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CCECC/LRMT REDLINE PROJECT

EMPLOYEE ACKNOWLEDGMENT FORM


I (Your Name) ____________________________________state that I have
attended the safety orientation, and I have read and received a copy of
CCECC/LRMT Redline safety rules and regulations. I further state that I
understand these rules and acknowledge the compliance with the safety rules
and regulation is a condition of employment, I understand that I am subject to
termination, suspension or other punitive measures in accordance with the
company policy if I violate the rules.

__________________________________________
EMPLOYEE FULL NAME AND SIGNATURE

__________________________________________
DATE OF INDUCTION

__________________________________________
SAFETY PERSONNEL NAME AND SIGNATURE

______________________________________
DATE

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