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    Line Management Declaration Form)

    Uploaded by

    Ajith Pillerkatill Antony
    This document certifies that an employee underwent general health, safety, and environment induction training covering topics such as QHSE manuals, legal responsibilities of employers and employees, risk assessments, accident reporting, fire prevention, personal protective equipment, working at heights, materials handling, vehicle safety, ladder safety, noise, and machine safety. The employee agrees to follow all health and safety rules and regulations, ensure safe working conditions, use protective equipment, report accidents, and acknowledges receiving proper training.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Line Management Declaration Form)

    Uploaded by

    Ajith Pillerkatill Antony
    72 views1 page
    This document certifies that an employee underwent general health, safety, and environment induction training covering topics such as QHSE manuals, legal responsibilities of employers and employees, risk assessments, accident reporting, fire prevention, personal protective equipment, working at heights, materials handling, vehicle safety, ladder safety, noise, and machine safety. The employee agrees to follow all health and safety rules and regulations, ensure safe working conditions, use protective equipment, report accidents, and acknowledges receiving proper training.

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    This document certifies that an employee underwent general health, safety, and environment induction training covering topics such as QHSE manuals, legal responsibilities of employers and employees, risk assessments, accident reporting, fire prevention, personal protective equipment, working at heights, materials handling, vehicle safety, ladder safety, noise, and machine safety. The employee agrees to follow all health and safety rules and regulations, ensure safe working conditions, use protective equipment, report accidents, and acknowledges receiving proper training.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    72 views1 page

    Line Management Declaration Form)

    Uploaded by

    Ajith Pillerkatill Antony
    This document certifies that an employee underwent general health, safety, and environment induction training covering topics such as QHSE manuals, legal responsibilities of employers and employees, risk assessments, accident reporting, fire prevention, personal protective equipment, working at heights, materials handling, vehicle safety, ladder safety, noise, and machine safety. The employee agrees to follow all health and safety rules and regulations, ensure safe working conditions, use protective equipment, report accidents, and acknowledges receiving proper training.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    DECLARATION FORM

    This is to certify has undergone General QHSE Induction


    Training with the following topic.

    1. QHSE Manuals. 2. Employers Legal Responsibilities


    3. Employees Legal Responsibilities 4. Risk Assessments
    5. Accident Incident & Ill Health 6. Fire & Prevention
    7. Smoking Policy 8. General Site Rules
    9. Personal Protective Equipment 10. Housekeeping
    11. Working at Heights 12. Manual Handling
    13. Materials Handling 14. Vehicles Safety
    15. Ladders Safety 16. Safety Signs
    17. Jewelry / Hygiene Rules 18. Fire Safety
    19. Noise at Work 20. General Safety features of Machines

    In Consideration of being permitted to undergo awareness training on Health and Safety under the
    jurisdiction of I hereby:

    1 Understands clearly each principle of the Health and Safety Code the company and will continuously
    and consistently thereafter, follow the rules and regulations.
    2 Constant watch over safe conditions and actions for accident free production. Teach safety through
    behavior. Train worker for safe work practices and problem solving.
    3 Ensure use of required personnel protective equipments all the time.
    4 Put attention on good maintenance of machines, materials, tools and also on good housekeeping.
    5 Report all accidents and defects to the management and carry out their investigation for the purpose
    of stopping its reoccurrence.
    6 Matters out of control will be report to the higher officials, meanwhile make temporary safety
    arrangement.
    7 Carryout compliance of safety measure suggested by safety dept. and other authorities.
    8 Truly acknowledges that the company, its officers and heads do their duties properly and have given
    their employee correct, sufficient and effective training on Health and Safety to prevent untoward
    incidents and accidents.
    9 After undergoing the proper awareness training, I am fully aware and with full understanding about
    the Health and Safety Code set by the company and will not raise any issue with my superior,
    colleagues and the company if I break or neglect the Safety Rules.

    Employee Signature & Date QHS Officer

    __________________________ __________________________

    Control No.: QHS 003


    Effectivity Date: April 01, 2017
    Revision No.: 0

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