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GENERAL SAFETY ORIENTATION CHECKLIST <br /> DAME: zlelrx -fa-F 4:5- -3//A <br /> (PRIN7) LAST FIRST MJ DATE-OF-HIRE <br /> E <br /> COMPANY ASSIGNED: d- � ` TYPE OF WORK: oelyin <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> 0 CHECK HERE / COMMENTS: c <br /> St COMPANY SAFETY POLICIESIPROGRAMS Pe), 7OdbS/ <br /> VSAFETY RULES,GENERAL AND JOB SPECIFIC NO acc //en 1c5 FIO 1e S'/vJ4e; <br /> .(/SAFETY RULES ENFORECEMENT PROCEDURES P5 50 N U S fief4i <br /> ® HEN,WHERE AND HOW TO REPORT INJURIES so/n e dJ Gt/ r6S igo C 1�F> <br /> ( // HEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS SpQYJt P d G1`� C(1 S?G t (/'I LAY <br /> Q'`IREVIEW OF FIRE/EMERGENCY EVACUATION PLAN 'F.0\1\Ct✓ SfCIL(c-f0✓1 pnh F/,t;Ctn�e <br /> Ip OCATION AND USE OF FIRE EXTINGUISHERS VA-5 <br /> TPJ SAFE WORK CLOTHING AJO S&O41's ,U O/�O my YI[ <br /> (O S .d C}' <br /> HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. CLO i MFC/7C/� f- iI/ �T <br /> )HAZARD COMMUNICATION PROGRAM: U iu )C. cif <br /> M DS,IIPP,HAZCOM C <br /> E SPECIFIC HAZARDS TO JOB ASSIGNMENT 5'0-5 i P � e Q c l c c <br /> e ASSIGNMENT/USEICARE OF PERSONAL PROTECTIVE EQUIPMENT SSLe 11 -F boo I/Sva)ow (��' <br /> (�P OPER LIFTING PROCEDURES(VIDEO) axfK / O � 'c /V�,+/y`Gy� " <br /> PLOYEE CERTIFIED IN FOLLOWING I.E.:CPR,ETC. C i a SS' A' 1 (� t) L9?P) on'` (')'I' 1 e�� <br /> ADDITIONAL TRAINING REQUIRED: m k 1301-0 1 6C£.1� 0 r6> <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 /> EMPLOYEE: o5-s < DATE: I <br /> (SIGN URE) <br /> _ S�3 <br /> SUPERVISOR: DATE: <br /> ��'�' �� <br /> I U E) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />