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Facility Name: Chuck E. Cheese#631 office Use only <br /> Address: 6436 Pacific Ave. Facility# <br /> City: Stockton Zip: 95207 PR# <br /> Initials <br /> Date Reviewed <br /> YEARLY HAZARDOUS MATERIALS EMPLOYEE <br /> TRAINING DOCUMENTATION <br /> THE FOLLOWING EMPLOYEES HAVE RECEIVED TRAINING COVERING ITEMS"A"THROUGH "H": <br /> A. Methods of safe handling of hazardous materials stored at your business, <br /> including familiarity with the characteristics and hazards of each material and <br /> measures employees can take to protect themselves from chemical hazards; <br /> B. Procedures for coordination with local emergency response organizations; <br /> C. Proper use of personal protective equipment; <br /> D. The prevention,abatement, and mitigation procedures you have developed for <br /> your business and explained in the HMBEP, including proper use of emergency <br /> equipment and supplies; <br /> E. The emergency evacuation plans you have developed,the notification procedure <br /> used to alert people to evacuate,and the closest location to obtain appropriate <br /> emergency medical care; <br /> F. Procedures to coordinate with and assist the local emergency personnel that <br /> may respond to your business; <br /> G. Whg and how to call for immediate assistance in the event ofran accident <br /> involving hazardous materials; <br /> H. Procedures for ensuring that appropriate personnel receive inial and refresher <br /> training. <br /> EMPLOYtE NAME(PRINT) EMPLOYEE SIGNATURE DATE INSTRUCTOR <br /> 2< <br /> 3. & ZI <br /> 4. ID �n U / 3Z3�z 1 <br /> s. 7 <br /> �6. . .m y-ffCA <br /> 8�3/2I <br /> s. <br /> 9. <br /> 11. <br /> 12. <br />