Laserfiche WebLink
GENERAL SAFETY ORIIENTATION CHECKLIST <br /> NAME: / La DA <br /> (PR/NT) � T FJ M} DATE-OF--HIRE <br /> COMPANY ASSIGNED: Ignr TYPE OF WORK, ' Y!r (/J,� c <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ;❑ CHECK HERE COMMENTS: <br /> 'cCOMPANY SAFETY POLICIES/PROGRAMS IAC l0 A a i9} I WOK)() 1 L <br /> L7 SAFETY RULES,GENERAL AND JOB SPECIFIC �J()V }�, Acr J�j✓ <br /> a�-SAFETY RULES ENFORECEMENT PROCEDURES } � � <br /> Cg7/WHEN,WHERE AND HOW TO REPORT INJURIES <br /> L'1 WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS r�p 2 i ll <br /> 9-I EVIEW OF FIRE/EMERGENCY EVACUATION PLAN <br /> C.,J LOCATION AND USE OF FIRE EXTINGUISHERS GAJ 'i ry IV o`JQ5__ <br /> 0-1SAFE WORK CLOTHING <br /> UUG HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. <br /> IUl HAZARD COMMUNICATION PROGRAM: <br /> MSDS,IIPP,HAZCOM <br /> PECIFIC HAZARDS TO JOB ASSIGNMENT <br /> ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT cY4P-flrY <br /> ROPER LIFTING PROCEDURES(VIDEO) <br /> EAT STRESS AND HEAT STROKE PREVENTION <br /> /MPORTAIVT. 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 MY QUESTIO f5 ANSWERED TO MY SATISFACTION: <br /> EMPLOYEE: DATE: <br /> (SI NATURE) r <br /> -4 <br /> SUPERVISOR: G DATE: 7' <br /> (SIGNATURE) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc Updated 1/2011 <br />