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ES & H Mission

ESH Web  Manual 
Safety Comes First Checklist

Please attach all completed forms and tests to this checklist. Forms and checklist are to be retained on record by employee's managers/supervisor.
 
Print Name ______________________________________________
Signature ______________________________________________
Date ______________________________________________
  Item Enter Date Complete
Basic Safety
Read SLAC Safety Values and Expectations.  
Insure your work space is safe.  Report any issues to your supervisor or manager.  
Familiarize yourself with how Integrated Safety and Environmental Management relates to your job.  
Complete and sign your Job Hazard Analysis and Mitigation, along with your supervisor.  
Sign “Commitment to Safety” form.  
Traffic Safety
Read the “Traffic Control Program.”  
Familiarize yourself with “SLAC Standards for the Operation of Government Vehicles.”  
Read and sign “SLAC Motorized Vehicle Driving Privilege Form.” Return a copy to Security.  
Training
Complete and keep current Employee Orientation to ESH (EOESH).  
Complete General Electrical Safety (course 239).  
Review your SLAC Training Assessment with your supervisor.  

 

Emergency Information is online at http://www.slac.stanford.edu/esh/emergency/ 

Medical Information is online at http://www.slac.stanford.edu/esh/medical/ 



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