Appendix 3 Blank COSHH Form - HSE

Print name: Signed: Date: Declaration by Employer/Supervisor (20) I confirm that I have read this COSHH Assessment and that I understand the hazards and risks involved and will follow all of the safety procedures stated. Declaration by employee. 201. Name (please print) Signed PI countersignature date I confirm that the employee who has signed ... ................
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