I acknowledge that I am undertaking workplace suitability for employment at SCD American Vehicles Pty Ltd or SCD Performance Conversions Pty Ltd (“the Company”) and understand that I will be required to be present in a workshop environment which carries with it the potential for death, serious injury and property damage.

The risks include but are not limited to:

— Physical injury to including lacerations, sprains, broken bones or other serious skeletal or tissue injuries;
— Property damage caused by the actions of employees operating heavy machinery or other hand tools;
— Hearing loss through exposure to loud noise;
— Skin damage through exposure to solvents and or propellants;
— Temporary or permanent blindness through exposure to metal shavings, chemicals or solvents.

I hereby assume all of the risks of participating in the workplace suitability period.

I certify that I am physically fit and have no prior existing injuries which may cause risk to the employees of the Company, or that if I do have prior existing injuries, that I have been cleared by a qualified and registered medical practitioner to participate in the workplace suitability period and that I have provided proof to the workplace supervisor.

In consideration for permitting me to participate in the workplace suitability period, I hereby:

(A) Waive, release, and discharge the Company from all liability for my death, disability, personal injury, property damage and property theft and that this release extends to their directors, officers, employees, volunteers, representatives and agents; and
(B) Indemnify and hold harmless all entities or persons mentioned above from all liabilities or claims made by other individuals or entities as a result of my actions during the workplace suitability period.

This release binds myself, my executors, administrators, heirs, next of kin, successors, and assigns.

I hereby consent to receive medical treatment that may be deemed necessary or advisable in the event of injury, accident, or illness during the workplace suitability period.

This release shall be construed broadly to provide a release and waiver to the maximum extent permissible under the applicable law.

I hereby certify that I have read this document and I understand its content.