Dan Ellstrom - Week 15: Influencing Attitudes - 04/08/2026

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This form documents that the training specified above was presented to the listed participants. By signing below, each participant acknowledges receiving training on the abovementioned subject. They understand that this training was only a general overview of the subject and that they should contact their supervisor with any questions or concerns.

A. Personal Factors

1. Rushing

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2. Hand Placement/Body Position

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3. Foot Placement

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4. Safety Awareness

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5. Lifting/Pushing/Pulling

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B. Forklift Inspection

1. Check Engine Oil Level

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2. Examine Battery

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3. Inspect Hydraulic Fluid Level

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4. Check Engine Coolant Level

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5. Hydraulic Cylinders

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C. PPE

1. Hard Hat

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2. Safety Glasses

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3. Hearing Protection

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4. Safety Shoes

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5. Fall Protection

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D. Procedures

1. Confined Space Entry

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2. Welding Permits

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3. Proper Rigging

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4. Lock out/Tag out

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5. Fall Protection Plan

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6. Other Safety Procedures

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E. Equipment & Tools

1. Guards

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2. Electrical Cords & GFCIs

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3. Rigging

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4. Power Tools

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5. Hand Tools

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F. Vehicles Aerial Lifts & Forklifts

1. Speed

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2. Fall Protection

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3. Forklift Rigging

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4. Outriggers

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5. Conditions i.e. Aerial Guardrails

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G. Ladders-Scaffolds

1. Condition

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2. Tie-offs

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3. Guard Rails

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4. Proper Use

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5. Placement

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H. Area Inspection

1. Lighting

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2. Overhead Hazards

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3. Traffic-Pedestrian

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4. Traffic-Vehicle

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5. Air Quality

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6. CAZ Marking & Barricades

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