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Employee Training Attendance Roster <br /> HAZOD MMOMCA27ON&EI1IM ENJCYRESPONSE <br /> DEALERSHIP NAME: P,l Jam, �;q o-(/ OZ I Yl Cel l <br /> REAb THE FOLLO IN BEFORE SIGNING <br /> I acknowledge that I have received Hazard Communication Training. During this training I was made generally aware of hazards . <br /> associated with chemloals present at the dealership,steps 1 can take to reduce these hazards,and typical responses In the event of an <br /> emergency. I was also made aware that chemical specific Information Is available to me in the form of product labels and Material <br /> Safety Date Sheets(MSDSs). 1 understand that I may review the dealership's Hazard Ccmmunlcadon Program and MSDSs any time <br /> during mywork shift. <br /> I also acknowledge that I have received emergency response training. During this training I was made aware of guidellnes for <br /> responding to a fire or explosion(including use of portable hand-held fire extinguishers),a release of hazardous materials,and certain <br /> natural disasters. I was also Informed of the dealership's evacuation assembly point. <br /> I understand that the dealership alone Is responsible for environmental and safely Issues at all dealership facilities, and that I should <br /> contact my supervisorvrith any questions or concerns that I have about these matters. <br /> Printed Name Job Description Signature <br /> 1 s <br /> 2 l7 r c <br /> 3 <br /> 4 <br /> 5 <br /> i <br /> 6 <br /> 7 <br /> 8 <br /> 9 it <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> 21 <br /> 22 <br /> 23 <br /> 24 <br /> I <br /> I cert t IXonducted Hazard Co unlcavorVWght-to- ow an Em n espo at ning for the above listed emrl ees <br /> 7 / 1 <br /> 0 er n a1r16 ne re e e <br />