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UNITED
AGREEMENT
By accepting a position on this Project and worthy of performing the duties and responsibilities of my position, I
the undersigned, understands that Safety is a prime condition of my employment. Therefore, I agree to
undertake the following:
You will be subject to disciplinary action by your supervisor for committing an unsafe act, which may include termination of
employment. Taking chances or risks concerning safety will not be tolerated!! UNSAFE ACTS ARE PROHIBITED!
PROHIBITED!
Don’t forget that YOU are the safety program and the safety program is for YOU!
Should I disregard or fail to abide by the above provisions, I understand that my services will be terminated
immediately with cause and denied access to the Project site.
Name: Signature:
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