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f s <br /> Health and Safety Plan <br /> Acceptance Shi et <br /> This form is to be completed by each person to work on the subjec site. Complete and return to the project's Health <br /> and Safety Officer. <br /> Job Number <br /> Client Project <br /> Date <br /> I have read and understand the contents of the above indicated He ]th and Safety Plan and agree to perform my work in <br /> accordance with it. <br /> Signe <br /> Print Name <br /> Company/Office <br /> Date <br />