[Appendix 6.

1]

Doc. No. : HSJV-BNPP-HSE-P54 Rev. No. : 1

Individual Safety Culture Spot Awards Nomination Form

Aspects

Name : Kalman Bal Tamang

Employee Name

Position : Helper Company : YOO MYUNG ID # :YMNPL 019

Remark

Achievement / Performance

He is an ordinary worker from NEPAL, hardworking complied to all HSE rules on site. Arranged the barricades in all areas. I nominate him for safety culture award.

Nominated by:

Position

Signature/ Date___________________

Site Manager:

Signature/Date _________________________

Page 1 of 1

[Appendix 6.2]

Doc. No. : HSJV-BNPP-HSE-P54 Rev. No. : 1

Safety Culture Spot Awards Nomination Form

Aspects

Employee Name

Name : Position : Company : ID # :

Remark

Achievement / Performance

Nominated by:

Position

Signature/ Date___________________

Site Manager:

Signature/Date ________________________