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GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: CAUfCt— L' IafeylCe. f Tusy �-7, I � <br /> (PRINn UST FIRST tt M/ DATE-OF-HIRE <br /> COMPANY ASSIGNED: Ah*o r;rl , TYPE OF WORK: l I- i l clr Or -v e r <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: <br /> 19 COMPANY SAFETY POLICIES/PROGRAMS �� C . P <br /> ,,../ � <br /> i <br /> la SAFETY RULES,GENERAL AND JOB SPECIFIC /yl.tY P,y' �/Yu.�.�nw-✓, <br /> Rf SAFETY RULES ENFORECEMENT PROCEDURES <br /> ,e WHEN,WHERE AND HOW TO REPORT INJURIES ,ma <br /> Ly <br /> WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS ry� <br /> REVIEW OF FIREIEMERGENCY EVACUATION PLAN r JOYCSO,ry e. lAt.�a�+.�Y &14 <br /> LOCATION AND USE OF FIRE EXTINGUISHERS q(� ,Jsy,N.S 0 124 i�, t� QYpet. .ti, <br /> SAFE WORK CLOTHING �W CT aA^-A� 4542 I,ILt <br /> Ep HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. l-R7'l4D�M <br /> ® HAZARD COMMUNICATION PROGRAM: +,�P c:e ✓2.Z r �� ��A ZC_).^� <br /> MSDS,IIPP,HAZCOM Q, 41A&M ( He -Cain. in 51ya? ` <br /> RI SPECIFIC HAZARDS TO JOB ASSIGNMENT siro F �owQr',nc Priv (ers USC IPA Elf t-&a <br /> /" ASSIGNMENT/USF/CARE OF PERSONAL PROTECTIVE EQUIPMENT UGYI-`t r_i � c4"` I <br /> Be <br /> PROPER LIFTING PROCEDURES(VIDEO) eA .ATX,WIA, <br /> 10 HEAT STRESS AND HEAT STROKE PREVENTION (9{f.ml P.jt:� oP <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 ITEMS HAVE BEEN DISCUSSED WITH ME,I HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND HAVE MY QUESTIONS ANSWERED TO MY SATISFACTION: <br /> 7 <br /> EMPLOYEE:/sib t� �_:_._1 n �_ DATE: ' 'j A xo I) <br /> (SIGNATURE) <br /> SUPERVISOR: A DATE: <br /> IGN E) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />