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THE PAPE GROUP, INC. <br /> REQUIRED SAFETY TRAINING FOR NEW MEMBERS <br /> Member Name: Hire/Transfer Date: <br /> Job Title: Company/Location: <br /> The member must be trained(or scheduled to be ca <br /> trained) in the following topics prior to beginning work. <br /> Documentation of the training is required. g o a <br /> Note: Do not take your training and documentation A °� O F <br /> responsibility lightly. Documenting that training and/or o = 4 <br /> 83 <br /> Instruction has taken place can actually increase the ,o ,t, ° Completion <br /> company's liability!f such training Is inadequate for the Q u7 M Date <br /> job. aw a <br /> • Introduction to members and tour of facility X X X X X <br /> • Safety Attitude—Review Safety Polic #5.01 X X X X X <br /> • Review General Safety Provisions(1IPP)/074AB14 <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 XV X X X <br /> • Review Job Specific Job Hazard Analysis/074ABI5 <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 he after X X X X X <br /> date of em to ment <br /> I acknowledge I have received the above training, that I questioned what I did not understand, and that I agree to <br /> abide by prescribed work practices and r les of behavior. d <br /> C) 0 <br /> Member Signature: Date: 7? <br /> This member has been trained in the above areas and I am confident In his or her knowledge of and competency in <br /> the areas requiring demonstration of we work.practices. <br /> Manager Signature: Date: �, �� <br />