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ACKNOWLEDGEMENT
I, the undersigned, Mr [..]
Acting in my capacity as [..]
On behalf of
[Company name]
[Head office address]
For French companies:
Registre du Commerce et des Socits (Commercial and Companies Register) No.
[.]
For Belgian Companies:
Registre Commercial (Handelsregister Commercial Register) No.
[.]
For Dutch Companies:
Kamer van Koophandel No. [....]
Hereby acknowledge that I have received a copy of the GENERAL SAFETY REQUIREMENTS to be
used by service providers working at or on behalf of Holcim France, Belgium and Netherlands.
I hereby state that I have read these General Safety Requirements and I give the following
undertakings:
o
To send them to all persons employed by my company for the purposes of carrying out
operations on Holcim France, Belgium and Netherlands sites or when working on behalf of the
latter companies.
To adhere to these instructions and to ensure that others adhere to them under all
circumstances.
This document must be dated, signed and returned either to the person placing the order at Holcim or to the Procurement
Department within 10 days after receipt or by return post for works which are due to get underway immediately.
No work may commence until this acknowledgement has been returned to Holcim.
Legislation:
Hazardous products:
Language:
o
o
Equipment / vehicles:
Working alone:
Service providers must not carry out any work outside of
opening hours and days or when there are no Holcim
members of staff in attendance on the site.
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Using explosives:
For certain kinds of equipment, Holcim reserves the right
to ask for the following:
Electrical work:
Work of an electrical nature may only be carried out by
members of staff who have been duly accredited by the
head of the service providers establishment.
The accreditation must be up-to-date and match both the
types of work or operation and the voltage range on which
the accredited person will be working.
Holcim reserves the right to check the accreditation
documents.
Lifting / mechanical handling work:
Work involving the handling-mechanical lifting of
equipment or materials requiring the use of vehicles or
devices (forklift trucks, cranes, loaders, telescopic
handlers, etc.) may only be carried out by members of staff
who are duly authorised by the head of the service
providers establishment. The authorisation must be up-todate and match the types of vehicles or devices used by
the service provider.
Work at heights:
Work at heights may only be carried out upon a work
surface which has been designed, installed or fitted out in
such a way as to guarantee the health and safety of the
workers involved.
Generally speaking, the equipment (guardrails, cradles,
platform lifts, scaffolding, harnesses, ladders, etc.) used to
carry out work at heights must be:
Compliant with the regulatory requirements and
in perfect working order
accreditation
Locking out:
training
Certificates of
authorisation
inspection
technical
regulatory
Medical fitness:
The latest
reports,
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Hot work:
Asbestos:
Excavation / earthworks:
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