Laserfiche WebLink
"l C> <br /> E111ployee Training Attendance RosQ= <br /> Dealership Names E1 ED VSmga <br /> HAZARD COMMUNICATION & EMERGENCY RESPONSE ENVIRONMENTAL HEALTH <br /> REAn TIDE BEFOREsIGATYNG DEPARTMENT <br /> I acknowledge that I have received Hazard Communication Training. During this training I was made generally aware of hazards <br /> associated with chemicals present at the dealership,steps I can take to reduce these hazards,and typical responses in the event of <br /> an emergency. I was also made aware of chemical specific information available to me in the form of product labels and Safety <br /> Data Sheets (SDS). I was made aware of the Global Harmonization Standard (GHS) changes to the HAZCOM standard. Changes <br /> that include: Hazard Classification, labeling requirements, and SDS formatting. I understand that I may review the dealership's <br /> Hazard Communication Program and SDSs any time during my work shift. <br /> I also acknowledge that I have received Emergency Response Training. During this training I was made aware of guidelines for <br /> responding to a fire or explosion (including use of portable hand-held fire extinguishers), a release of hazardous materials, and <br /> certain 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 safety issues at the facility,and that I should contact my <br /> supervisor with any questions or concerns that I have about these matters. <br /> Printed Name Job Description Signature <br /> 2 C'drtG� � � <br /> Gu/ <br /> 3 <br /> 4 <br /> 5 /►,� <br /> ..i-�+YrL <br /> A4r�'r,�C <br /> 10 -7 f «a <br /> 11 t( �fY} Cid,^-�t1L-✓t <br /> 12 <br /> A2R M13 <br /> i( l f ccs <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> ?0 <br /> ?1 <br /> ,2 <br /> '3 <br /> ------------ <br /> I certify that I conducted Hazard Communication/Right-to-Know and Emergency Response Training in accordance with Federal & State <br /> •uirements with the above listed employees. <br /> KPA consultantVrldt Name) <br /> Signa ire Da <br />