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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, 00 av,,' I,�,cY1 Lon r}-PA <br /> who have taken part in a training session,on Fire Protection—Fire Pxtinguishers. 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:--C-e ('h �Q-Yrl <br /> E yee Signa e Print Name Here <br /> . <br /> wq <br /> lel ?"_N eI,,' c el✓ -77bG <br /> Ll <br /> 0 u kl 2L,04 <br /> - I I vzz:I�__�..- S/! <br /> Supervisor' tare <br /> FIRE PROTECTION—FIRE EXTINGUISHERS SIGN-OFF <br /> Sign-off sheets maybe copled and dlst:tbutad to workers Copyright J.J.Keller h Associates,Inc., <br /> far use during your training session.Please ralarto HOW wwwJ keler turn <br /> TO USE THIS MANUAL for r►atrlctlons. <br />