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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, <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 off"that they were in attendance. n <br /> Date of Mraining: � 6 Facility: rQ l (4yrl l� 1 Z <br /> Employee Signature Print Name Here <br /> o 8 2� <br /> h *33gaA4 <br /> ?_\�f Qf, tZ=iNROkA 12(0 07 <br /> 1�vf Vj Aj J6'V <br /> W444"a( <br /> q� <br /> Supervisor's Si <br /> FIRE PROTECTION—FIR.E EXTINGUISHERS SIGN-OFF <br /> Sign-off sheets may be oopied and distdbutad toworkare Copyright J.J.Keller fl Associates,Ina, <br /> for use during you training session.Please referto HCW www koh*r.com <br /> To USE THIS MANUAL_for raetrtctlons. <br />