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i f <br /> i Smith Technology SITE SAFETY PLAN <br /> E I <br /> SIGN-OFF:PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the following <br /> job: Rossetti's Market <br /> i� <br /> I will comply with the minimum safety requirements set forth in the Site Safety Plan. I agree to <br /> notify the responsible employee of Smith Technology should any unsafe acts be witnessed by <br /> while I am on this site. <br /> I <br /> PRINT NAME SIGNATURE DATE <br /> i <br /> 1 <br /> I� <br /> it <br /> I <br /> it <br /> r <br /> I� <br /> y <br /> f <br /> 7. <br /> i+ <br /> N <br /> Safety Plan approved by: Ij <br /> `i <br /> Drew Van Allen,Project Manager Tom Lutterman, Site Safety Officer ii <br /> I� <br /> I� <br /> 3 <br /> �I <br /> PAGE 15 J� <br /> r, F <br /> I <br /> I <br />