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GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: Qir:nz .- MJ ; _ �4r�s'3 <br /> (PRIA?J <br /> DATE OXHIRE <br /> 1 > <br /> COMPANY ASSIGNED: TYPE OF <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE <br /> COMMENTS: <br /> /COMPANY SAFETY POLICIES/PROGRAMS <br /> 1] SAFETY RULES,GENERAL AND JOB SPECIFIC (v <br /> SAFETY RULES ENFORECEMENT PROCEDURES _ <br /> WHEN,WHERE AND HOW TO REPORT INJURIES <br /> CJ WHEN.WHERE AND HOW TO REPORT UNSAFE CONDITIONS <br /> (1�REVIEW OF FIRE/EMERGENCY EVACUATION PLAN <br /> LOCATION AND USE OF FIRE EXTINGUISHERS l //p <br /> L <br /> OSAFE WORK CLOTHINGET— <br /> HOUSEKEEPING RULES,LE.:SPILL CLEANUPS,ETC. <br /> L9 HAZARD COMMUNICATION PROGRAM; <br /> D <br /> MSDS,tIPP,HAZCOM <br /> Kl�,' <br /> SPECIFIC HAZARDS TO JOB ASSIGNMENT eH Tf <br /> En J � G <br /> ASSIGNMENTIUSE/CARE OF PERSONAL PROTECTIVE EQUIPMENT <br /> / rr'r <br /> ❑ PROPER LIFTING PROCEDURES(VIDEO) <br /> cam/ c e y ,�y <br /> Q-FIEAT STRESS AND HEAT STROKE PREVENTION <br /> IMPORTANT. IF THIS EMPLOYEE IS TRANSFERRED TO ANOTHER JOB ASSIGNMENT, <br /> A NEW SAFETY ORIENTATION CHECKLIST FORM IS FILLED OUT. IT IS MANDATORY THAT <br /> THE ABOVE ITEMS HAVE B DISCUSSED WITH ME,I HAVE BEEN ABLE TO AS <br /> QUESTIONS AND HAVE Q STIONS ANSWERED TO MY SATISFACTIO : <br /> EMPLOYEE: <br /> (SIGNATURE) DATE: <br /> SUPERVISOR: <br /> 4TTGNA RF,) DATE' <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />