Here's the document converted to clean markdown format:

# EMPLOYEE ATTESTATION FORM [Commercial]

## Employee Information & Attestation

**Instructions:** Employees must fill and sign this form at the time of hire (after induction training by the first day the employee starts work) and after every risk review (for regular employees) by entering the correct information and signing and dating the form.

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### Personal Information

| Field | Value |
|-------|-------|
| **Last Name:** | |
| **First Name:** | |
| **Middle Name:** | |
| **Pay Roll ID:** | |
| **Designation:** | |
| **Work Location:** | |
| **Address:** | |
| **Phone No:** | |
| **Email Address:** | |
| **Department:** | Commercial |

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### Departmental Hazards & Risks Register

Brief description of work-related hazards/risks and control.

| Nature of Hazards | Hazards Source | Risk Level | Risk Control |
|-------------------|----------------|------------|--------------|
| **Violent Crime** (Assault, Violence against individual) | Contact with aggrieved and unsatisfied customers, Breakdown of social order, lawlessness, riot, absence of government authority, Pressure Groups, violent or threatening protests against Company, people or asset | Medium | Ensure professionality while dealing with customers, follow Emergency Response Procedures, use negotiation skills and Counseling tactics, ensure Standby security personnel and Post event dialogue |
| **Weather Condition** (Lightning) | Storm, extreme temperature | Low | Suspension (no work in adverse weather / lighting), Adequate earthing, Toolbox meeting |
| **Job Demand** (Excessive work load) | Poor job planning and inadequacy of Manpower, frequent deadlines, and poor work-life balance | Medium | Adequate planning of the job, Utilization of annual leave, training, and good designed shift patterns or rosters |
| **Road Traffic** (Accident, Vehicle malfunction) | Traveling in Vehicle for work purposes | Medium | Ensure vehicles are regularly maintained, avoid over-speeding and adhere to traffic regulations |

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**\*\*\*NOTE: Hard hats, and safety footwear are required in all Kaduna Electric field locations (Mandatory)\*\*\***

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### Employee Attestation

I understand the hazards/risks associated with my Job and I will use the risks control which include the engineering and operational precautions indicated, including Personal Protective Equipment (PPE), for hazard containment and risk mitigation. This is for my own protection, and for the protection of other people, animals, and the environment.

I agree to abide by the requirements noted above, and any additional requirements.

**Date:** [Today's Date] ___________________

**Employee Signature:** ___________________

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### To be Completed by HOD/HOU

| Name: | Signature: | Date: |
|-------|------------|-------|
|       |            |       |

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**\*\*\*Note: This document will be reviewed periodically to reinforce safety awareness and ensure ongoing compliance.\*\*\***