Model: HUGHS-R 12-

EMPLOYEE ACKNOWLEDGEMENT TO COMPANY 00

AND HSE POLICIES REV 00
DATE: 28-04-16

EMPLOYEE ACKNOWLEDGEMENT TO COMPANY AND HSE POLICIES

As an employee of Hughs Constructions Limitada I________________________

acknowledge the Hughs Lda Policy and the Health, Safety and Environment Policy.

I also acknowledge and confirm that by signing this form that I have fully
understood the contents of the above mentioned policy and the training provided.

Employee ( I Acknowledge) Hughs HSE Officer or Department Manager

Print Name: Print Name:
Signature: Signature:

Date:____/_____/2016 Date:____/_____/2016

Issuer: Reviewer: Approver: Last update:

HUGHS QHSE Rui HUGHS GM Sean Naidoo HUGHS CEO Chris 28 April 2016
Niquice Grottis
HUGHS QSHE = Quality, Safety, Health, Environment and Security