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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, aG <br /> who have taken part in a training session on Ladders& Stairways.The session covered: <br /> • Hazards involved with using ladders and"-stairs. <br /> 0 Precautions for safe ladder use. <br /> 0 Ladder inspection prior to use. <br /> 0 Rules for stairway safety. <br /> The space below is for employees to"sign off" that they were in attendance. <br /> Date of Training: (31 Facility: <br /> Em yee Sign re Print Name Here <br /> �dUGS g�9V <br /> C aa,(St1 C_ c tJ <br /> OD <br /> Q7 CID <br /> f'�''1-� f7f"�e 1✓ G--�I- � lD� <br /> SAO <br /> Sup sore Signature <br /> LADDERS&STAIRWAYS SIGN-0FF#1 <br /> Sign-off shoats may be copied and distHbutod to workers 4/02 Copyright J.J.Keflet 6 Associates,Inc., <br /> for use during ywr tra nN session.Please refer to HOW www.j kaUer=rri <br /> TO USE THIS MANUAL for restricilons. <br />