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• ! <br />SAFETY CHECK-OFF COVERIHc <br />CONTRACT WCRX ON <br />SAT1'LE MOIINTAIN GOLD CC2SPANY PREHISES <br />Z•E_S <br />1. Does Contractor have ovn liSHA <br />identification number? <br />2. xas Contractor worked under MSHA <br />jurisdiction before? <br />~. Have applicable safety provisions <br />bean included with contract bid <br />docunanta and/or purchase contracts? <br />t. Has Contractor mot with company <br />representative to discucs safety <br />requirEmenta7 <br />5. was Contractor provided with a <br />coFy of the Battle Mountain Gold <br />Company Policy and 6afety <br />Guidelines covering contract work? <br />6. Is Contractor familiar with the <br />company•s accident end injury <br />reporting requirements? <br />7. Has hazard training been provided <br />to the Contractor? <br />S. Dces contractor require any <br />special trainirq? <br />9. Has Contractor developed a safety <br />and training plan covering the <br />project? <br />10. xill Contractor have a responsible <br />person prccent at all times that <br />work is in progroaa? <br />21. Has Contractor provided evidnncs of <br />workers's compensation and liability <br />inaurence coverage? <br />12. Has Contractor made arrangements <br />in advance for medical services? <br /> <br />page 6 of 7 <br />~A <br />