PRINTABLE EMPLOYEE LIABILITY WAIVER
[Your Company Name]
Date: June 1, 2055
Employee Name: Malcolm Raynor
Position: Machine Operator
Department: Manufacturing
I. Acknowledgment of Risk
By signing this waiver, I, Malcolm Raynor, acknowledge that my job at [Your Company Name] may involve high-risk activities. These risks may arise from, but are not limited to:
Use of heavy machinery and tools
Handling and exposure to hazardous materials
Physical exertion, lifting, or repetitive tasks
Working in environments with potential for injury, such as construction sites, manufacturing facilities, or laboratories
I understand that these activities may carry inherent risks of accidents, injuries, or other adverse outcomes.
II. Assumption of Responsibility
I agree to assume full responsibility for any risks, known or unknown, associated with my role. I commit to following all company safety protocols, including but not limited to:
Wearing required personal protective equipment (PPE)
Adhering to company safety procedures and training guidelines
Reporting any unsafe conditions or incidents to my supervisor or safety officer immediately
III. Waiver of Liability
In consideration of my employment with [Your Company Name], I agree to release, waive, and discharge [Your Company Name], its officers, employees, and agents from any liability related to personal injuries, property damage, or accidents arising from:
My use of or exposure to machinery and tools
Contact with hazardous materials
Any work-related tasks that involve physical exertion or hazardous environments
Exceptions: This waiver does not apply in cases where [Your Company Name] demonstrates gross negligence or willful misconduct.
IV. Medical Fitness and Disclosure
I confirm that I am physically and mentally fit for the duties required in my role. If I have any medical conditions that could be affected by my job tasks, I will notify [Your Company Name] in writing and seek appropriate medical guidance before performing such tasks.
V. Indemnification
I agree to indemnify and hold harmless [Your Company Name] from any claims, damages, or legal costs arising from my failure to follow safety protocols or comply with company policies related to high-risk activities.
VI. Signature and Agreement
By signing below, I acknowledge that I have read, understood, and agreed to the terms of this liability waiver. I understand that this waiver is binding for the duration of my employment with [Your Company Name] in any high-risk position.
Malcolm Raynor
Date: June 1, 2055
Lyda Fadel
HR Manager
[Your Company Name]
Date: June 1, 2055
Waiver Templates @ Template.net
