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INTERNAL SURPRISE SAFETY AUDIT REPORT OF

Date:-
Cost Centre:- Auditee:- Auditor:-

Target date
Recommended Corrective action by
SI No. Unsafe Condition Observed the Auditee of Verification of corrective action Remarks
completion

Signature:-
Auditee:- Auditor:- P.M:-

Date:- Date:- Date:-


Rectification done on:-

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