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GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME- AFRI/✓+Nf PS i�FrwT .j/ /f <br /> (PR/H/J LAST FIR... <br /> DATE-OF--HIRE <br /> COMPANY ASSIGNED: API--T-- <br /> TYPE OF pW� �arvr- R <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> 0 CHECK HERE <br /> ❑ COMPANY SAFETY POLICIES/PROGRAMS COMMENTS; <br /> ❑ SAFETY RULES,GENERAL AND JOB SPECIFIC —� .N4JIJA1 e // <br /> urs <br /> ❑ SAFETY RULES ENFORECEMENT PROCEDURES Ak da-rjan /j <br /> _ e <br /> ❑ D�DsWHEN,WHERE AND HOW TO REPORT INJURIES <br /> ❑ WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS 'q <br /> ❑ REVIEW OF FIRE/EMERGENCY EVACUATION PLAN df IJrROJ}./CN 1]VSR <br /> ❑ LOCATION AND USE OF FIRE EXTINGUISHERS <br /> ❑ SAFE WORK CLOTHING / <br /> ❑ HOUSEKEEPING RULES,LE . <br /> .:SPILL CLEANUPS,ETC. , S <br /> ❑ HAZARD COMMUNICATION PROGRAM: / oY '� q k A,,/wf <br /> MSDS,I1PP,HAZCOM zis`ed <br /> ❑ SPECIFIC HAZARDS TO JOB ASSIGNMENT el ' e <br /> NVQ <br /> ❑ ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT <br /> // ���� <br /> ❑ PROPER LIFTING PROCEDURES(VIDEO) h�SS�iS 1 gCt /lcT�T)!f. �OfS' <br /> O HEAT STRESS AND HEAT STROKE PREVENTION nn <br /> 1SOW - 7�1 II'p Cm 5 �itSf L.v f <br /> hXPORTANT.,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 HAVE MY QUESTIONS ANSWERED TO MY SATISFACTION: <br /> EMPLOYEE: <br /> (SIGNATURE) DATE: AbIl _ <br /> SUPERVISOR: Pill , <br /> (SIGNATUR DATE: <br /> NASafety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />