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NEW EMPLOYEE SAFETY ORIENTATION CERTIFICATION <br />On the day of my orientation, I was trained in the following topics; <br />✓ <br />Maintenance shop safety rules <br />✓ <br />Blood borne Pathogen Control <br />✓ <br />Hazard Communication Standard <br />✓ <br />Fire Prevention & Protection <br />✓ <br />Personal Protective Equipment- PPE <br />✓ <br />Safe Material Handling <br />✓ <br />Trenching and Excavation basic safety <br />✓ <br />Ladders, Scaffolds & Aerial Lifts <br />✓ <br />Competent person designation <br />✓ <br />Fall Protection Basics <br />✓ <br />Confined Space basic rules <br />✓ <br />CPR/ First Aid <br />✓ <br />Emergency Response <br />✓ <br />Motor Vehicles <br />✓ <br />Lock out—Tag out basic rules <br />✓ <br />Incident Reporting <br />The training that has been delivered on the preceding topics is the minimum basic information required <br />to be delivered to all new Johnson — Davis Inc. employees prior to their first day of work. Additional <br />training in certain higher risk areas will be required before an employee is considered "fully trained" in <br />those areas. <br />"I acknowledge that I have received training and printed material on the above topics on the date <br />indicated. I understand that it is my responsibility to observe and obey all safety rules, regulations and <br />procedures of Johnson —Davis Inc., federal, state and local municipalities and client companies, <br />wherever rules maybe more stringent. If I have any questions regarding any of the above topics, I will <br />address them with my immediate supervisor or Maggie Anaya, the company Safety Director." "After <br />signing below, I have been given a copy of this signed training certification." <br />Employee name (print) <br />I certify that my new employee safety orientation was conducted by Maggie Anaya, Safety Director, on <br />