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i <br /> Site Health and Safety Plan Acknowledgment <br /> I understand and agree to abide by the provisions as detailed in this Project Health and Safety <br /> Plan for the activities described in the Project Work Plans Failure to comply with these <br /> provisions may lead to disciplinary action that may include dismissal from the work site, <br /> termination of employment or, for subcontractors, termination of the work contract <br /> Pnnted Name Company Signature Date <br /> C%wnwrgnackoxmnerclaAPacasrnpxbaUsmu,test SHSP dw VII <br /> M02 <br />