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Shutdown Intimation Advice (SIA)

1. Location Name

: Nagpura Awas

2. Feeder Details

: 11 KV Kormi Feeder

3. Contractors Name

:Dept. Gang

4. Contractors Mobile No.

: _______________________________

5. Contractors Supervisors
Name
: _______________________________
6. Contractors Supervisors
Mobile No.
: _______________________________
7. Godrej Supervisors Name : Bajrang / Vijay Kumar
8. Godrej Supervisors
Mobile No.

: 9826881273 / 8518034443

9. Godrej Site Engineers


Name

:Anil Kumar Carpenter

10.Godrej Site Engineers


Mobile No.
: 8823888826
11.Nature of Job to be carried
Out in Shutdown
: LT AB Cable Stringing
12.Shut down start date and
Time
: _______________________________
13.Shutdown end date and
Time

: _______________________________

14.Shutdown checklist
Verified (Yes / No)

: _______________________________

Name and Sign of the Site Manager/


Site In-Charge

Date : 11/07/2014

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