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i <br /> Site Name <br /> Location <br /> Meeting date Meeting Time <br /> Meeting conducted by <br /> The following topics shall be discussed (check [✓] to indicate that the topic was discussed) <br /> ❑ Biological Hazards ❑ Site Safety and Health Plan <br /> ❑ Chemical Hazards ❑ Standard Operating Procedures <br /> ❑ Physical Hazards ❑ Personal Protective Equipment <br /> ❑ Toxicology ❑ Medical Monitoring Program <br /> ❑ Personal Hygiene ❑ Decontamination <br /> ❑ Rights and Responsibilities under OSHA ❑ Emergencies <br /> ❑ Monitoring Plan ❑ Public Relations <br /> Suggestions/Comments <br /> Meeting Participants' Signatures <br /> i <br /> Figure 5-1. On-Site Safety Orientation Record Form <br /> S-3 <br />