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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, Pin&/ K en l.Jo' l:n , <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. <br /> Date of Training: {b/ 1 l o S Facility: [—(n.ch L_rn (J (03 <br /> Epvl�yee Siea a Print Name Here <br /> 14 <br /> , <br /> '��U 'a C) <br /> Vlo <br /> AI C1 (93 <br /> v� <br /> A4^ot <br /> 1 L a 4 to 11 Q �-j qy <br /> a��i_e4 <�1 %2 <br /> Supervisor' ignature <br /> FIRE PROTECTION--FIRE EXTINGUISHERS SIGN-OFF <br /> SignaB sheets may be copied and distributed to workers CoWghl J.J..Kellar&Associates,Inc, <br /> for use dwing your tralniny uOon.Please rale rto HOW wwwawher.corn <br /> To USE THIS MANUAL for restrIcOwm <br />