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Document Document Title: Effective Revision No.

&
Type: Date: January Date
Form Acknowledgement 2024 January 2025
of receipt of
instructions
contained in
Prevention Plan

Document No: Prepared BY: Approved By:


K OKE- SHEQ Manager CEO
SHEQ- 002

Employees of KOKE engineering declare that they are aware of risks inherit in the site and the
measures of protection relating thereto.They have been informed of this information,contained in the
Prevention plan, by KOKE SHEQ officer.

KOKE ANNUAL PREVENTION PLAN PLAN FOR 2024

NAME SURNAME DATE SIGNATURE

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