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M <br /> 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, f CZ� � K e1 Loci ri4') <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 fatality. <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 Twining: 10 011103 Facility: F-herl Ch_�a_rn f2 n k i <br /> E yee Si�na a Print Name Here <br /> C o. IFSUWD <br /> 119(o1 Z <br /> TN L A S/f lyh.t f5 L(1 3 GSL,/y <br /> •ji <br /> C✓ S 3S`j <br /> U .(?y <br /> Supervisor' ignatare <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> Sign-oft sheets may be oopled and distributed to workers Copyright J.J.Keller&Amodales,Inc., <br /> for use during yourtraining session.Please referto HOW www4jkaner.wrn <br /> TO USE THIS MANUAL for rostridons. <br />