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KPA Employee Training Attendance Roster <br /> Facility Name: stocXton D©dce <br /> Training Subject: Hazard Communication (GHS) and Emergency Response <br /> READ THE FOLLOWING BEFORE SIGNING <br /> I acknowledge that I have received Hazard Communication,and Global Harmonization Standard(GHS)Training. During this training,I was made generally aware of hazards associated <br /> with chemicals present at the facility,steps I can take to reduce these hazards,and typical responses in the event of an emergency. I was made aware of chemical specific information <br /> available to me in the form of product labels and Safety Data Sheets(SDS). I was made aware of the hazard classification,labeling requirements and SDS formatting as a part of the <br /> GHS system. I understand that I may review the facility's Hazard Communication and Emergency Response Programs and SDSs any time during my work shift. I also acknowledge <br /> that I have received Emergency Response Training. During this training,I was made aware of guidelines for responding to a fire or explosion,(including use of portable hand-held fire <br /> extinguishers),a release of hazardous materials,natural disasters and facility emergency situations. I was informed of the facility's evacuation assembly point. I understand that the <br /> facility alone is responsible for environmental and safety issues and that,should I have any questions or concerns on such matters,I should address them to my supervisor. <br /> Printed Name Jobe r tion Si nature <br /> 1 <br /> ( <br /> 4 _.--- <br /> s ' <br /> O r <br /> S <br /> 'T <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> €7 <br /> 18 <br /> 1�3 <br /> 20 <br /> 21 <br /> 22 <br /> 2.3 <br /> 4 <br /> 25 <br /> 26 <br /> 7 <br /> 28 <br /> 29 <br /> 30 <br /> 1 certify that I conducted Hazard Communication(GHS)and Emergency Response Training in accordance with Federal and State Requirements with the listed employees <br /> on this roster. <br /> Seniacmin MiKa ��q <br /> KPS sultant(Printed Name) Signat Date <br /> Page 1 <br />