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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, t"Q� � 14l en Low b t <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 /> • 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 offthat they were in attendance. <br /> Date of Training:�� 1 0 2 Facility: r—f-enJ) �_Qi71 n ,Z <br /> yee Signat a Print Name Here <br /> D(�7 <br /> b_j e (% <br /> 1�(0 TZ <br /> V, <br /> TN 6 ' A V 1:�rti 4 L.,f1 9 zi./ <br /> ' <br /> uAA 9y <br /> Supervisor' ignatare <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> Slign-off sheets may be copied and dlctr>buted to workers Copyright J.J.Keller b Associates,lnc., <br /> for use during your training sess�on.Please refer to HOW wWW j*eAer.com <br /> 70 USE THIS MANUAL for restrtctons. <br />