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Pan Americana <br /> A Relation Company Safety Training Record Log <br /> Registro de Entrenamiento de Seguridad <br /> -»_ - _ <br /> Company(Compania): Date (Fecha): <br /> Foreman/Mayordomo: <br /> Handout Power Lecture <br /> Topics/Temas Folleto Point video Lectura <br /> z <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> Employee Name/ Nombre De Empleado: Sig ture/ Firma: <br /> 1 <br /> 4 <br /> 5 i. t <br /> 6 <br /> 7 <br /> 8 <br /> 9 <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 /> 25 <br /> TRAINER (5) INFORMATION: s <br /> Name �_ Signature <br /> This report is based upon conditions and practices observed and information supplied at the time of this visit. It does not purport to list all hazards,nor to <br /> Indicate that other hazards do not exist. Inspections an recommendations made by Ascension Insurance Services,Inc. are advisory and designed to assist <br /> insured in the establishment and maintenance of their own safety activities. Ascension Insurance Services,Inc.assumes no responsibility for management <br /> and/or control of these activities, nor for the fulfillment of your obligations as may be required by local,state or federal Laws. <br />