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� tsf1 YcoIOi <br /> GENERAL SAFETY ORIENTATION CHECKLIST <br /> NAME: el IQ l��d cl c l ? , <br /> (PRINT) LAST FIRST CMJ DATE-OF-HIRE <br /> COMPANY ASSIGNED: !F C A-L TYPE OF WORK: V✓c uc✓ <br /> THE FOLLOWING ITEMS HAVE BEEN DISCUSSED AND UNDERSTOOD BY ME: <br /> ❑ CHECK HERE COMMENTS: <br /> Id COMPANY SAFETY POLICIES/PROGRAMS y (Q Pcd Q Il <br /> I(7 SAFETY RULES,GENERAL AND JOB SPECIFIC <br /> ,O-SAFETY RULES ENFORECEMENT PROCEDURES �ta.FO t yta�C. <br /> kT WHEN,WHERE AND HOW TO REPORT INJURIES <br /> WHEN,WHERE AND HOW TO REPORT UNSAFE CONDITIONS <br /> � IF <br /> REVIEW OF FIREIEMERGENCY EVACUATION PLAN r( —CvoCI ^ e- N.16AU° <br /> O-LOCATION AND USE OF FIRE EXTINGUISHERS ke I *I04F <br /> LJ SAFE WORK CLOTHING 1 -:A T`-' Ae2i U' cic"k'F <br /> no APc„ T o { 5L- nn 5-1foy'Lr <br /> 9-HOUSEKEEPING RULES,I.E.:SPILL CLEANUPS,ETC. <br /> Com <br /> ❑'HAZARD COMMUNICATION PROGRAM: <br /> MSDS.IIPP,HAZCOM 4 n -�F--t�C a:4 STS+ <br /> Ef SPECIFIC HAZARDS TO JOB ASSIGNMENT <br /> 6—ASSIGNMENT/USE/CARE OF PERSONAL PROTECTIVE EQUIPMENT <br /> PROPER LIFTING PROCEDURES(VIDEO) <br /> CJ HEAT STRESS AND HEAT STROKE PREVENTION <br /> W4CC►1 IOrs O�� <br /> gal�and � ure,/�ec/ <br /> L NEW SA SAFETY <br /> IF THIS EMPLOYEE IS TRANSFERRED TO ANOTH�R JOB ASS GNMENT,IT 1$MANDATORY THAT <br /> A NEW SAFETY ORIENTATION CHECKLIST FORM IS FILLED OUT. MANDATORY H C <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: <br /> SUPERVISOR: <br /> (SIGNATURE) DATE: —2 <br /> N:\Safety\GENERAL SAFETY ORIENTATION CHECKLIST.doc <br />