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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, L1K m Wor'4• <br /> who have taken part in a training session on Fire Protection.—Fare xtingvishers.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- % Facility: r�-n?&Mjrn1p _ <br /> ,ploy Si ae � Print Name Here ' 2 <br /> 9, <br /> &s <br /> ll[ AYc;e,5 <br /> o� <br /> Supervisor's Signature <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> Sigrrofl shoats may be copied and distri"d to workers Copyright J.J.Kellar&Associates,Ina., <br /> for use during your training session.Please rotor to HOW www.jksksr com <br /> To USE THIS MANUAL for reatrictlons. <br />