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� A A <br /> HEELER'S 5-MINUTE WORKPLACE SAFETY TALKS <br /> Ladders & Stairways—Sign-Off Sheet <br /> Thin sign-off sheet documents the employees at this company, AV , <br /> who have taken part in a training session on Ladders & Stairways.The session covered: <br /> 0 Hazards involved with using ladders andlatairs. <br /> Precautions for safe ladder use. <br /> • Ladder inspection prior to use. <br /> Rules for stairway safety: <br /> The space below is for employees to"sign off"that they were in attendance. <br /> Date of wining:--7ZO Facility: <br /> o4siLurePrint Name Here <br /> I-;Z? <br /> r- . (4__- <br /> .� g as <br /> PowL a gl <br /> z � <br /> �.01qvk- fiD <br /> es <br /> Supervisor'a Signature <br /> LADDERS &'.STAIRWAYS SIGN-0FF#1 <br /> Slgn-afi sheets may be copled and distributed to Workers 4/02 CopyMgtA J.J.Keler&Associates,Inc., <br /> for use during your valNnq sesslon.Please refer to HOW wwr.Dks0er.ccm <br /> To USE THIS MANUAL for reaiticdons. • <br />