APPENDIX “1SIGN DESIGN & FABRICATION, INC. EMPLOYEE(S) SAFETY TRAINING CHECKLIST

Employee Name: _____________________________ Hire Date: __________

Position: ____________________________________ Trainer: ____________

I acknowledge that I have been trained in the SAFETY AND HEALTH areas checked below, and I agree to follow all SIGN DESIGN & FABRICATION, INC. Safety and Health Rules, Policies and Procedures.

_____Safety and Health Program

_____Incident Reporting & Reporting Occupational Injuries and Illnesses

_____ Hazard Communication

_____Hazardous Material Spill Response

_____Bloodborne Pathogen Response

_____Personal Protective Equipment

_____Employee(s) Safety Manual

_____Machinery Tag-Out Program

_____Emergency Procedures

_____Other: Topic:___________________________________________________________________

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