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Appendix 3 <br /> (Stockton Plant) <br /> �yr� pWr! t (Area/ Department) <br /> CERTIFICATE OF TRAINING <br /> IN <br /> THE USE OF PERSONAL PROTECTIVE EQUIPMENT <br /> I (Print Name) f-/QQJ0I'- a111ACc&,6k 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. 44 <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\_F..%n �V V40 f a+ to CA IC) - Ll - � I <br /> Employee's Signature Date <br /> Instructor (Print Name) •.Instructor's Sig _ re \ <br /> 9 <br />