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RESNA EMPLOYEE'S INJURY AND ILLNESS <br /> PREVENTION PROGRAM <br /> SITE SAFETY PLAN <br /> 1 <br /> ' <br /> SIGN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> ' following job: <br /> I will comply with the minimum safety t equtrements set forth in the Site Safety Plan. I <br /> agree to notify the responsible employee of RF.SNA 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 /> Branch Safety Officer Project Supervisor <br /> FORMS PAG! A-15 DECEMBER 1991 <br />