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    Safety Debit Note

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    almamunmolla96
    This document is a health, safety, and environment debit note template for an employee of S.M NIRMAN INFRASTUCTURE & DEELOPMENT PVT. LTD. It collects information about the employee, supervisor, and contractor as well as details of the safety violation like improper use of protective equipment or working in an unsafe manner. The employee, supervisor, and safety manager must all sign the debit note which is then approved by the project manager.

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

    Safety Debit Note

    Uploaded by

    almamunmolla96
    163 views1 page
    This document is a health, safety, and environment debit note template for an employee of S.M NIRMAN INFRASTUCTURE & DEELOPMENT PVT. LTD. It collects information about the employee, supervisor, and contractor as well as details of the safety violation like improper use of protective equipment or working in an unsafe manner. The employee, supervisor, and safety manager must all sign the debit note which is then approved by the project manager.

    Original Title

    SAFETY DEBIT NOTE

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    This document is a health, safety, and environment debit note template for an employee of S.M NIRMAN INFRASTUCTURE & DEELOPMENT PVT. LTD. It collects information about the employee, supervisor, and contractor as well as details of the safety violation like improper use of protective equipment or working in an unsafe manner. The employee, supervisor, and safety manager must all sign the debit note which is then approved by the project manager.

    Copyright:

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

    Safety Debit Note

    Uploaded by

    almamunmolla96
    This document is a health, safety, and environment debit note template for an employee of S.M NIRMAN INFRASTUCTURE & DEELOPMENT PVT. LTD. It collects information about the employee, supervisor, and contractor as well as details of the safety violation like improper use of protective equipment or working in an unsafe manner. The employee, supervisor, and safety manager must all sign the debit note which is then approved by the project manager.

    Copyright:

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

    S.M NIRMAN INFRASTUCTURE & DEELOPMENT PVT. LTD.

    KOLKATA – 700156.
    HSE DEBIT NOTE FOR EMPLOYEE
    SAFETY DEPARTMENT.

    DEBIT NO : __________________ DATE :

    COMPANY NAME :

    EMPLOYEE NAME :

    FIRST NAME LAST NAME

    DESIGNATION : CONTRUCTOR NAME :

    SUPERVISOR NAME :

    REASON FOR DEBIT NOTE :


    _____________________________________________________________________
    _____________________________________________________________________
    WARNED SUSPENDED DISCHARGED
    No PPE Improper guards Creating fire hazard

    Improper use of equipment Unsafe loading/placing Working unsafe scaffold

    Improper use of all protection Using alcohol/Drugs Improper lifting

    Without electrical plugtopWorking dangerous area Any others

    EMPLOYEE SIGNATURE : ______________ SUPERVISOR SINGATURE : ___________

    DATE : DATE :

    SAFETY SIGNATURE : __________________ APPROVE BY (PROJECT MANAGER)

    DATE : ___________________________________

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