Safety Orientation Signature Page

I acknowledge that I have viewed, understood, and agree to follow the safety rules instituted by Consigli Construction in their best practices/safety orientation video. I also understand and agree to abide by the Site-specific elements of the project as presented by Dean Archambault the Consigli Superintendent as well. I acknowledge that I have access to any Hazardous Material Report(s) and SDS sheets for any hazardous substance that I may use or be exposed to. I understand the use of N95/dust mask type respirators are voluntary, and I have received training regarding their use. I have received training in lead/asbestos/PCB awareness. I understand that if I do not have this training or any other specific safety training that it is my responsibility to notify my supervisor immediately. I also agree to comply with both CCC and Naval Academy Covid-19 and security requirements.

Name:
Signature:
Date:
Company:
Trade:
HH Sticker #:
Cleared by Security:
Phone #:
OSHA 10/30 Training, HH Sticker, and other required licenses and Certs Copied below:

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