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19q <br /> THE PAPE GROUP INC. <br /> REQUIRED SAFETY TRAINING FOR NEW MEMBERS <br /> Member Name: u--- K- Hire/Transfer Date: <br /> Job Title: 1 ��� Company/Location: <br /> The member must be trained(or scheduled to be o <br /> trained) in the following topics prior to beginning work. <br /> Documentation of the training is required. <br /> Note: Do not takeyour training and documentation ca O F <br /> An <br /> responsibility lightly. Documenting that training and/or <br /> instruction has taken place can actually increase the Completion <br /> company's liability if such training is inadequate for the d v' W A Date <br /> job. w a <br /> • Introduction to members and tour of facility X X X X X 6-2 <br /> • Safety Attitude-Review Safety Policy# 5.01 X I X X X X 14-.20-.0 <br /> • Review General Safety Provisions IPP /074AB14 <br /> • Housekeeping X X X X K a <br /> Clear aisle was -O <br /> Clear exits �d <br /> Clean up of spills - 'D <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 K <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 -0 <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 -,ov <br /> I acknowledge I have receiv he above traim that I questioned what I did not understand,and that I agree to <br /> abide by prescribed wor ctices a rule behavior. <br /> Member Signature: Dater2d e <br /> This member has been trai ed f the above eas and I am confident in his or her knowledge of and competency in <br /> the areas requirm afe rk p ctices. / / �- <br /> Manager Sign Date- <br />