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<br /> <br />The information completed in this section applies to the following employees who <br />will be working on site: <br /> <br />Employee Name Identification <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />3. INFORMATION PROVIDED TO CONTRACTOR <br /> <br />Process Safety Management <br />(PSM) Program Information1 <br />Provided?2 Employees <br />Are Trained?3 <br />Reviewed?4 <br /> Ammonia Hazards Summary <br /> Applicable Hazard Assessment <br />Details <br /> <br /> Applicable Process Safety <br />Information <br /> <br /> Contractor’s response and role <br />in the event of an emergency. <br /> <br /> <br />1 Elements of the Process Safety Management (PSM) Program that will be <br />reviewed with the contractor. <br /> <br />2 The contractor will initial in the block beside each checked box to certify that the <br />contractor has been provided with the indicated element of the PSM Program. <br /> <br />3The contractor will initial in the block beside each checked box to certify that the <br />contractor can provide documentation that employees have been trained in the <br />indicated PSM Program element. <br />