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Project Hazard Identification, Risk Assessment and Control (HIRAC) Form <br />38 <br />12.0 Acknowledgement <br />(All onsite SLR and SLR subcontractor personnel must sign) <br />I acknowledge I have reviewed the health and safety plan for this project, understand it, and agree to <br />comply with all of its provisions. I acknowledge that I have participated in the Job Safety Analysis <br />identification of hazards and safety controls and agree to comply with the indicated steps/procedures. I <br />understand that I may be prohibited by the Site Safety Officer or other SLR personnel from working on <br />the project for not complying with any aspect of this Health and Safety Plan. <br /> <br />Name Signature Company Affiliation Date <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />