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GENERAL SAFETY ORIENTATION CHECKLIST <br /> To <br /> NA E: �n� e a J <br /> (PRIN77 LAST PAST Ml DATE-OF-HIRE <br /> COMPANY ASSIGNED: TYPE OF WORK: <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: <br /> y, COMPANY SAFETY POLICIES/PROGRAMS R ee'd AQ 0.I S <br /> SAFETY RULES,GENERAL AND JOB SPECIFIC _ JQr k Sat E ' <br /> ,A <br /> SAFETY RULES ENFORECEMENT PROCEDURES l'5 <br /> WHEN,WHERE.AND HOW TO REPORT INJURIES -RPD n(l AU �-j pert/I S r <br /> KWHEN,WHERE AND HOW TO'REPOR'T UNSAFE CONDITIONS 1' 1 1 <br /> �,,--//REVIEW OF FIRE/EMERGENCY EVACUATION PIAN _ i,P�.lv� �UCA'�7nA +r Tr+c <br /> `X LOCATION AND USE OF FIRE FXTINGUISHERSyJ,(,e,.1 ('I'�(5 <br /> �1 SAFE WORK CLOTI[ING �Q T P [ Iy pT_NO_-LA4 461005 <br /> /�`HOUSEKEEPING RULES, I.E.:SPILT.CLFANUPS,El-C. C I Q k A U JI S tK( pU A A/t <br /> HAZARD COMMUNICA'T'ION PROGRAM: _ <br /> MSDS,IIPP,HA7COM .�- <br /> -[ SPECIFIC HA7ARDS TO JOB ASSIGNMET <br /> ASSIGNMENTIUSF7CARE 01:PERSONAL PROTECI-IVE EQUIPMENT-T QS a A <br /> PROPER LIFTING PROCEDURES(VIDEO) 111 P i P W[(r� <br /> ,NEMPLOYEE CF.R'I'IFIED IN FOLLOWING T.E.:CPR,ETC. F^OC I-, I1 t-� 0 Ptrad_ ,— <br /> �ADDITIONAI,TRAINING RFQUIRf:D: A S n S <br /> IMPORTANT.. IF THIS EMPLOYEE IS TRANSFERRED TO ANOTHER JOB ASSIGNMENT,IT IS MANDA'T'ORY 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 DATE: ( �5 / (O <br /> Z19—IGN � f/ <br /> SUPERVISO DATE: <br /> (SIGNA'T'URE) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />