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i <br /> T KELLER'S 5-MINUTE WORKPLACE SAFETY TALKS <br /> I <br /> Fire Protection---Fire Extinguishers-- <br /> Sign-Off Sheet <br /> This sign-off sheet documents the employees at this company, 1Q P� �1 en Lon c- <br /> who have taken part in a training session,on Fire Protection—Fire Extinguishers. The session <br /> covered: <br /> • location and distribution of fire extinguishers. <br /> • the fire hazards the employees might expect to face, <br /> • piocedure for evacuating the facility, <br /> • the appropriate method for reporting a fire or other emergency. <br /> The space below is for employees to"sign off"that they were in attendance, <br /> Date of wining- . I� U S Facility: f 7f Pt__�J) CQY�1 LEI <br /> E yee Si�nat e / Print Name Here <br /> - eP,1 C (J; o 194� C, <br /> �O� Z <br /> �c SLIo3 <br /> 'Ztoo <br /> uC Lf <br /> �l <br /> Supervisor' iglzatnre <br /> FIRE PROTECi'ION—FIRE EXTINGUISHERS SIGN-OFF <br /> Sign-off sheets may be copied and distributed to workars Copyright J.J.Keller E Associates.Inc., <br /> for use during your training session.Please referto HOW www keler.com <br /> TO USE THIS MANUAL for rWrMions. <br />