Subcontractor Safety Acceptance Form
Please complete this form to acknowledge your understanding and acceptance of site safety requirements before beginning work.
Subcontractor Full Name
*
First Name
Last Name
Company Name
*
Contact Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Site or Project Reference
*
Work Area / Location on Site
*
Have you completed the required site safety orientation or training?
*
Yes, I have completed the safety orientation/training.
No, I have not completed the safety orientation/training.
Personal Protective Equipment (PPE) Confirmation: Do you have and agree to use all required PPE for this site?
*
Yes, I have all required PPE and will use it.
No, I do not have all required PPE.
Have you received and understood the site-specific hazard briefing?
*
Yes, I have received and understood the hazard briefing.
No, I have not received the hazard briefing.
Emergency Contact Name and Phone Number
*
I acknowledge and accept all site safety requirements and agree to comply at all times.
*
I acknowledge and accept the site safety requirements.
I do not accept the site safety requirements.
Submit Safety Acceptance
Should be Empty: