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Smith Environmental Site Safety Plan <br /> SIGN ®FF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> following job: <br /> i <br /> i <br /> e I will comply with the minimum safety requirements set forth in the Site Safety Plan. I <br /> agree to notify the responsible employee of Smith Environmental.should any unsafe acts be ' <br /> witnessed by me while I am on this site. <br /> i <br /> r PRINT NAME SIGNATURE DATE <br /> i <br /> i <br /> I <br /> 4� II <br /> Safety Plan approved by: <br /> i <br /> I <br /> i <br /> I <br /> i <br /> i <br /> I <br />