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KELLER'S 5-MINUTE WORKPLACE SAFETY TALKS <br /> Fire Protection—Fire Extinguishers— <br /> Sign-Off Sheet <br /> L I . <br /> This sign-off sheet documents the employees at this company, <br /> who have taken part in a training session on lore 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 off"that they were in attendance. <br /> Date of Training: � i5 Facility: r ,� <br /> Employee Signature Print Name Here <br /> S 2q <br /> �S(oS"J <br /> h 3g <br /> /93W 2 <br /> o� 4 <br /> `~ Z c 12cO°q <br /> LU <br /> qy <br /> Supervisor's 9i e <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> sgo-oti sheets may be copied and disc touted to workers Copyright J.J."or 6 Assoclates,Inc., <br /> for use during your trafWng session.Please referto HOW wwwakelterzom <br /> TO USE TMS MANUAL for restrkbons. <br />