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C CONESTOGA THE CONESTOGA COLLEGE INSTITUTE OF TECHNOLOGY AND ADVANCED LEARNING ACKNOWLEDGEMENT OF SAFETY TRAINING AND RESPONSIBILITIES Asastudent in CHEM8010, [ understand that cerain risks and dangers are inherent in this, program/course and, in particular, in the shop/lab areas. I acknowledge that I have completed and understood the safety training for this program. agree to follow safety procedures as outlined by college staff and to question those I do not fully understand, I further acknowledge that my personal safety is primarily my responsibility and I am fully accountable for my actions. I will consult with college staff in situations in which I am unsure of appropriate safety practices or considerations. If observe a potential hazard, or any situation which I perceive to be unsafe, I will bring it to the attention of a college employee. | will not use or operate equipment/machinery that I have not been trained on, or am not familiar with the safe operation of. NOMANAHMED A. KHATRI STUDENT NAME (PLEASE PRINT) Ad-febs : 7-Sep-2023 SIGNATURE V DATE

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