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%ft-� N,/ <br /> GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: LA�P�S 6 LEJ`TE� OP)3 -10 <br /> (PRINT) LAST FIRSTL M/ DATE-/OF-HIRE <br /> COMPANY ASSIGNED. \ � _ TYPE OF WORK: YI�� A\' R <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: <br /> .Q COMPANY SAFETY POLICIES/PROGRAMS rr� -�-w-- <br /> �AFETY RULES,GENERAL AND JOB SPECIFIC J a — <br /> ,0"SAFEIY RULES ENFORECEMENT PROCEDURES n n p � <br /> WHEN,WHERE AND HOW TO REPORT INJURIES <br /> WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS yyA N 1` <br /> ,REVIEW OF FIREIEMERGENCY EVACUATION PLAN <br /> LOCATION AND USE OF FIRE EXTINGUISHERS `n <br /> .�`--' SAFE WORK CLOTHING \ 'o <br /> ZHOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ECC. 1�"rY QY <br /> I�-HAZARD COMMUNICATION PROGRAM: <br /> / MATERIAL SAFETY DATA SHEETS(MSDS) <br /> ECIFIC HAZARDS TO JOB ASSIGNMENT V <br /> ASSSIGNMENTNSE/CARE OF PERSONAL PROTECTIVE EQUIPMENT •1 v� `N/ �r <br /> LYPROPER LIFTING PROCEDURES(INCLUDE DEMONSTRATION P <br /> ' r4 <br /> EMPLOYEE CERTIFIED IN FOLLOWING I.E.:CPR,ETC. a�J v- <br /> I <br /> I�ADDITIONAL TRAINING REQUIRED: <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 WITH MY UNDERSTANDING: <br /> EMPLOYEE: C R� DATE: ( o <br /> (SIGN E) /��j l <br /> SUPERVISOR: DATE: 'v ✓ V <br /> (S URE <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />