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KELLER'S 5-MINUTE WORKPLACE SAFETY TALKS <br /> Ftre Protection—Fire Extinguishers-- <br /> Sign-Off Sheet <br /> This sign-off sheet documents the employees at this company, AQ ae"Kin=f-OA , <br /> who have taken part in a training session on Fire Protection—Fire xtinguishers. The session <br /> covered: <br /> • location and distribution of fire extinguishers. <br /> • 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 A'that they were in attendance. <br /> Date of Training: /�� Facility:�0jfn Q () <br /> r <br /> E ployeSi a e Print Name Here <br /> bLo <br /> �l� ���ca�, c '��- 0 7 3 Lety <br /> ry <br /> I V <br /> i <br /> 1 <br /> I <br /> i <br /> Supervi.sor'o Signature <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> Sign-oH sheets maybe copied and distobuted to worker$ Copyright J.J.Keller 6 Associates,Inc, <br /> for Liss during your training session.Please rater to HOW www4jk*W.com <br /> TO USE THIS MANUAL for restrictions. <br />