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%., ..41 <br /> GENERAL SAFETY ORIF NITATION CHECKLIST <br /> J / NAME: �� (f JO �rO / Le- <br /> (PRINIJ ST lj/ j MJ DAT60E-HIRE <br /> COMPANY ASSIGNED: (' /QTS 11 TYPE O� F WORK: Vv05 yer <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> WCHECK HERE <br /> COMMENTS: <br /> JCOMPANY SAFETY POLICIES/PROGRAMS <br /> Id SAFETY RULES,GENERAL AND JOB SPECIFIC O l' C t` J <br /> f�/SAFETY RULES ENFORECEMENT PROCEDURES e R ems, AWS f of <br /> (V1J WHEN,WHERE AND HOW TO REPORT INJURIES Innd I 1 -�N Pe/-vi'-sig r <br /> m11 WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS 1\� 4 l 0 J4 a yoy I- �JSpo c/P� <br /> eREVIEW OF FIRE/EMERGENCY EVACUATION PLAN 1�" ► e U� M��eL� IrC>J' <br /> I(J LACATION AND USE OF FIRE EXTNGUIS14ERS ►n ✓�1 c r + ��1 II cu 5,1-c <br /> e t' <br /> -/SAFE WORK CLOTHING n oy,sNo l-TS. no 0&o Tve 514c)-e,5- <br /> SI HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. c d r1 I o I rI J .R e PO-1 <br /> HAZARD COMMUNICATION PROGRAM: �'� J WN/ <br /> t�1595 i n Ha r e 0 <br /> MSDS,IIPP,HAZCOM HC AJ � ; h1 <br /> � S � m 0 GJ;p GSC BD <br /> (�SPECIFIC HAZARDS TO JOB ASSIGNMENT J e L ►n C S e -! J 2a I-Pi 4 25, G I U VS <br /> WASSIGNMENTNSEICARE OF PERSONAL PROTECTIVE EQUIPMENT Cid, o5e ,'Bc;o y <br /> Vj PROPER LIFTING PROCEDURES(VIDEO) <br /> [f HEAT STRESS AND HEAT STROKE PREVENTION <br /> IMPO�RT_��R��ATI PL CHECKLIST FORM IS FILTO LED ED OUT.ER JOB ASSIGNMENT.IT IS MANDATORY THAT <br /> A NEW SAFETYLE TO ASK <br /> 3ED WITH ME,I HAVE BEEN AB <br /> THE ABOVE ITEMS HAVE BEEN ISCUT <br /> QUESTIONS AND HAVE MY QUESTIONS ANSWERED TO MY SATISFACTION1112-011 112-011 <br /> DATE. <br /> EMPLOYEE: (SIGN RE) <br /> DATE: ✓ L I ' <br /> SUPERVISOR: SIGNAT RE) <br /> SAFETY ORIENTATION CHECKLIST.doc <br /> N:\Safety\GENERAL <br />