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r <br /> <br />Exhibit D <br />n <br />U <br /> <br />~aqe 6 of 7 <br />SAFETY CHECK-OFF COVERING <br />CONTRACT NORK ON <br />BATTLE MOONTAIN GOLD COMPANY PREMISES <br />~ ~ ~ <br />1. Does Contractor have own MSHA <br />identification number? <br />_T <br />Z. Has Contractor worked under MSHA <br />jurisdiction before? <br />3. Have applicable safety provisions <br />been included with contract bid ' <br />documents and/or purchase contracts? _+ <br />t. Has Contractor met with company <br />representative to discuss safety <br />requirEments7 <br />5. Waa Contractor provided with a <br />copy of the Battle Mountain Gold <br />Company Policy and 6afety <br />Guidelines covering contract work? <br />6. Ie Contractor familiar with the <br />company•s accident and injury <br />reporting requirescents? <br />7. Ras hazard training been provided <br />to the Contractor? <br />e. Dces Contractor require any <br />special training? <br />9. Has Contractor developed a safety <br />and training plan coverlnq the <br />project? <br />~~- <br />30. bill Contractor have a responsible <br />person present at all times that <br />work is in progroas? <br />_T <br />11. Has Contractor provided evidence o! <br />workers•a compensation and liability <br />insurance covernge7 <br />12. Hae Contractor made arrangements <br />in advance for medioal services? <br />--~ <br />