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BULLET City of St. Louis Department of Personnel Safety and Health Regulations Manual

The City of St. Louis Safety and Health Regulations Manual have been converted to electronic format by the staff of the St. Louis Public Library. This electronic version has been done for the interest and convenience of the user. These are unofficial versions and should be used as unofficial copies.

Official printed copies of the City of St. Louis Safety and Health Regulations Manual may be obtained from the Personnel Officeat 1114 Market Street, Room 703, St. Louis, Missouri 63101.


Forms

EMPLOYEE:

I have read and understand the City Safety Manual and will follow the rules and guidelines it contains.

Department Number______________________ Department Name_________________________

Division Number_________________________ Division Name___________________________

Employee name______________________________________(print)

Social Security Number_____________________________

Employee signature__________________________________Date______________


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I have instructed the above employee in the safe working practices for


______________________________________________________________________
(describe job, operation, activity)

Supervisor's name______________________________________(print)

Supervisor's signature______________________________Date______________


When completed, this form should be removed from the Safety Manual and sent to your Department's Safety Coordinator.

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Index to Saftey and Health Regulations Manual

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