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muQY-S <br /> � glS�O <br /> KELLER'S 5-MINUTE WORKPLACE SAFETY TALKS <br /> Fire Protection—Fire Extinguishers DGhbh Pion <br /> Sign-Off Sheet <br /> This sign-off sheet documents the employees at this company, _Pci ae' K m Wot^Z 1 l <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 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--(P,f11MJ M�Q Q r� <br /> Elpployey Si a4Lre - Print Name Here J <br /> r <br /> Supervisor's Signature <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> SigrvoH theeta may be copied and dist ibc�ed to workers Copyrlight J.J.Ka&er h Aasociates,Inc., <br /> for use during your trnlning session.Please refer to HOW www jw)1ar.axn <br /> To USE THIS MANUAL.for rcttridons. <br /> t - <br />