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2900 - Site Mitigation Program
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PR0524769
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Last modified
1/14/2020 5:08:21 PM
Creation date
1/14/2020 4:25:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0524769
PE
2960
FACILITY_ID
FA0016627
FACILITY_NAME
PG&E FRENCH CAMP YARD
STREET_NUMBER
401
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19314013
CURRENT_STATUS
02
SITE_LOCATION
401 E FRENCH CAMP RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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ATTACHMENT 7 <br /> HEALTH AND SAFETY PLAN ACKNOWLEDGMENT AND AGREEMENT FORM <br /> (All SECOR and subcontractor personnel must sign.) <br /> "GOAL:Zero Incidents of ANY Kind. Work Together to Assess Hazards and Ensure A SAFE and High Quality Project" <br /> This Health and Safety Plan has been developed for the purpose of informing SECOR employees of the hazards they are likely to encounter on <br /> the project site, and the precautions they should take to avoid those hazards. Sub-contractors and other contractors at the site must develop their <br /> own Health and Safety Plan to address the hazards faced by their own employees. SECOR has provided a copy of this Plan to contractors in the <br /> interest of full disclosure of hazards of which we may be aware, and to satisfy SECOR's responsibilities under the Occupational Safety and Health <br /> Administration (OSHA) Hazard Communication standard. Similarly, contractors are required to inform SECOR of any hazards of which they are <br /> aware or that the contractor's work on site might possibly pose to SECOR employees, including (but not limited to) the Material Safety Data <br /> Sheets for chemicals the contractor may bring on-site. This plan should NOT be understood by contractors to provide information on all of the <br /> hazards to which a contractor's employees may be exposed as a result of their work. <br /> I further certify that I have received training and medical surveillance according to the Health and Safety Plan and the OSHA Standard on <br /> Hazardous Waste Operations and Emergency Response (29 CFR 1910.120): <br /> All parties conducting site activities are required to coordinate their activities and practices with the project Site Health and Safety Officer. Your <br /> signature below confirms that you have read and understand the hazards discussed in this Plan, and understand that sub-contractors and <br /> contractors must develop their own Health and Safety Plan for their employees. You also understand you could be prohibited by the Site Health <br /> and Safety Officer or other SECOR personnel from working on this project for not complying with any aspect of this Health and Safety Plan. <br /> Name Title Signature Company Date <br /> PG&E SECOR International Incorporated <br /> SECOR Project No.050T.50234.00.0003 PG&E French Camp HASPB.doc <br /> 49 <br />
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