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Attachment A <br />Employee Acknowledgement <br />I hereby certify that I have read and understand the safety and health guidelines contained in the Site Safety and Health <br />Plan for: <br />(Project Name) <br />Employee Name <br />Signature <br />In case of emergency, please contact: <br />Name <br />(Job No.) <br />Date <br />Relationship Phone Number <br />2. <br />Name Relationship Phone Number <br />Received by: <br />Site Safety Officer <br />Signature Date <br />