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KELLER'S 5-MINUTE 'WORKPLACE SAFETY TALKS <br /> Ladders & Stairways--Sign-Off Sheet <br /> This sign-off sheet documents the employees at this company, G , <br /> who have taken part in a training session on Ladders&Stairways"The session covered: <br /> • 'Hazards involved with using ladders and-stairs. <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 /> a <br /> Date of Z�raining: c31 IdS Facility: <br /> Em yee Si xe Print Name Here <br /> 6t- L <br /> i fez <br /> �� �. (,)C <br /> ITS—l/���a $� q <br /> C)-1,05 T6 k n 0 fl <br /> '1 - f 'l (p3 <br /> �kqA dQ <br /> 3sq <br /> I <br /> Sup scr's Signature <br /> LADDERS&STAIRWAYS SIGN-OFF#1 <br /> Sign-off sheets maybe copied and distributed to workers 4/02 copyright J.J.Keller&Asscdates,Inc., <br /> for use during your tralning session.Please rely to HOW www.pcdaf.com <br /> TO USE THIS MANUAL for restrictions. <br />