INDIVIDUAL AGREEMENT FORM
FOR CONTRACTORS/SUB-CONTRACTORS/EMPLOYEES
I have received a copy of the Contractor and Supplier Health & Safety Rules and
Regulations from my employer/contractor or directly from Dwight Crane Ltd. and hereby
affirm the following:
1. I fully understand these rules, and
2. I have been given adequate instruction regarding the contents of these rules, and
3. I will abide by these rules, while performing work at Dwight Crane Ltd.
Name of Contractor’s Company: _________________________________________
Name of Contractor:
_________________________________________
Signature of Contractor:
_________________________________________
Date:
_________________________________________