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GE(N�ERAL SfAFETY ORIENTATION CHECKLIST <br /> NA <br /> A'T1 LAST F/RST ( I <br /> M/ <br /> DATE-OF--H/RE <br /> COMPANY ASSIGNED- Y-ti J L <br /> -- TYPE O_ F WORK: V�K, <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> 0r�q;n <br /> CHECK HERE <br /> COMPANY SAFETY POLICIES/PROGRAMS COMMENTS: <br /> lJ <br /> ���� . <br /> t'lSAFETY RULES,GENERAL AND JOB SPECIFIC _ <br /> C,,R�AFETY RULES ENFORECEMENT PROCEDURES N r <br /> VW11EN,WHERE AND HOW TO REPORT INJURIES 8 p �1�/ �,; <br /> 111 WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS ��J 5' Y -1-� 1 �I j m A / <br /> I (� �7 <br /> Q EVIEW OF FIRE/EMERGENCY EVACUATION PLAN i ' <br /> 91OCATION AND USE 01:FIRE EXTINGUISHERS <br /> G3-SAFE WORK CLOTHING <br /> M HOUSEKEEPING RULES, LE.:SPILL CLEANUPS,ETC. 1•�Fn-��S / <br /> p c �n Tn ti c5 �/lhLyr�. <br /> FIA7ARD COMMUNICATION PROGRAM: <br /> MSDS.IIPP,HA7COM s�9� O{� <br /> C7 SPECIFIC HAZARDS TO JOB ASSIGNMENT �m<S•n(, S / n/ <br /> � _ 912 K. L 1 ' 2J syn <br /> f3 ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE-EQUIPMENT <br /> (Z P ER LIFTING PROCEDURES(VIDEO) <br /> RF.A'TSTRESS AND HEAT STROKE PREVENTION <br /> D@N K .Loq S` VVAI <br /> /. <br /> IMPORTANT.- IF THIS EMPLOYEE:IS TRANSFERRED TO ANOTHER JOB ASSIGNMENT, IT IS MANDATORY THAT <br /> A NEW SAFETY ORIENTATION CHFCKLIST FORM IS FILLED OUT. <br /> THE ABOVE ITEMS HAVE BEEN DISCUSSED WITH ME, 1 HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND H MY QU IONS ANSW RED TO MY SATISFACTION: <br /> EMPLOYEE: <br /> C <br /> ATURF.) L L DATE: . z-o f <br /> SUPERVISOR: �It\ <br /> (SIGNATURE) r DATE: LLL-/-/I <br /> N:ISafety\GENERAL SAFETY ORIENTATION CNECKLIST.doc <br />