Omera Petroleum Limited

LPG Satellite Station, Sonapahar,

Mirsarai, Chittagong

Employee Warning Report

Employee's Name: Md. Nabiur Rahman
Date of Warning: 10/01/2016
Dept: Operation Designation: Mechanical Engineer

Type of Violation:
[ ] Attendance
[ ] Safety
[ ] Carelessness
[ ] Tardiness
[ ] Disobedience
[ ] Work Quality
[ ] Other Irresponsible act

Warning:

Violation Date: 18th December 2015 Violation Time 11.00 am

Place Violation Occurred: Control Room

Company Statement:
We bring to your attention that management has received an irresponsible act from your side
which are:

01. Unauthorized entry of your child to control room.

2. Taking Picture of your child sitting in Control room. Both of these acts are
unauthorized and against rules and regulations of OPL.

Employee Statement: I am apologizing for my unconscious and irresponsible work and praying
for your kind consideration and please pardon me in this regard. I am swearing that
I will abide by all rules and regulations of our company from now.

Check proper box:

[ ] I agree with the Company's statement

[ ] I disagree with the Company's statement for the following reasons:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
I have entered my statement of the above matter.

Employee's signature _________________________________________________

Date ______________________________________________________________

Warning Decision
According to company policy the above stated activities from your end are counted as
irresponsible, unauthorized, non-compliance activity. For this reason, management is warning
you to avoid such non-compliance activity. Management believes that you will maintain all
available rules and regulations, compliance, policy of company.
 Omera Petroleum Limited
LPG Satellite Station, Sonapahar,
Mirsarai, Chittagong

Approved by __________________________________________________________________
Name Title Date

Employee Warning Report

List All Previous Warnings Below:

(When Warned and By Whom)

Previous Warning: 1st Warning

Date: ______________________________________________________________________
Verbal: ______________________________________________________________________
Written: _____________________________________________________________________

Previous Warning: 2nd Warning

Date: ______________________________________________________________________
Verbal: ______________________________________________________________________
Written: ______________________________________________________________________

Previous Warning: 3rd Warning

Date: ______________________________________________________________________
Verbal: ______________________________________________________________________
Written: _____________________________________________________________________

I have read this "warning decision" and understand it.

_____________________________________________________________________________
Employee's Signature Date

_____________________________________________________________________________
Signature of person who prepared warning Time Date

_____________________________________________________________________________
Plant Manager's Signature Date

Copy Distribution
[ ] Head Of Department
[ ] Plant Manager
[ ] Manager- HR & Admin
[ ] Employee