ARCHIVED REPORTS XR0000778 - Laserfiche WebLink

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Attachment 7 HEALTH AND SAFETY PLAN ACKNOWLEDGMENT AND AGREEMENT FORM (All SECOR and subcontractor personnel must sign.) This Health and Safety Plan has been developed for the purpose of informing SECOR employees of the hazards they are likely to encounter on the project site, and the precautions they should take to avoid those hazards Sub-contractors and other contractors on the site must develop their own Health and Safety Plan to address the hazards faced by their own employees SECOR has provided a copy of this Plan to contractors in the interest of full disclosure of hazards of which we may be aware,and to satisfy SECOR's responsibilities under the OSHA Hazard Communication standard Similarly, contractors are required to inform SECOR of any hazards of which they are aware or that the contractor's work on site might possibly pose to SECOR employees, including(but not limited to)the Material Safety Data Sheets for chemicals the contractor may bring on-site This plan should NOT be understood by contractors to provide information on all of the hazards to winch a contractor's employees may be exposed as a result of their work. All parties conducting site activities are required to coordinate their activities and practices with the Project Health and Safety Coordinator Your signature below confirms that you have read and understood the hazards discussed in thus Plan, and understand that sub- contractors and contractors must develop their own Health and Safety Plan for their employees I also understand I could be prohibited by the Site Health and Safety Coordinator or other SECOR personnel from working on this project for not complying with any aspect of this Health and Safety Plan • SECOR International Incorporated 25 HASP-geoprobe