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s <br /> i <br /> t <br /> RESNA <br /> SITE SAFETY PLAN <br /> SIGN-OFF PAGE <br />' I have read the Site Safety Plan and fully understand the hazards associated with the <br /> following job: Hendrix and Sons Trucking, Inc. <br /> 1 <br /> I will comply with the minimum safety requirements set forth in the Site Safety PIan. I <br />' agree to notify the responsible employee of RESNA should any unsafe acts be witnessed by <br /> me while I am on this site. <br />' PRINT NAME _]_SIGNATURE DATE <br /> 1 <br /> 1 <br /> Safety Plan approved by: - <br /> 1 -1�'--- .. <br /> Branch Safety Officer Pr zt Manager <br /> PAGE 13 <br /> t <br />