Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • By signing this document, I hereby confirm that I have read, understood, and accepted the Gate Dredging & Contracting's Safety Management System (SMS), and Health & Safety Policies and agree to abide by these.

  • Name of employee:

  • Position/Rank:

  • Employee Signature

  • Date

  • Upon acceptance and signature of this document, send to Greg Bangert. A copy of this document will be kept on file with other employee documents.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.