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EMERGENCY RESPONSE/UST MONITORING ALARM TRAINING <br />Training Checklist <br />Employee .Name <br /> teCNO. *---C-76a‘ <br /> <br />FACILITY # <br /> <br />0 co <br />te- ' <br /> <br />-Emergency ResPonitt, oots & P <br />"Vleually" pointed out and reviewed with the Trainee each of the following: <br />ZE (initial) Spill Response items (Hydrocarbon Response Bags, extra pads, absorbent, broom & dust pan, MoCias spill <br />9400: explained spa/overfills response, cleanup and reporting procedures Refer to the "Designated Operator Training Cumcalum". <br />fiV i 1. (initial) Hazardous Waste Barrels: walked Trainee to location and explained procedures relating to their use, Le- purpose of <br />,..-tt?ordriferent barrels and procedures when depositing items in them <br />V1-- (initial) Location of (all) Fire Extinguishers- (inside & outside): walked the Trainee to each one. <br />(initial) Location of (all) Fire Alarm "Pull Stations"- if applicable: walked the Trarnee to each one. <br />51, (initial) Location of (all) Emergency Shutoff switches - (inside & outside): walked the Trainee to each one. <br />IL/ (initial) Electrical Service Main Breaker - Water Main Valves - (if applicable- Natural Gas Shutoff & Sprinkler Controls & <br />walked the Trainee to each one arid explained how to access & operate them. <br /> (initial) Emergency Response Binder: reviewed 'all" the documents in the binder and the procedures when evacuating. <br />by" V5._(initial) Location of (all) CO2 (bulk or canisters). CO2 sensors, CO2 alarms with placard (backroom and c-store)— <br />NNaiked the Trainee to all CO2 equipment and explained procedures relating to their use. i.e purpose for sensor light and the different <br />alarms. Refer to "Designated Operator Training Curriculum'. <br />Reviewed and explained all the procedures for the following: <br />ri'131— (initial) Stops to Shut-Down and Evacuate <br />pi,' la (initial) First Aid Procedures for Exposure to Gasoline & Diesel <br /> (initial) Small & Large Gasoline / Diesel spill and a non-gasoline vehicle-fluid spill cleanup procedure (Spill Response <br />6/ Procedures). <br /> (initial) Site Specific Emergency Response & Training Plan <br /> (initial) IIMBP <br />;UST M o n it o ri ' • arm Re 'Phicetittres <br />Instructed the Trainee on the following: <br />Monitoring_ Equipment <br />(initial) Took Trainee to the TLM System. <br />12/ :n II n iitt ii aail 1 D <br />iscussed <br /> ) Reviewed <br /> the <br />the <br />equipment i <br />spec ific <br />m n toperating <br />type ot TpLroMcesydsutreems <br />(components <br /> Weeder-Root. <br />:If -uCnoci:ItIonset)) <br />Alarm Reporting Procedures <br />(initial) Reviewed the Visual & Audible alerts. <br />tj (initial) Demonstrated process for silencing the audible alarm. <br />00" (initial) Reviewed the (2) categories of alarms (UST& ISO). Discussed the Quick Reference Alarm Card and the means of <br />clIstulshing a Vapor Alarm from an ISO Alarm. , <br />V/j,,_ (initial) Reviewed the reporting process for Air Quality Alarms, i.e. record alarm in !SD Binder nab 1), record in <br />ErAAaienance Binder, and the timelines for reporting an Air Quality alarm to maintenance. <br />(initial) Reviewed the reporting process for UST Alarms, i.e. record alarm in the Maintenance Binder, and immediately <br />report alarm to maintenance. <br />Trainee Signature --:0 e4:1 11,' aiie)-- <br />... <br />Date: f 940 h9( <br />Designated Operator Signature AY*/ gelifteft‘ 8 3 60 1 3 7 Date: <br />File in employee station file only <br />Revised 5/23120