Violation Ticket

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ARDI DEVELOPMENT & CONSTRUCTION, INC.

SAFETY NON-CONFORMANCE TICKET


DATE : __________________ TIME : ________________
NAME OF EMPLOYEE:
DEPARTMENT:

YOU ARE HEREBY CITED FOR COMMITING VIOLATIONS TO THE FOLLOWING


SAFETY RULES & REGULATIONS:

NOT WEARING PRESCRIBED UNIFORM


NO ID
UNREGISTERED (TRUCK/DRIVER)
INCOMPLETE/NO TIRE CHOCK
IMPROPER CHOCKING
NON-OBSERVANCE TO PEDESTRIAN LANE POLICY
SMOKING
SPITTING
URINATING AT IMPROPER PLACE
DRIVING W/ EXPIRED DRIVER'S LICENSE/TVR & TCT/TOP
DRIVING WITHOUT LICENSE
NON-OBSERVANCE OF CELLPHONE POLICIES
SLEEPING IN PARKING/LOADING/UNLOADING AREA (INSIDE/UNDER TRUCK)
SLEEPING IN LYING POSITION AT DRIVER'S LOUNGE
WEARING TORN PANTS & SHIRTS
WEARING OPEN SHOES, SANDALS & SLIPPERS
POSSESSION OF DEADLY WEAPON, FIREARMS AND EXPLOSIVES
GAMBLING
DRIVING UNDER THE INFLUENCE OF ALCOHOL
SMOKE BELCHING
OVER-SPEEDING
PROVOKING A FIGHT (W/ OR W/OUT PHYSICAL CONTACT)
STEALING OR ATTEMPTING TO STEAL ANY PROPERTY
POSSESION / USING OF PROHIBITED DRUGS
BRIBERY
NO DEFENSIVE DRIVING TRAINING
NO SAFETY VEST
NO SAFETY SHOES
OTHERS, PLEASE SPECIFY : ___________________________________

REMARKS :

ISSUED BY : CONFORME :
____________________ _____________________
APPREHENDING OFFICER VIOLATOR 'S SIGNATURE
OVER PRINTED NAME

CC: SUPERVISOR
SECURITY
Plant Manager

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