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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, ICI� � K Cn[&)a ca�) r <br /> who have taken part in a training session on Fire Protection—Fire Extinguishers. The session <br /> covered: <br /> f <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'Raining: I Of/ 0 q Facility: (-:f-en ch �_a_m <br /> E Yee Siat a Print Name Here <br /> n � <br /> AV <br /> aCOQV, r;;- <br /> 2J <br /> 3Hfit�p v�G���cL c3 ZD <br /> 1� c g3s� <br /> 4 uL C, 4 Aj I, ►� qy <br /> Supervisor' ivature <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> Sign-oH sheets may bo copled and distributed to workers Copyright J.J.Keller d,Asaoclates,Inc.. <br /> for use during your tralning sessVon.Please refer to NOW www.j kaller.com <br /> TO USE THIS MANUAL forrestrtdions. <br />