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r 4� <br /> 4 Fortner Oakdale MGP Model Project Safety Plan (PSP) <br /> PARSONS <br /> Employee/Subcontractor Training Acknowledgement <br /> Name of Trainer. ' j/1 P 0411 Y <br /> Training Subject: -5/y-1- rX <br /> Training materials used: /fix) <br /> Name of employee: <br /> Date of hire/assignment: <br /> I, h'�1h, ��)) '5 ,hereby certify that I have received training as described above in the following areas: <br /> • Names of personnel responsible for site safety and health. <br /> • Safety,health or other hazards at the site. <br /> • The proper use of personal protective equipment. <br /> • The potential occupational hazards in general in the work area and associated with my job assignment. <br /> • Work practices by which a worker can minimize risks from hazards. <br /> • Safe use of engineering controls and equipment on the site. <br /> • Acute effects of compounds on the site. <br /> • Decontamination procdures. <br /> • General safety requirements indicate the safe work conditions,safe work practices and personal protective equipment <br /> required for my work. <br /> • The hazards of any chemicals to which I may be exposed and my right to information contained on material safety data <br /> sheets for those chemicals,and how to understand this information. <br /> • My right to ask questions,or provide any information to the employer on safety either directly or anonymously without <br /> any fear of reprisal. <br /> • Disciplinary procedures the employer will use to enforce compliance with general safety requirements. <br /> I understand this training and agree to comply with general safety requirements for my work area. <br /> Employee Signature Date <br /> A-I <br />