PERIODICAL MEDICAL EXAMINATION

DATE

DUE DATE

REMARKS

SIGNATURE
OF
PHYSICIAN

PERSONAL HSE COMMITMENT

As a member of KNPC CLEAN FUELS PROJECT. I
am personally committed to building an effective
safety culture and I will:

TRAINING PASSPO

(PLACE YOUR FAMILY PICTURE

HERE)

KNPC CLEAN FUELS P

MAA REFINERY, KUWAIT

SERIAL # _ _ _ _

PERSONAL DETAILS

TRAINING PASSPORT
FOR

Name :

_________________

ID No. :

______________

Company :

_ _ _ _ _ _ _ _ _ _ _ _ _ _ Photo

Craft :

_________________

Position :

_________________

Issued Date :

_________________

Employment Date :_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

C CLEAN FUELS PROJECT

MAA REFINERY, KUWAIT

Blood Group :

_________________

Contact #:

_________________

Safety Philosophy

We commit to achieving and maintaining the highest

standards of HSES performance throughout the
KNPC Clean Fuels Project and will strive in
everything we do to avoid harm to people,
communities, the environment, and facilities.

SERIAL # _ _ _ _

PERSONAL PROTECTIVE EQUIPMENT

SL NO.

PPE ISSUED

DATE
SIGNATURE &
OF ISSUE
STAMP

HSES TRAINING DETAILS

COURSE TITLE

SL NO.

1
2
3

CS-01
HSE Fundamental
CH-01
Occupational Helth & Industrial
Hyg
CE-01
Enviromental Management
System

CS-45
Hazardous of H2S

IIF

CS-231
Confined Space Entry

Work At Height

SIGNATURE OF
DATE
TRANING
OF
COORDINATOR
TRAINING
& STAMP