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Environmental, Safety and Health <br /> r- Employment Training Log <br /> Employee Name <br /> Store Number <br /> Store Manager <br /> This log must be completed on each employee and maintained in the employee's personnel file, <br /> To acknowledge having received the training, the employee must initial each completed item <br /> next to the checked box, and sign in the appropriate space at the bottom of the log. (Note: This <br /> log must be maintained in the employee's Me for 3 years from the date the employee last <br /> worked at the facility.) <br /> om 1 t d Dates of training <br /> Initials D P _.or Retraining Description <br /> HAZ COM (Hazardous <br /> Communication) <br /> • Viewed Haz Com <br /> Video <br /> • Can use Manual and <br /> locate MSDS <br /> • Reviewed inventory <br /> listing of hazardous <br /> chemicals at the site <br /> • Understand labeling <br /> LI requirements <br /> Review Emergency <br /> Response Plan <br /> Location of Emergency <br /> Phone Numbers <br /> Location & Use of Fire <br /> Extinguishers <br /> Location of First-Aid <br /> Kit <br /> Location of Electrical <br /> LI Panel <br /> Location & Use of <br /> Emergency Shut-Off <br /> Switches and Pump <br /> Circuit Breakers <br /> ❑ Lock Out/Tag Out <br /> • Read Handbook <br /> • Know location of <br /> Lock Out/Tag Out Kit <br /> • Understand <br /> lirnitation of Tags -vs- <br /> t.ocks <br />