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/) F <br /> li <br /> A y <br /> i ! <br /> ATC Associates SITE SAFETY PLAN <br /> > I� <br /> 1 SIGN-OFF PAGE <br /> !F <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> following job: Shawver Trucking ,p <br /> 1, j <br /> I will comply with the minimum safety requirements set forth in the Site Safety Plan. I agree <br /> to notify the responsible employee of ATC should any unsafe acts be witnessed by me while I <br /> am on this site. <br /> „`" PRINT NAMEAa3 : _ SIGNATURE ' DATE <br /> 1 ' <br /> ij rL <br /> Iir 1 <br /> it I <br /> ip <br /> i <br /> � F <br /> Safety Plan approved by: I� <br /> 3 <br /> Drew Van Allen, Project Manager T'om L" tterman, Site Safety Officer <br /> i <br /> I` <br /> 1 j Ir <br /> PAGE 15 ;E <br /> E <br /> 1 <br />