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~ - ~ <br />p~ga 6 of 7 <br />SAFETY CHECK-OFF COVERING <br />CONTRACT WORK ON <br />BATIZE MOUNTAIN GOLD COISPANY PREMISE6 <br />1. Does Contractor have own MSHA <br />identification number? <br />Z. Has Contractor worked under MSHA i <br />jurisfliction before? <br />--T <br />3. Have applicable safety pzovisions <br />bash included with contract bid ' <br />documsnta and/or purchase contracts? <br />4. Has COntraCtpr mot with COIDpany <br />representative to diaouas aafsty <br />requiremanta7 <br />5. Was Contractor provided with a <br />copy of the Battle Mountain Gold <br />Company Policy and safety <br />Guidelines covering contract work? <br />6. Za ContxaCtor familiar with the <br />company•s accident and injury , <br />reporting reguire~aents? T- <br />7. Has hazard training been provided <br />to the Contractor? ~ <br />8. Dces Contractor reQttire any <br />spacial training? <br />9. Has Contractor developed a safety <br />and training plan covering the <br />project? <br />10. v7i11 Contractor have a reapoasible ~, <br />person prwasm at all times that <br />work is in prograaa? <br />il. Has Contractor provided evidencs of <br />worksra•s compensation and liability <br />insurance coverage? ~ <br />12. Hna Contractor made arrangements <br />in advance for medical services? <br />I <br />~.8 <br />~, <br />