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MMSTOCKTON New employee safety orientation Employee's name : - t" _ %s Position : Hire date : Department : Supervisor : Company vision statement ❑ We believe all accidents are preventable and embrace a culture of zero accidents ❑ We believe in reporting unsafe conditions and acts ❑ We believe in reporting accidents and incidents ❑ We expect everyone to go home just as they arrived - every day General work practices ❑ Alcohol/drug policies ❑ Clothing , hair, and grooming standards ❑ Horseplay/ running ❑ Housekeeping ❑ Primary hazards in work area ❑ Ladder practices ❑ Lifting training � back protection ❑ Progressive discipline policy ❑ Site- and equipment- specific training OSHA required topics ❑ Bloodborne pathogen exposure ❑ Fall protection ❑ Chemicals ❑ First aid/CPR ® Hazard communication ❑ Forklifts/powered industrial lifts ® Chemical spills clean - up ❑ Lockout-Tagout (energy control ) Asbestos and lead awareness ❑ Personal protective equipment ( PPE ) ® Chemical waste disposal ® Respirators ® Compressed gas safety ® Noise/ hearing protection ® Site- specific chemical training ® Eye and face protection ❑ Confined space ® Head protection ❑ Crane or hoist operation ® Hand protection ❑ Emergency response ® Leg and foot protection ® Emergency action plan ❑ Tool Use and Guarding ® Alarm systems ❑ Welding ® Fire extinguisher use ❑ Worksite Warning Signs and Labels ® Procedures for reporting emergencies ❑ pleted er nornic Keview of workarea Einployee signature Date Supervisor signature Date By signing the above, I agree and understand all the provided Information that was given to me during my orientation .