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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, PZ ael K' ti of-OA , <br /> who have taken part in a training session on Fire Protection--Fire xtinguishers. 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 gaining:3 Facility: <br /> Eipployey Si a e Print Name Here :3q <br /> tilt �Y s SIS <br /> 3u �O <br /> i <br /> F <br /> i <br /> S <br /> Supervisor's Signature <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> sig"tf sheets may be copied and distributed to workers Copyright J.J.Keller S Associates,Inc., <br /> for vse during you training session.Please reterto HOW www.j ke7er.corn <br /> To USE THIS MANUAL for nsstfiaflom <br /> r- <br />