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Dear Applicant,

Thank you for your interest in our company. We will do our


best to place you with a company that is best suited for you.

Please fill out the application form below and e-mail it back
to us at application@aastaffing.ca

Please also attach the following documents;

1) Photo ID - MANDATORY
2) SIN - NECESSARY ONCE HIRED
3) Resume - OPTIONAL, BUT HIGHLY
RECOMENDED
Check Skills in Which You Have Experience: Work Record:
Application For Office Use Only:
First Name: Taha Manufacturing: ✔ Client: Date: Time: Rate: Pos:
Last Name: MASKI Order Picker:
Date of Birth: oct-17-2002 Machine Operator: ✔
Assembly: ✔
Male: ✔ Female: Forklift: CB RR DS Other:
Shipping & Recieiving:
Home Tel: Production Line: ✔
Cell: (647) 453-9869 Welding:
Email: maskitaha@gmail.com RF Scanning:
Office Work:
Address : 308-54 thorncliffe Park drive ON M4H Accounting
1K6
Apt, Unit, etc: Computer Knowledge:
City: Toronto
Postal Code:
Nearest Intersection:
For Office Use Only:
S.I.N: 957-651-458 Exp. Date: july-30-2024
Work Permit #: HI LO HU OTB DNU SHU MO
Work Permit Exp. Date:
General Comments:
Car Available: No
I can lift: 40LB - 60LB
Shift: Morning Afternoon Night ✔

Do you have safety shoes? Yes


Do you have safety glasses? Yes

Do you have a Health & Safety Certificate?


If yes, please attach if no please fill form.No

Are you WHMIS trained? If yes, please


attach, if no fill form. No
Interviewed By:
Do you have a resume? If yes, please attach Yes Date:
Previous Work History
Name & City of From To Type of Maj or Pay
Job Title Responsibility Phone
Company MM/YY MM/YY Business Rate
Wonderbrands Toronto 11/22 11/22 Shipping Shipping (416) 252-7323 17.25$/h

11/22 Shipping Shipping (416) 252-7323 17.25$/h

11/22 Shipping Shipping (416) 252-7323 17.25$/h

11/22 Shipping Shipping (416) 252-7323 17.25$/h

How did you hear about our Agency: Walk In: Employees: ✔ Word of mouth: Kijiji: Other:
In case of emergency who should we call: Name:____________________________
Abdelkrim fadde
Relationship:_______________________
friend Phone:____________________________
(437) 988-5768
Do you have any Health Problems/Allergies? Yes:____ No:____

If Yes, Explain:___________________________________________________________________________
Have you ever been convicted of a CRIME? Yes:____ No:____

If Yes, Explain:___________________________________________________________________________
What other languages do you speak? _________________________________________________________
frensh, arabe

HYGENE POLICY:
∗ If you work at a food related company, your nails must be kept trimmed, clean and free of nail polish
∗ You are NOT allowed to wear jewellery (no rings, watches, piercing, earrings ect.) or any other accessories that
may affect your safety or safety of the product
∗ All hair must be completely covered at all times with a hairnet. Beards must be covered with a beard net.
∗ You must maintain a neat, groomed and clean appearance at all times and are expected to wash your hand often
and thoroughly
∗ You must report all illness to your supervisor
PLEASE READ CAREFULLY AND SIGN:
∗ I am responsible for reporting all absences to the agency and to the company supervisor
∗ I am responsible for informing the agency when I do not pick up my payment
∗ I am responsible for signing IN upon arriving at work and signing OUT when leaving work. This agency
is not responsible for missing hours resulting from failure to SIGN IN & OUT.I will sign my full,official
name.
∗ I will not walk off the job. if I do, it will result in reduction or loss of pay
∗ If I am sick or late for work, I must notify the agency immediately or I may lose my current position
∗ I understand that all assignments that are offered to me are temporary employment unless otherwise stated
∗ I will obey all Health and Safety regulation and rules at all assignments offered to me
∗ I will wear safety shoes and safety glasses
∗ I will use all safety equipment that is available and required of me to preform my assignment
∗ I understand that I have the right to refuse any assignment which I may believe to be unsafe due to the working
environment or equipment, if so I will notify the assignment supervisor and agency immediately
∗ I will not use my cell phone during work hours
I certify that all information provided by me in the above employment application is true and complete to the best of
my knowledge. I understand that if employed, false statement on this application shall be sufficient cause for
dismissal. By signing this application, I authorize this agency to use the information provided by me to perform
reference check, background check, etc, to obtain employment.

