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Universal Health & Safety Plan For use on all high-risk,industrial and HAZWOPER projects Department of Toxic Substances Control 18. Personal Acknowledgement By signing below,the undersigned acknowledges that he/she has reviewed the AECOM Health and Safety Plan for the Department of Toxic Substances Control site. The undersigned also acknowledges that he/she has been instructed in the contents of this document and understands the information pertaining to the specified work and will comply with the provisions contained therein.The employee understands that they are NOT to perform any work that they have not been adequately trained for and that they are to stop work if it is unsafe to proceed. Finally, the employee understands to notify the Site Supervisor and the Incident Hotline at 800-348-5046 for any incident, including ANY injury even if no first aid or medical treatment is required. OrganizationPrint Name Clearly Signature 18.1 Disclaimer This HASP, and each of its provisions, is applicable only to, and for use only by, AECOM, its affiliates, and its subcontractors. Any use of this Plan by other parties, including,without limitation, third-party contractors on industrial sites or projects where AECOM is providing engineering, construction management,or similar services, without the express written permission of AECOM,will be at that party's sole risk, and AECOM Corporation shall have no responsibility. The existence and use of this Plan by AECOM shall not be deemed an admission or evidence of any acceptance of any safety responsibility by AECOM for other parties unless such responsibility is expressly assumed in writing by AECOM in a specific project contract. ©AECOM Restricted Universal Heath and Safety Plan Template(S4(DSC)AM-209-FM-C) 45 Revision 12 September 9,2021 PRINTED COPIES ARE UNCONTROLLED.CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET.