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Appendix 3. <br /> (Stockton Plant) <br /> e'l fGYi�L X71 P(- 10 (Area/ Department) <br /> CERTIFICATE OF TRAINING <br /> IN <br /> THE USE OF PERSONAL PROTECTIVE EQUIPMENT <br /> I (Print Name) 1fE .MLAYcZ do hereby certify that I <br /> have received and understand training pertaining to Personal Protective <br /> Equipment associated with-the performance of my job and workplace. I agree to <br /> wear this equipment while working, and understand that I will be subject to <br /> disciplinary action if I do not follow the requirements of this location's Personal <br /> Protection Equipment Policy. <br /> I will inspect my equipment on a regular basis to ensure that it is clean and in <br /> good condition. I will contact management immediately if I should need new <br /> equipment. I <br /> The training I received included the following elements: <br /> • When personal protective equipment is necessary. <br /> • What personal protective equipment is necessary. <br /> • That additional PPE may be required if performing another job <br /> task. <br /> • How to properly don, adjust, and wear personal protective <br /> equipment. <br /> • PPE limitations <br /> • Proper care, maintenance, useful life and disposal of personal <br /> protective equipment. <br /> C \,6Tca��c(e 5 <br /> /O <br /> Employee's Signature < ate <br /> A • <br /> Instructor (Print Name) nstructoi's Sigriature <br />