Silicosis PDF

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Form 20.

1 REPUBLIC OFZAMBIA

PATIONAL HEATTH AND


SAFETY INSTITUTE
nt
Stocke,J by the
456257
InstitLrte Date: OT-Mar-Lg
LNTfiAL TE
Full Names SINDOWE
No 7s83g2tLttL
Address 2446 _ NNRc
This ls to certilj. thdl

aninttid examindionas
'd bi se:tutn j4 oJ'the tt orkers, cotrpe r*dtnn
vtasfound to satisfii the Ac t arul
'ns ior the issueto hinl,lpr this
certilicate.
The validity ofthis
Afteruhich the cetfc

Stgnaru.e cr t hnttkprint
be ofno efect.

persut noned aha,e


O7-Mar-20

W
Secrehry of the fnstiiute
KITWE 07-Mar_19

^,Q"
REPUBLIC OF ZAMBIA riltmm
Form 23 El OCCUPATIONAT HEALTH AND SAFETY INSTITUTE
Stocked by the Institute,Kitwe p.O. Box 20205 Kihive
lvlg;.456257
Mine
CONFIDENTIAL
Tel: +260 2229977 Fax: +260 22222823 Emai!: [email protected]

RHnrmffiil.tmmtrilil
(Initiat: (2) (a)) Section 34
Repoft Datel 07-Mar-19

on
Name of person report GIBSON SINDOWE &
F
i
Date of Examination O7-Mar-19
T
Xr
&'
!1-
with reference to the examination on the above date, I "#
am directed !)geport .*&un**'
(1) A Repubtic of Zambia INITTAL CERTIFICATE
vatid to 07-Mar-20
has been sent to the Mine Secretarv of INDEPENDENTS - ExpTess
is enclosed herewith
*(2)The original of this report
has been sent tc the Mine Secrdary of

INDEPENDENTS - Express

M -ML-ltu)^f €_
Secretary of the Institute
*Toe>omineeifnotpresentedfore>aminationbyheemployerorproSpectiveemployerwithcopytoMm
employed m a miner in scheduled mines

You might also like