Sample Employee Agreement
I understand that the Ottawa County Smoke-Free Indoor Air Regulation prohibits smoking in public and private workplaces and public buildings within the county. The regulation also requires that outdoor smoking be further than 25 feet or to property edge, whichever is closer, from all entrances, ventilation intakes and operable windows. I have reviewed our company’s policy in compliance with this regulation and understand that failure to adhere to this policy could result in disciplinary action, consistent with company policy, and/or the filing of a complaint with the Ottawa County Health Department.
Smoking is strictly prohibited in all enclosed areas within this worksite without exception. This includes common work areas, auditoriums, classrooms, conference and meeting rooms, private offices, elevators, hallways, medical facilities, cafeterias, employee lounges, stairs, restrooms, employer owned or leased business vehicles occupied by more than one employee or the public, all other enclosed facilities, and outdoors within 25 feet of all entrances, ventilation systems and operable windows. This policy applies to all employees, clients, contractors, and visitors.
I agree to the following rules and company policy about smoking in enclosed work spaces and within 25 feet of entrances, windows and ventilation systems:
o I will not smoke in any indoor area, company vehicle or within 25 feet of entrances, windows and ventilation intakes.
o If I observe any person in violation of this policy, I will bring it to the attention of the offending party and seek voluntary cooperation.
o If the offender is noncompliant, I will notify a supervisor, manager or owner of the violation.
o I may contact the Ottawa County Smoke-Free Regulation Coordinator at 616.393.5793 if all internal steps fail to result in compliance.
In turn, management agrees to support my efforts to insure compliance with this regulation and protection from the known hazards of secondhand smoke.
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Employee’s Signature Date
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Supervisor’s Signature Date
(This agreement will be maintained in employee’s personnel file.)