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Monthly Inspection Report

Emergency Eyewash & Shower Stations


Petro State Co.
DATE: 06/APRIL/2014 INSPECTED BY: A.AZIMI
dd-mmm-yyyy

AREA: KISH - IRAN RIG: SEA BOSS

ITEM DESCRIPTION Location OK REMARKS


01 Portable Eye wash station Rig floor Refilled on 12-Feb-2014
02 Eye wash station Low sack store room
03 Eye wash / shower station Upper sack store room
04 Eye wash / shower station Mud pits room
05 Eye wash station Main deck

DATE
APPROVAL NAME SIGNATURE dd-mmm-yyyy

OIM : B.TORABI

Company Man MR.KAZEMI

Original – Rig File Copy – Area Office Copy – Operator

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