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SITE SAFETY AND HEALTH PLAN I , do hereby confirm that I have read and understand the Site Safety and Health Plan for the above referenced site . do agree to follow this plan , and to make every effort to make the workplace safe . I will report any health or safety hazard that I observe to the Senior Safety Officer , Site Safety Officer , or Project Supervisor, do agree to defend , indemnify , and hold harmless this contractor , its owners , employees , representatives , clients , and the property owner for any accidents , sickness , or injuries resulting from the violation , alleged violation , or non - compliance of this Site Safety and Health Plan . Name : Title : Signature : Date : Name : Title : Signature : Date : Name : Title : Signature : Date : Name : Title : Signature : Date : Name : Title : Signature : Date : Name : Title : Signature : Date : Name : Title :