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EMPLOYEE SAFETY TRAINING <br /> Name: Date Employed: <br /> (Print) Last First Middle <br /> Type of Work: <br /> Past Work Experience: <br /> Physical Limitations: <br /> TRAINING COMPLETED DATE <br /> 1. Company Safety Policy <br /> 2. Safety Rules and Enforcement <br /> 3. How to Report Unsafe Conditions <br /> 4. Job Assignment <br /> 5. Scope and Limits of Job <br /> 6. Special Hazards of Job <br /> 7. New Job Supervision <br /> SUPERVISOR EMPLOYEE <br /> Sign Name: <br /> Print Name: <br /> Date: <br /> 8 <br />