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- - THE PAPE GROUP, INC. <br /> z REQUIRED SAFETY TRAINING FOR NEW MEMBERS <br /> Member Name: oio Hire/Transfer Date: <br /> Job Title: Company/Location: <br /> The member must be trained (or scheduled to be ❑ <br /> trained)in the following topics prior to beginning work. <br /> Documentation of the training is required. > w o ,. ❑ <br /> Note: Do not take your training and documentation <br /> responsibility lightly. Documenting that training and/or ❑ u 3 <br /> instruction has taken place can actually increase the ° oa Completion <br /> company's liability if such training is Inadequate for the d `n Date <br /> job. <br /> • Introduction to members and tour of facility X X X X X Q <br /> • Safety Attitude—Review Safety Policy#5.01 X X X X X <br /> • Review General Safety Provisions(11PP)/074AB14 —O <br /> • Housekeeping X X X X X <br /> Clear aisle ways <br /> Clear exits <br /> Clean u of spills <br /> Responsibility for your area <br /> • Violence Response Policy X X X X X <br /> • Review Job Specific Job Hazard Anal i 074AB15 <br /> —T <br /> • First Aid—location of kit,stretche , lanket,eyewash, X X X X X <br /> and delu e 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 the above training,that I questioned what I did not understand,and that I agree to <br /> abide by prescribed work pr ices and r es of behavior. ry <br /> Member Signature. Date: <br /> This member has been trai ► the above are and I am confident in his or her knowledg <br /> the areas requirin e of and competency in . <br /> o tr n o afe o practices. <br /> {; Manager Sig ature• Date: Oa'0(J <br /> .r..r. LTi <br />