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1 <br /> SITE SAFETY SIGN&TURE SHSST <br /> The following site personnel have read the Health and Safety Procedures <br />' attached and are familiar with its provisions: <br /> NAME (print) SIGNATURE DATE <br />' Site Safety officer <br />' Other Site Personnel <br /> I <br /> Plan prepared by: <br /> (Project Manager) (date) <br /> I Plan approved by: <br /> (Condor Safety Coordinator) (date) <br /> LMA\Format\STIPL\H&SCST H93 (11/93) <br /> I <br />