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HEALTH AND SAFETY PROGRAM FOR <br /> BROWNa L Attachment D <br /> CALDWELL <br /> Notice of Unsafe Conditions <br /> Contractor <br /> Date <br /> Project Name Project Number <br /> THIS NOTICE . . . <br /> This notice is to advise you, the Prime Contractor on the above-named Contract, that this <br /> Representative of the Owner of the above-mentioned Project has observed (on the date shown above) <br /> an unsafe condition on the Project. <br /> These conditions are listed as follows: <br /> ITEM CONDITION <br /> By this Notice, the Owner or its Representatives shall not assume any responsibility under the GENERAL CONDITIONS or <br /> assume any liability for the existence or correction thereof, for the unsafe conditions, or any others that may have been <br /> unnoticed. <br /> These conditions shall be remedied as soon as possible within a safe working period. If these corrections are not made, <br /> the Owner will be forced to remove all field staff from the job. No payment shall be made for any work installed after this <br /> date without first examination of work in accordance with the GENERAL CONDITIONS. <br /> Signature of Owner's Representative Title Date <br /> Received by (Signature of Contractor's Representative) Title Date <br /> NOTE: Place a copy of completed form in project file. HS-19 REV. 06/98 <br />