Laserfiche WebLink
CG ICS SSP WORKER 1.Incident Name 2. Site Location: 3.Attachments: <br /> ACKNOWLEDGEMENT FORM <br /> 4.Type of Briefing 5.Presented By: 6.Date Presented 7.Time Presented <br /> Safety Plan/Emergency Response Plan ❑ <br /> Start Shift ❑ Pre-Entry ❑ <br /> Exit ❑ End of Shift ❑ <br /> Specify Other: <br /> 8.a. Worker Name (Print) 8.b. Signature* 8.c. Date 8.d. Time <br /> By signing this document, I am stating that I have read and fully understand ICS-208-CG SSP-I (rev 9/06): Worker Acknowledgement <br /> the plan and/or information provided to me. Page of <br />