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r � <br /> THE PAPE' GROUP, INC. <br /> REQUIRED SAFETY TRAINING FOR NEW MEMBERS <br /> Member Name: �25 csL�6'a. ,ire/Transfer Date: <br /> Job Title: 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 = 3 E + <br /> instruction has taken place can actually increase the 8 ° Completion <br /> company's liability if such training is inadequate,for the Q v' LnDate <br /> job. a 3 <br /> • Introduction to members and tour of facility X X X X X <br /> a Safety Attitude—Review Safety Poli # 5.01 X X X X X <br /> • Review General Safety Provisions(EPP)/074AB14 <br /> • Housekeeping X X X X X <br /> Clear aisle ways <br /> Clear exits <br /> Clean up of spills <br /> Responsibility for your area <br /> • Violence Response Policy X 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 dela a showers. First aid trained rsonnel. <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 <br /> • Have Member attend the first safety meeting held after X X X X X <br /> date of employment <br /> I acknowledge I have re5give4lthe above training,that I q tioned what I did not understand,and that I agree to <br /> abide by prescribed yr6rk p tices and ru f behavio . <br /> Member Signatu Date:/C) --3 — 07 <br /> This member has been train in he above nLJ <br /> I am confident in his or her knowledge of and competency in <br /> the areas requiring de n ra ' o fe es.Manager Sign are: Date: r Q <br />