I understand that compliance with environmental health and safety policies is required of individuals on Employee, Guest, Visitor, and Contract Labor status at the Lawrence Berkeley National Laboratory. I understand that it is my responsibility to obtain the necessary environment, health, and safety information and to use this information accordingly.  I further understand that I am required to attend the Introduction to Environment, Health & Safety at LBNL (EHS 10) training course if my association with the Laboratory is expected to extend beyond one month.

By signing this form, I acknowledge that I have been provided with the web addresses to locate and read the required documents online from the LBNL EH&S Division website. I understand that I should read them and discuss the information contained in these documents with my supervisor before performing my work duties.

• http://www.lbl.gov/ehs/pub811 - PUB-811, Integrated Safety Management
• http://www.lbl.gov/Workplace/RPM/R2.23.html#RTFToC3 - Policy on Substance Abuse in the Workplace

Signature:  ________________________________________

Date:         ______________________

Please print name: __________________________________

NOTE:  Bring this work agreement to your start appointment.

Further information about environmental health and safety matters may be found on the Environment, Health & Safety (EHS) website, http://www.lbl.gov/ehs, from your supervisor and/or by calling the EH&S Division at extension 5514.