Rev 01

CORRECTIVE ACTION REPORT (CAR) Date 10-Jun-23

FORM
Please utilize this template while submitting closeout reports for any observations raised on the job site.

Design, Build, Operate & Maintain of Field Operations Base for Block 10/
Project/Site Location: Walkthrough(Permanent Facility -- First response,Workshop,Ware house,Chemical
store,Steel yard,STP,Guard house 01)

Date action was

Date Observed: 03.07.2024 6/7/2024
taken:

Observation Action
2806
Tracking Registry No.
Shall match on ATR record

PHOTOS

BEFORE AFTER
DETAILS
What was observed? Corrective action(s) taken

Observed Poor housekeeping General housekeeping done

CLOSEOUT CONFIRMATION
Was the corrective action(s) taken reduced the hazard to as low as reasonably practicable (ALARP) condition?
Please thick the box based on your assessment on the corrective actions taken.

Checked By: Confirmed By:

Yes No Yes No

Name & Signature Name & Signature

Galfar Site Supervisor / Engineer Galfar HSE Manager / Field HSE Advisor

Verified By:
Yes No

Prasad Thayyil

Galfar Project/Construction Manager

Approved By:
Approved Rejected

Name & Signature

Shell Oman Construction Site Manager or his delegate

Note: Only after approval shall the observation be closed in the HSE Action Tracking Register (ATR).

Corrective Action Report form_Rev.01_6-June-2023

 Rev 01
CORRECTIVE ACTION REPORT (CAR) Date 10-Jun-23

FORM
Please utilize this template while submitting closeout reports for any observations raised on the job site.

Design, Build, Operate & Maintain of Field Operations Base for Block 10/
Project/Site Location: Walkthrough(Permanent Facility -- First response,Workshop,Ware house,Chemical
store,Steel yard,STP,Guard house 01)

Date action was

Date Observed: 03.07.2024 6/7/2024
taken:

Observation Action
2807
Tracking Registry No.
Shall match on ATR record

PHOTOS

BEFORE AFTER
DETAILS
What was observed? Corrective action(s) taken

Observed Poor housekeeping General housekeeping done

CLOSEOUT CONFIRMATION
Was the corrective action(s) taken reduced the hazard to as low as reasonably practicable (ALARP) condition?
Please thick the box based on your assessment on the corrective actions taken.

Checked By: Confirmed By:

Yes No Yes No

Name & Signature Name & Signature

Galfar Site Supervisor / Engineer Galfar HSE Manager / Field HSE Advisor

Verified By:
Yes No

Prasad Thayyil

Galfar Project/Construction Manager

Approved By:
Approved Rejected

Name & Signature

Shell Oman Construction Site Manager or his delegate

Note: Only after approval shall the observation be closed in the HSE Action Tracking Register (ATR).

Corrective Action Report form_Rev.01_6-June-2023

 Rev 01
CORRECTIVE ACTION REPORT (CAR) Date 10-Jun-23

FORM
Please utilize this template while submitting closeout reports for any observations raised on the job site.

Design, Build, Operate & Maintain of Field Operations Base for Block 10/
Project/Site Location: Walkthrough(Permanent Facility -- First response,Workshop,Ware house,Chemical
store,Steel yard,STP,Guard house 01)

Date action was

Date Observed: 03.07.2024 6/7/2024
taken:

Observation Action
2808
Tracking Registry No.
Shall match on ATR record

PHOTOS

BEFORE AFTER
DETAILS
What was observed? Corrective action(s) taken

Observed Poor housekeeping General housekeeping done

CLOSEOUT CONFIRMATION
Was the corrective action(s) taken reduced the hazard to as low as reasonably practicable (ALARP) condition?
Please thick the box based on your assessment on the corrective actions taken.

Checked By: Confirmed By:

Yes No Yes No

Name & Signature Name & Signature

Galfar Site Supervisor / Engineer Galfar HSE Manager / Field HSE Advisor

Verified By:
Yes No

Prasad Thayyil

Galfar Project/Construction Manager

Approved By:
Approved Rejected

Name & Signature

Shell Oman Construction Site Manager or his delegate

Note: Only after approval shall the observation be closed in the HSE Action Tracking Register (ATR).

Corrective Action Report form_Rev.01_6-June-2023