Proj. N. Unit Document Code Serial N.

xxxxx xxx RK 7805 xx

Project Title
Rev x
Customer
Page 1/1

IMPROVEMENT ACTION PLAN

Ref. HSE Inspection Report RK-7804 N°: ……………… Date: ….../….../……. Unit: ……………………………

Expected Actual KT Verification

Ref. Unsatisfactory / To be improved Corrective Action Action Addressee Completion Completion (Date and
Date Date Signature)
MOD – RK-7805-E_Is.00

___________________________________________ _______________________________________
KT Field HSE Coordinator KT Construction Manager

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