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.�_ <br />Project Number: <br />Project Title: <br />TAIT ENVIRONMENTAL SYSTEMS <br />SAFETY COMPLIANCE AGREEMENT <br />I, (print name), have reviewed the copy of the entire Health and Safety <br />Plan for the above referenced project. Visitors will also be required to review it. I have read <br />the plan, understand it, and agree to comply with all of the Health and Safety Requirements. <br />understand that I may be prohibited from working on the project for violating any of the <br />requirements. Visitors will be required to be escorted in the restricted access zone. Visitors <br />must comply with Tait Environmental Systems escort directions while on-site at all times. <br />Non-compliance with escort directions will not be tolerated, and violators will be requested to <br />leave the site immediately. <br />I have been approved to wear a respirator by a physician based on medical examination. I <br />have been trained in the appropriate use, care, and storage of respiratory equipment. I have <br />been respirator fit tested; and I have my respirator available for use in the field. I further <br />understand that this equipment is provided solely for my benefit with the intent to minimize <br />my exposure to potentially hazardous conditions. In the event of such usage, I agree to <br />indemnify and hold harmless Tait Environmental Systems and all of its employees from and <br />against any and all losses, demands, claims, liabilities, lawsuits, damages, costs, and expenses <br />arising, in any way, from the use of the equipment. <br />Thank you for your cooperation. <br />Signature <br />Note: This original signed agreement must be submitted to the Tait Environmental Systems Project <br />Manager to send to the Corporate Health and Safety Manager. <br />: \M \tes\safety\h&s. h&s <br />m <br />