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HSE Observation Form (unsafe condition & unsafe acl)
[ Mosanai & BIS/MUS/E/O79/2019
15-06-2019
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PROJECT SIGN BOARD IS NOT AVAILABLE AT SITE
Controls in Place or Action Required
PROJECT SIGN BOARD is PROVIDED AT SITE
sate work stopped wea V
Duration of werk stopped: Hous 0
Responsible Person (Name & Signature):
[Close out date:
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HSE Observation Form (unsafe condition & unsafe act)
Usealion & Deparimen’> | Suwaia & BIS/SUWTEIO79/2019
508-2017
Sutciont Nem net avllabe in fist ald box aso
Controls in Place or Action Required
| Sufficient items have been provided
hinsce wo stopped veo v0
‘Duration of work stopped:
(War
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Location & Deparment ~~ Sawalg & B1S/SUW/E/023/2018
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Observed by.
_ Balaji Sethuraman_
condition)
‘Observation Note (uns
{1B thed pety certificate net available in site
Controls in Place oF Action Required
cb third party is attached and available in the vehicle
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[Revten-0 Date orApa 217 Document # MIE HSER Poze StSAw
HSE Observation Form (unsafe condition & unsafe act)
—sawaia & BTS SUW/E 7023/2018
00820
Balaji Sethuraman
Observation Note (Unsafe con
on)
Deep excavation proper baications not available
Controls in Place or Action Required
Proper barcation provided
Untate werk stopped: veo wo
Revition-0. Dote—erApi 2017 I Document # MIEC-HSEF32 Page 4ot5