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AGREEMENT between BROWARD COUNTY and Cummings ...

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Exhibit 2<br />

Page 203 of 379<br />

SAFETY OBSERVATION<br />

To General Contractor:<br />

Date:<br />

Subcontractor (if applicable): Contract #:<br />

The contractor/subcontractor has been verbally notified that the following work conditions do not conform to safety<br />

requirements established for the project:<br />

Contractor Safety Representative Initial<br />

Resolved Yes/No (If not resolved formal SO issued) SO-<br />

Broward County is formally notifying the contractor/subcontractor that the following condition(s) are in non-compliance<br />

with the safety requirements established for the<br />

project:___________________________________________________________<br />

______________________________________________________________________________________________<br />

______________________________________________________________________________________________<br />

______________________________________________________________________________________________<br />

______________________________________<br />

Originator:<br />

Contractor’s Corrective Action:<br />

Date:<br />

Corrective Action Completed<br />

Corrective Action Verified:<br />

Contractor Safety Representative Signature/Date<br />

Originator Signature/Date<br />

<br />

<br />

Complete<br />

Not Complete<br />

2nd Notice Sent<br />

Complete Sign Off<br />

Date<br />

Originator Signature/Date<br />

Q

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