Bekaert Rogers Bekaert Rogers Date MM slash DD slash YYYY Name First Last Last 4 of SS#* Home Office*Fort SmithVan BurenRogersNumber 1*WARNING:NEVER open the door to a machine while the machine is still in operation. WAIT until the machine has completed the full process of operation, due to you could be seriously injured or could cause death. I have been trained on the followingNumber 2*High hazards area: areas needed to avoid while machine is running I have been trained on the followingNumber 3*Stop buttons on all machines I have been trained on the followingNumber 4*Crane Awareness I have been trained on the followingNumber 5*Forklift awareness (Fields of Vision video): use doorways, marked pedestrian aisles and caution at corners and blind spots. I have been trained on the followingNumber 6*Slips, Trips and Falls: water and oil spills, soap, dust, wire pieces (video) I have been trained on the followingNumber 7*Back Safety: Heaviness of products I have been trained on the followingNumber 8*Lifting and moving products I have been trained on the followingNumber 9*Machine Risks: pinch points, cuts, scrapes, burns, smashing of feet, hazards of being slapped, tangled and pulled by the wire into machine. I have been trained on the followingNumber 10*PPE (Personal Protective Equipment): glasses, earplugs, goves, steel toed boots and any other ppe required to do the job. I have been trained on the followingHiddenSignature
