INDEMNITY AGREEMENT
ALL VISITORS
Name
*
First Name
Last Name
Email
*
example@example.com
Your Company
*
Vehicle Registration
*
Time In
*
Hour Minutes
AM
PM
AM/PM Option
Time Out
*
Hour Minutes
AM
PM
AM/PM Option
Signed at:
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
THESE RULES HAVE BEEN DRAWN UP FOR YOUR PROTECTION IN THE INTEREST OF HEALTH AND SAFETY AND PROTECTION OF THE ENVIRONMENT; AND AS REQUIRED IN THE TERMS OF CONSTRUCTION REGULATION CR 7(8) OF THE OCCUPATIONAL HEALTH AND SAFETY ACT.
THE MANAGEMENT AND OWNERS RESERVE THE RIGHT OF ADMISSION
RANDOM SEARCHES MAY BE CARRIED OUT BY SECURITY STAFF ON YOUR ENTERING AND LEAVING THE PREMISES
Admission to the site is strictly controlled as required by the Occupational Health and Safety Act.
I the undersigned:
*
(name as stated above), having been given permission to enter the property and recognising the inherent hazards that exist on premises of this nature, hereby acknowledge that I enter the said property entirely at my own risk and that I shall have no claim against OWNERS or any of it's employees, agents, mandatories or any loss, damage or injury whether such loss, injury, accident or damage is a result of any negligent act or omission on the part of the company or any of it's employees, agents, mandatories or independent contractors or by way of the use of defective materials or equipment supplied by the company or by way of any human or mechanical error, default or failure occuring on the said property or whether such accident or injury or damage occurs from any other cause, nothing at all expected.
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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