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<br /> <br />SITE SAFETY SIGNATURE SHEET <br /> <br />The following site personnel have read the Health and Safety Procedures attached and are familiar with its <br />provisions: <br /> <br /> <br />NAME (print) SIGNATURE DATE <br /> <br /> <br /> <br />Site Safety Officer <br /> <br /> <br />Other Site Personnel <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Plan prepared by: __________________________________ _________________ <br /> (date) <br /> <br /> <br />Plan reviewed by: __________________________________ _____06/16/2021____ <br /> (Project Manager) (date) <br /> <br />Plan reviewed by: ___________________________________ ___________________ <br /> (Corporate Safety Manager) (date)