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                   SIGN-OFF SHEET



         I HAVE REVIEWED THE SAFETY HANDBOOKLET :



         EMPLOYEE NAME  _________________________



AND I FEEL CONFIDENT THIS EMPLOYEE UNDERSTANDS WHAT WE HAVE DISCUSSED           I HAVE STRESSED THE IMPORTANCE OF DISCUSSING ANY FUTURE QUESTION
RELATED TO ACCIDENT PREVENTION WITH HIS/HER IMMEDIATE SUPERVISOR.

THIS WILL BECOME A PERMANENT PART OF THE EMPLOYEE'S PERSONNEL RECORDS.


I HAVE READ AND I UNDERSTAND THE INFORMATION CONTAINED IN THE 
SAFETY HANDBOOKLET.



DATE____________________
