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KELLER'S 5-MINUTE WORKPLACE SAFETY TALKS <br /> Fire Protection--Fire Extinguishers— <br /> Sign-Off Sheet <br /> This sign-off sheet documents the employees at this company, <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 /> 0 the fire hazards the employees might expect to face. <br /> •, procedure 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 Mraining: Facility: <br /> Employee Signature Print Name ere <br /> r (J 10 <br /> J <br /> 3 <br /> 9Z- <br /> �� <br /> 44 <br /> � lqq <br /> Supervisor's Sia e <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> &V,cfl sheets may be copied and distributed to workers CopAht J.J.K&Por d Associates,Inc., <br /> for use dvring your training session.Please referto HOW www.y"keller.com <br /> To USE THIS MANUAL for revricUons. <br />