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THE PAPE GROUP, INC. LG/3 a <br /> REQUIRED SAFETY TRAINING FOR NEW MEMBERS <br /> Member Name: Z .}�� Hire/Transfer Date: <br /> Job Title: Company/Location: <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. <br /> Note: Do not take your training and documentation p Fy <br /> responsibility lightly. Documenting that training and/or q 3 <br /> instruction has taken place can actually increase the ° Completion <br /> company's liability if such training is inadequate for the QUn <br /> Date <br /> job. a, a <br /> • Introduction to members and tour of facili X X X X X <br /> • <br /> Safety Attitude—Review Safety Polic # 5.01 X X X X X <br /> • Review General Safety Provisions P /074AB14 <br /> • <br /> Housekeeping X X X X X <br /> Clear aisle ways <br /> Clear exits <br /> Clean up of spills <br /> Responsibility for your area <br /> • Violence Response Policy X X X X X <br /> • Review Job Specific Job Hazard Analysis/074AB15 <br /> • First Aid—location of kit,stretcher,blanket,eyewash, X X X X X <br /> and deluge showers. First aid trained personnel. <br /> • ..Emergency Action Plan—911 X X X X X <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 X X X X X <br /> accidents <br /> • Have Member attend the first safety meeting held after X X X X X <br /> date of employment <br /> I acknowledge I have received theabove ininl tM I questioned what I did not understand,and that I agree to <br /> abide by prescribed work rac 'ce rules of avior. <br /> Member Signature: Date: <br /> This member has been trainen t e a a s and am confident in ' or her knowledge of and competency in <br /> the areas requiring de of afe wo r c aces. Q <br /> Manager Signat Date: 0 <br />