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GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: SVo soN " I(::- 1� O tq, - - <br /> ' <br /> (PRINT) IdST FIRST M/ DATE-OF-HIRE <br /> COMPANY ASSIGNED: N I TYPE OF WORK: !— <br /> THE FALLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> (Q// CHECK HERE COMMENTS: <br /> MPANY SAFETY POLICIES/PROGRAMS p CAS <br /> "ETY RULES,GENERAL AND JOB SPECIFIC �/Vav <br /> 40 <br /> �( e S <br /> ,LK,,I/S//AFETY RULES ENFORECEMENT PROCEDURES d C i{Or I1V9-r!p/V <br /> Ly/wH N,WHERE AND HOW TO REPORT INJURIES ((Q /. e L /J/_f(j�-f'� <br /> W EN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS �>°II Ulrf'F7AoAj-fC�') r Sf1M�e D^y <br /> RRE/EVIEW OF FIRE/EMERGENCY EVACUATION PLAN &wove mojesfp f P <br /> M16CATION AND USE OF FIRE EXTINGUISHERS PPit 1 ��Al A4 �j`p/AP�Z� S (G el-f C' S 't7(` <br /> -- //AFE WORK CLOTHING NO O'DP/V rGIOPs� O FIS P rI o.�,S <br /> &,Y DUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. �i CCA/ I f or <br /> q^� <br /> "H ARD COMMUNICATION PROGRAM: 44, <br /> �C�'CC[(�✓PG` Pp Ny_ ! CaM <br /> MS S,IIPP,HAZCOM 4 gyp /��,j/i�p- E I Al r j C10 <br /> P//ECIFIC HAZARDS TO JOB ASSIGNMENT KiSCi <br /> [ /d/SSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT 0�! C e- S�/SC.�� �7 <br /> [t/PROPER LIFTING PROCEDURES(VIDEO) Ar ��/�/ePSP/(�'•�C,se CaO�V <br /> [�,fZEAT STRESS AND HEAT STROKE PREVENTION "60rf- Cn/V A4� I<I/o'l / r <br /> IMPORTAIVE-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,I HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND (H�A�VE MY QU STIONS ANSWERED TO MY SATISFACTION: <br /> V <br /> EMPLOYEE: Vw DATE: <br /> (SI TURE <br /> SUPERVISOR: DATE: <br /> (SIGN TURE) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />