Laserfiche WebLink
� ..i <br /> � \ \GG\ENE1RAL SAFETY ORIENTATION CHECKLIST <br /> NAME: ` �\GSnh\� \ &b4 l Baa-U <br /> (PRINT) LAST FIRST M/ DATE-0F-HIRE <br /> COMPANY ASSIGNED: TYPE OF WORK: <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: \ <br /> ❑ COMPANY SAFETY POLICIES/PROGRAMS 0Q� /A S C? '— <br /> ❑ SAFETY RULES,GENERAL AND JOB SPECIFIC <br /> ❑ SAFETY RULES ENFORECEMENT PROCEDURES <br /> ❑ WHEN,WHERE AND HOW TO REPORT INJURIES \ <br /> ❑ WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS � ��� y,A O <br /> ❑ REVIEW OF FIRE/EMERGENCY EVACUATION PLAN <br /> ❑ LOCATION AND USE OF FIRE EXTINGUISHERS <br /> A S <br /> ❑ SAFE WORK CLOTHING <br /> ❑ HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. <br /> ❑ HAZARD COMMUNICATION PROGRAM: Ina <br /> MSDS,IIPP,HAZCOM <br /> ❑ SPECIFIC HAZARDS TO JOB ASSIGNMENT pp <br /> 11ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENTy C' ,G ' l-y7y ,,, c <br /> ❑ PROPER LIFTING PROCEDURES(VIDEO) , _ _ -O � <br /> ❑ HEAT STRESS AND HEAT STROKE PREVENTION * W c `+tea ` E, k o I <br /> I�CYMJ�.J <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 /> QUESTIONSANp HAV ZAToUiREE) <br /> NS ANSWERED TO MY SATISFACTION: <br /> EMPLOYE\ DATE: <br /> SUPERVISOR: DATE: <br /> (SI NATURE) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />