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SWRM Hazard CommunEption Prograr - <br /> 5�.-HAZARD COMMUNiCATION'TRAIN ING.ACKN0VVLEdGMENT'LaG <br /> Jolt-Site Marag er.1 Location. <br /> `� <br /> Trainer'��ri,. Unsr_,_ -cr_ ] — hate:: <br /> This.is'to'acknowledge that 1 have received training:conceening;SSES` Hazard Cornmunication:Program.: I <br /> -have been tr. lned-on the following,- <br /> 6 The purpose-df the Hkard Communication Standar&and the Written SSE Program+. <br /> o Awareness.of chernical, physical,•and`health hazards. <br /> Haw to read and.understand,.chemical container safety,lgbels. <br /> • Hew to read aiid:Wd'erstand'safety data sheets:(SaS)6 <br /> The;iocation of the SSE Hazard Comrngnicatlori Program and the SD5..at.the job site, <br /> Instruttlons for::safeiy using and.handling; rn <br /> aIl.chefcal'prd;ducts. <br /> o Instructions for the personal protective equipment needed for using certain ch.enilcais: <br /> ®. The Chen'iica4.Handling,50ety Rules„and I.have received dcapy-of these rules. <br /> I agree-to abide by all:safety ruIes indicated and required by SSE;the client or any ggverrrirrg 1 thQ__ y. <br /> I agree to-immediately report any injury,spilI.or leak•to my Supervisor. <br /> - Note: THIS FORPA IS-TO RE SIGNED BY 'EACH EMPLOYEE. THIS FORM IS•O BE PLACED IN THE. <br /> fMPLOYEV5.PERSONNEL FILE DR.IIII-A GENERAL TRAINING FILE AT THE.BRANCH.OFFICE. USE REVERSE= <br /> S10E IF NI*EOED.. <br /> Employee Sign=lit (S[g,n an Prin0 <br /> n <br /> &4j AOO <br /> r.. <br /> -tip d <br /> -, S-o? <br /> �_.,,, SSE.Hazard.Carrirrt,uni.caCon Pro.grarri(Rev.7-I9'). <br />