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THE PAPE GROUP, INC. g3 <br /> REQUIRED SAFETY TRAINING FOR NEW MEMBERS <br /> � lMember Name: Hire/Transfer Date: <br /> / ��ayyy��� � r <br /> Job Title: lQ,f'�m.��� / Company/Location: <br /> The member must be trained (or scheduled to be a <br /> trained)in the following topics prior to beginning work. <br /> Documentation of the training is required. <br /> Note: Do not take your training and documentation <br /> responsibility lightly. Documenting that training and/or .5 <br /> instruction has taken place can actually increase the o Q � Completion <br /> company's liability if such training is inadequate for the Q V L Date <br /> job. a a <br /> • Introduction to members and tour of facilily X X X X X <br /> • Safety Attitude—Review Safety Policy#5.01 X X X X X <br /> • Review General Safe Provisions(IIPP)/074AB14 <br /> • Housekeeping X X X X X -� <br /> Clear aisle ways <br /> Clear exits <br /> Clean up of spills <br /> Res onsibility for your area <br /> • Violence Response PolicyX X X X X - <br /> • Review Job Specific Job Hazard Analysis/074AB15 <br /> • First Aid—location of kit,stretcher,blanket, eyewash, X X X X X <br /> and deluge showers. First aid trained personnel. <br /> • Emergency Action Plan—911 X X X X X <br /> Poster with store address <br /> Ambulance and Hospital Phone numbers <br /> Map of Store and exits,Meeting lace <br /> • How to report on the job accidents,incidents, and near X X X X X <br /> accidents v� / <br /> • Have Member attend the first safety meeting held after X X X X X <br /> date of employment <br /> I acknowledge I have received the above training,that I questioned what I did not understand,and that I agree to <br /> abide by prescribed work ractices and rules of behav'or. <br /> Member Signature: _ Date: <br /> This member has been train the above'are, and I am confident in his or her knowledge of and competency in <br /> the areas requiring demons r practices. <br /> Manager Sign ure: Date: <br />