Taha MASKI
Applicant Signature/Print Full Name:____________________________ Date Signed:________________________
WHMIS Evaluation
NAME: Taha Maski 03/02/23
DATE:______________________________
1. What year did Canada align WHMIS with the Globally 6. How many hazard classes did WHMIS 1988 have?
Harmonized System of Classification and Labelling of A. 8 C. 2
Chemicals?
B. 6 D. 4
A. 2012 C. 2015
B. 2011 D. 2014
7. How many pictograms make up WHMIS 2015?
A. 10 C. 9
2. What is the difference between Acute and Chronic health B. 8 D. 2
effects?
A. Acute happens slowly, Chronic happens quickly
8. Who is responsible for applying labels to hazardous products?
B. Chronic happens slowly, Acute happens quickly A. Employer C. Manufacturers/Suppliers
C. Nothing, they are both the same B. Worker D. Manufacturers/Suppliers &
Employers

3. It is the responsibility of the Employer to ensure that Safety Data 9. How many points of information are included in the sections of a
Sheets are easy for workers to find and read.
A. True B. False Safety Data Sheet?
A. 10 C. 15
4. Inhalation is the only way a hazardous material can enter your
B. 8 D. 16
body.
A. True B. False
10. What of the following is not a part of the Hierarchy of
5. Which of the following is not a part of the Hazard Classification? Safeguarding Controls?
A. Physical C. Health A. Engineering C. Administration
B. Mental D. Environmental B. Investigation D. Hygiene

11. Match the following symbols to the correct name below:

A B C D E

F G H I J

Name of Hazard Symbol Name of Hazard Symbol


Compressed Gas B Flammable Material D
Oxidizing G Explosion Hazard I
Corrosive C Health Hazard J
Harmful or Fatal H Harmful F
Harmful to the Environment E Biohazardous A
First Name: Taha
(Please Print) Date:

Last Name: MASKI Min: of Labour: 1-877-202-0008

(Please Print)

Step 1 Quiz

Before we move on to Step 2 of the program, here Step 2 Quiz


is a short Quiz on the material we have just
covered. Here is quick Quiz on this part of the program.

1. The number of people in Ontario who suffer a


work-related illness or injury each year would
fill seats of a dozen big hockey arenas. 6. The Occupational Health and Safety Act says
Yes No that you have the right to know about hazards
in your workplace.
Yes ■ No
2. New workers are less likely to get hurt on the
job than people who have been on the job
longer. 7. If a Hazard can make you sick, you will always
Yes No ■ start to feel sick right away.
Yes No ■

3. The occupational Health and Safety Act and


Regulations tell everyone from the employer to 8. To keep from getting hurt on the job, you need
the newest worker how to make the workplace to find out about the hazards while you are
safer. working.
Yes No Yes No

4. The OHSA puts the greatest responsibility on 9. If you have any doubts about the safety of the
the employer to make sure no one gets hurt or work you are doing, you should keep those
sick on the job. doubts to yourself.
Yes No Yes No ■

5. It’s against the law for my employer to fire or 10. If you see a hazard while you are working, you
punish me for doing what OHSA says. should report it to your supervisor or employer
Yes No right away.
Yes ■ No
Step 4 Quiz
Step 3 Quiz

Here is a quick quiz on this part of the


Here’s a quiz on the information we have covered
program.
in Step 4.
11. Its important that you know the safe way to do
your job. You should hazard what you know. If 16. If you report a dangerous situation to your
you see a hazard, you must repot it to your supervisor and your health and safety
supervisor or employer. representative and they cannot find a way to fix
Yes No it, you can call the Ministry of Labour’s toll-free
number for help.
12. You should get involved in health and safety by Yes No
asking questions, and you should put what you
learn from training into practice on the job. 17. If you have reason to believe the equipment
Yes No you are using might hurt you or someone you
work with, you have the legal right to refuse the
13. If you can’t find any health and safety work.
information posted in your workplace, you Yes No
should just go back to work and not worry
about it. 18. Some workers, such as Nurses, Firefighters and
Yes No ■ Police officers has limited right to refuse work.
Yes No
14. Your health and safety representative or joint
health safety committee can help you with any 19. It’s against the law for your employer or your
concerns that you might have about working supervisor to fire or punish you for doing what
safely. the OHSA expects you to do, or for asking them
Yes No to do what the OHSA expects them to do.
Yes ■ No
15. It’s OK to take safety shortcuts to get the work
done faster and on time.
Yes No ■
You can get official certificate by
completing the Health and Safety Training
Keep this test as proof that you have online.
completed the Health and Safety Training. http://www.labour.gov.on.ca/english/hs/
training/index.php

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