The Fire Safety Plan Page 39

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Training and Recognition Records
I have read and understand the fire safety plan in place at the _________________________.
As an employee I understand my responsibility and will do my part in providing a fire safe work
place for my fellow employees and the public we serve.
Name :_______________
Signature :_______________
Date :_______________
Name :_______________
Signature :_______________
Date :_______________
Name :_______________
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Name :_______________
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Name :_______________
Signature :_______________
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Name :_______________
Signature :_______________
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Name :_______________
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Name :_______________
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Name :_______________
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Name :_______________
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Name :_______________
Signature :_______________
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Nelson Fire & Rescue Services
Page 39
P:\FireHall\Fire Prevention\FIRESAFETY PLAN\NFRS FIRE SAFETY PLAN TEMPLATE NEW\Fire Safety Plan Template Nelson
Draft 2016.docx

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