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ENSAFE <br /> Site Specific Safety and Health Plan Review <br /> Project Name: <br /> Project Location: <br /> Project Manager: Site Supervisor: <br /> Acknowledgments <br /> I acknowledge that I have read and reviewed the Site Specific Safety and Health <br /> Plan as identified for the listed project above. Furthermore, I agree to abide by <br /> the requirements listed in the plan. I have been informed of the project <br /> operations and specific health and safety concerns. I agree to work to the Health <br /> and Safety Plan guidelines and understand that failure to do so could result in <br /> removal from the site and/or termination. <br /> Printed Name Signature Date <br /> 2-4-08 <br />