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BEST PERFORMANCE & BEST ENVIRONMENT (BPBE) FORM

Name : Department :
ID No. : Date :

A) Occurence Location :
MATANG SIMPANG

B) Incident Location :

C) Offender (English), Pesalah (Malay), 罪犯 (Chinese), குற்றவாளி (Tamil), অপরাধী (Bangla), अपराधी
(Nepali) , ပြစ်မှုကျူးလွန်သူ (Burmese), Pelanggar (Indonesian), ជនល្មើស (Khmer), ผู้กระทำความผิด(Thai):

Name : Department :
ID No. : Date of offense :

D) ISSUES : Please in appropriate box.


1. ABNORMAL FUME 7. WASTE MANAGEMENT:
/ SMELL 4. SPILLAGE
a) Solid Waste /
General Waste

2.UNCOMFORTABLE 5. LEAKAGE
NOISE b) Scheduled Wastes

3. WASTAGE OF 6. WASTAGE OF
ELECTRICITY WATER 8. UNEVEN ROAD

E) OBSERVATION / MISCONDUCT : Please in appropriate box.

FROM CHEMICAL LITTERING UNSAFE HANDLING


CONTAINER (THROW RUBBISH / CHEMICAL
GLOVES / PLASTIC /
FROM EQUIPMENT / FOOD WASTE /
MACHINE CIGARETTE BUTT) CARELESS

NO SECONDARY NO SPILL KIT


CONTAINMENT IMPROPER USE OF
EQUIPMENT / TOOL

NO SUITABLE UNTIDY WASTE


CONTAINER STORAGE FORKLIFT DRIVER
WITHOUT LICENSE
WATER TAP NOT TURN DO NOT FOLLOW
OFF WHEN NOT IN USE APPROPRIATE
ILLEGAL DUMPING
PROCEDURE
ELECTRICAL
APPLIANCES NOT Others, please specify:
SWITCH OFF WHEN HORSEPLAY WHEN ON
NOT IN USE DUTY

Remarks / Description:

Received By:

Name:
DOC: ENVI-BPBE-REV01-2023
Designation:
BEST PERFORMANCE & BEST ENVIRONMENT (BPBE) FORM

Name : Department :
ID No. : Date :

A) Occurence Location :
MATANG SIMPANG

B) Incident Location :

C) Offender (English), Pesalah (Malay), 罪犯 (Chinese), குற்றவாளி (Tamil), অপরাধী (Bangla), अपराधी
(Nepali) , ပြစ်မှုကျူးလွန်သူ (Burmese), Pelanggar (Indonesian), ជនល្មើស (Khmer), ผู้กระทำความผิด(Thai):

Name : Department :
ID No. : Date of offense :

D) ISSUES : Please in appropriate box.


1. ABNORMAL FUME 7. WASTE MANAGEMENT:
/ SMELL 4. SPILLAGE
a) Solid Waste /
General Waste

2.UNCOMFORTABLE 5. LEAKAGE
NOISE b) Scheduled Wastes

3. WASTAGE OF 6. WASTAGE OF
ELECTRICITY WATER 8. UNEVEN ROAD

E) OBSERVATION / MISCONDUCT : Please in appropriate box.

FROM CHEMICAL LITTERING UNSAFE HANDLING


CONTAINER (THROW RUBBISH / CHEMICAL
GLOVES / PLASTIC /
FROM EQUIPMENT / FOOD WASTE /
MACHINE CIGARETTE BUTT) CARELESS

NO SECONDARY NO SPILL KIT


CONTAINMENT IMPROPER USE OF
EQUIPMENT / TOOL

NO SUITABLE UNTIDY WASTE


CONTAINER STORAGE FORKLIFT DRIVER
WITHOUT LICENSE
WATER TAP NOT TURN DO NOT FOLLOW
OFF WHEN NOT IN USE APPROPRIATE
ILLEGAL DUMPING
PROCEDURE
ELECTRICAL
APPLIANCES NOT Others, please specify:
SWITCH OFF WHEN HORSEPLAY WHEN ON
NOT IN USE DUTY

Remarks / Description:

Received By:

Name:
DOC: ENVI-BPBE-REV01-2023
Designation:

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