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Appendix D: Health and Safety Briefing/Site Orientation Record <br /> ' This is to verify that I, the undersigned, have been provided with a site (orientation) briefing regarding the safety <br /> and health considerations at the site. I agree to abide by my employer's site-specific safety and health plan and <br /> other safety or health requirements applicable to the site. <br /> NAME (PRINT) SIGNATURE COMPANY DATE <br /> t <br /> 1 <br /> Site(orientation) Briefing Conducted By: Date: <br />