Employee Safety Agreement Employee Safety AgreementEffective Date: 7/21/2025 To: All NEMR Employees As part of our ongoing commitment to workplace safety and compliance with all applicable regulations, NEMR requires all employees to follow the safety guidelines and practices established by the Missouri Department of Transportation (MoDOT), as well as internal company safety policies and procedures.By signing this agreement, you acknowledge and agree to the following:(Required) Compliance with MoDOT Safety Guidelines: I understand and agree to comply with all safety rules, regulations, and procedures as outlined by the Missouri Department of Transportation (MoDOT) that are relevant to my job duties. Use of Personal Protective Equipment (PPE): I will properly wear and maintain all required personal protective equipment at all times when performing duties where such equipment is necessary. Disciplinary Action: I understand that failure to follow MoDOT safety guidelines and company safety policies may result in disciplinary action, up to and including termination of employment. Confirm UnderstandingThis agreement is a condition of your continued employment and demonstrates our shared responsibility in maintaining a safe and compliant workplace. Please sign below to confirm your understanding and agreement.Signature(Required)Employee Acknowledgement & Agreement(Required) I have read, understand, and agree to abide by the safety guidelines established by the Missouri Department of Transportation and NEMR as stated above.Name(Required) First Last Date(Required) MM slash DD slash YYYY 616.4.3 Worker Safety Considerations MoDOT EPG: 616.4 Pedestrian and Worker Safety (MUTCD Chapter 6D) – 616.4.3 Worker Safety Considerations MoDOT EPG Link (duplicate) Safety Apparel Requirements F. Safety Apparel – All workers within highway right of way shall wear approved ANSI/ISEA107 Performance Class 2 or 3 safety apparel and more specifically as follows: Daytime Worker. During daytime activities, workers shall wear a hard hat, safety glasses, a Performance Class 3 top OR a Performance Class 2 top, and safety footwear. (According to this article from MoDot, the footwear does not indicate any specific type of footwear required.) If you are in need of any PPE to meet the requirements of this safety policy, please let management know so they can get you the equipment that you need. Δ
