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THE PAPE GROUP INC. <br /> REQUIRED SAFETY TRAINING FOR NEW MEMBERS <br /> Member Name: �/J -�+T Hire/Transfer Date: <br /> Job Title: Company/Location: <br /> The member must be trained (or scheduled to be c <br /> trained) in the following topics prior to beginning work. h <br /> Documentation of the training is required. a <br /> Note: Do not take your training and documentation M <br /> responsibility lightly. Documenting that training and/or p = 3 u <br /> instruction has taken place can actually increase the ,a W ° I; Completion <br /> company's liability if such training is inadequate for the Q u? � Date <br /> job. A. <br /> • Introduction to members and tour of facility X X X X X <br /> • Safety Attitude-Review Safety Policy#5.01 X X X X X - Q <br /> • Review General Safety Provisions PP)1074AB14 - ! <br /> • Housekeeping X X X X X -Q <br /> Clear aisle was -- -- <br /> Clear exits — goi�O <br /> Clean up of spills r -a <br /> Responsibility for your area = <br /> • Violence Response Polic X X X X X <br /> • Review Job Specific Job Hazard Anal i 074AB 15 <br /> • First Aid-location of kit,stretche , lanket,eyewash, X X X X X <br /> and deluge showers. First aid trained personnel. <br /> • Emergency Action Plan-911 X X X X X <br /> Poster with store address <br /> Ambulance and Hospital Phone numbers <br /> Map of Store and exits,Meeting lace <br /> • How to report on the job accidents,incidents,and near X X X X X <br /> accidents <br /> • Have Member attend the first safety meeting held after' X X X X X <br /> date of employment <br /> I acknowledge I have re he above training,that I questioned what I did not understand,and that I agree to <br /> abide by prescribed rk r tices and rules of behavior. <br /> Member Signature: Date: <br /> This member has been trai ed i the above are and I am confident in his or her knowledge of and competency in <br /> the areas requiri z o fe wor practices. <br /> Manager Sig ture: Date: / `� <br />