ASHIRVAD BY ALIAXIS

PROJECT- PEB BUILDING

SAFETY, HEALTH AND ENVIRONMENT

COMPETENCE CERTICATE
Equip. Name:

Certificate No.:

Issue date: Date valid:

This Certificate confirms that you have been authorized to drive/Operate those vehicles/Equipment listed below.
Keep in your pocket so that it can be shown to the authorized personnel when required. Person who is not in
possession of a valid certificate must not drive vehicles owned or rented by company.

I am familiar with the safe operation and rules/regulations relating to the mobile plant outlined below and will
comply with them.

Name: -
Mobile no.: -
License no.:

EQUIP. REGS: -

Sign. / Thumb
We would like to as
➢ He has successfully attended the required safety induction and the copy of the certificate is available
with SHE Dept.
➢ We undertake to enroll the above mentioned person for necessary safety instruction course as per
the requirement.
➢ We undertake to enroll the above mentioned person for necessary training & competent as
per manufactures.
➢ He has valid license & sufficient Experience to operate the machine.
➢ This certificate of appointment is only valid whilst the appointment person is employed by the
company. However, the appointment may be withdrawn by an authorized company representative at
any time. (Signed by authorized company representative---Eng.-In-Charge P&M).

Authorized by: -
P&M & site In- Charge HSE Manager
Name: - Name: -Mr.
SIGNATURE SIGNATURE