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�•V <br /> T APE GROUP, INC. <br /> REQUIRED SAFETY TRAINING FOR NEW MEMBERS <br /> Member Name: Hire/Transfer Date: <br /> Job Title: (`\ ,n��Y «� Company/Location:f:Qff�JC�X� <br /> The member must be trained(or scheduled to be A <br /> trained) in the following topics prior to beginning work. <br /> Documentation of the training is required. > -3CI <br /> u <br /> Note: Do not take your training and documentation y A 3 O E� <br /> responsihility lightly. Documenting that training and/or .� U <br /> instruction has taken place can actually increase the E ° R Completion <br /> company's liability if such training is inadequate for the `r' Date <br /> cl <br /> joh. p. a <br /> • Introduction to members and tour of facility X X K X X O <br /> • Safety Attitude-Review Safety Policy#5.01 X X X X X 07 <br /> • Review General Safety Provisions(IIPP)/074AB14 <br /> • Housekeeping X X X X X - tc 07 <br /> Clear aisle ways <br /> Clear exits <br /> Clean up of spills <br /> Responsibility for your area <br /> • Violence Response PolicyX K X X X 7 <br /> • Review Job Specific Job Hazard Analysis/074AB15 <br /> • First Aid-location of kit,stretcher, blanket, eyewash, K X X X X D 7 <br /> and deluge showers. First aid trained personnel, <br /> • Emergency Action Plan-911 X X X X X D <br /> Poster with store address <br /> Ambulance and Hospital Phone numbers <br /> Map of Store and exits,Meeting lace <br /> • How to report on the job accidents, incidents,and near Fx <br /> X X X X <br /> accidents <br /> • Have Member attend the first safety meeting held after XX X X <br /> date of employment i G 0 <br /> I acknowledge I have received the above raini ,that I ioned what I did not understand,and that I agree to <br /> abide by prescribed work practices a behav' <br /> Member Signature: Date: <br /> This member has been trained ' above r nd I am confident in his or her knowledge of and competency in <br /> the areas requirin st practices. <br /> Manager Signat e: = Date: /� O� <br />