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*%." *mo <br /> GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: CL.AlK e�1r� ri S -L{-' I <br /> (PRINT) LAST FIRST M/ DATE-OF-HIRE <br /> COMPANY ASSIGNED: TYPE OF WORK: 0Inv E—k <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: <br /> ❑ COMPANY SAFETY POLICIES/PROGRAMS RCA,D ALL MpIJtiALS A00 mAJ)0tSf5 <br /> &KSAFEFY RULES,GENERAL AND JOB SPECIFIC NO ACCZ`DEfA.S ANBD No JJJ3u ALES <br /> Iy SAFETY RULES ENFORECEMENT PROCEDURES AAD.5 40JO 1-^�f-KAZ1JJ11f-4D <br /> ©/WHEN,WHERE AND HOW TO REPORT INJURIES S AMS O!� W1JPAT&H K 'n 1 <br /> [94WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS S AMI_-""�� OA 1 0 LSU ATC l kE 9,'0AV. 1 <br /> (/REVIEW OF FIREIEMERGENCY EVACUATION PLAN Rl�EVJ,'Gt1a-C•,1 ST(1,UDh) ft., SN Et1- ('ftVF <br /> d- LOCATION AND USE OF FIRE EXTINGUISHERS P,A,5.5 6 5-(&"\ �`A" <br /> U(SAFE WORK CLOTHING NO SHUf'15 MJ mf1-k) p -0� S NOtS <br /> ( OUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. COL981J APO 4WO4-� <br /> GHAZARD COMMUNICATION PROGRAM: TSSUU LVr Ak)vJ vkA?-6oA 1 <br /> I;SDS,IIPP,HAZCOM M505 ]T.J <br /> PECIFIC HAZARDS TO JOB ASSIGNMENT C 11A&I'LJ IIA) �ILJ1�tHr'AJf fo12k[11°1 dRlvr".Jl.S <br /> (.t}" SIGNMEMNSE/CARE OF PERSONAL PROTECTIVE EQUIPMENT MEJS �{A"l LAI ' EA"UI() <br /> i i <br /> RI <br /> PER LIFTING PROCEDURES(VIDEO)) 6/>C L Al L \/Wf 0 <br /> EAT STRESS AND HEAT STROKE PREVENTION bKW V, kW LVt- A jA)Ljt.�S <br /> wNr�J (j ID 4vit' 1: <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 DIS U ED WITH ME, I HAVE BEEN ABLE TO ASK <br /> QUESTIONS AND HAVE MY QU S AIy;BWER T MY SATISFACTION: <br /> EMPLOYEE: (////� �/ DATE: 5- LA- I <br /> T R <br /> SUPERVISOR: DATE: 5 4I-010 <br /> (SI AT RE) <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />