIDEO)se . Lr= ,F- /lid '5 Az�j-c a 3� X�J✓-� y�C <br /> i HEAT STRESS AND HEAT STROKE PREVENTION f�Q t n n U✓t z Jf / <br /> IMPORTANT.•IF THIS EMPLOYEE IS TRANSFERRED TO ANOTHER JOB ASSIGNMENT,IT 1S MANDATORY THAT <br /> A NEW SAFETY 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: =_`C DATE <br /> (SIGNATURE) ? <br /> SUPERVISOR: ADATE: - Z / / <br /> c"'ONAVORE) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />